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Longitudinal investigation of smoking initiation and relapse among younger and older US Military personnel

Author

Listed:
  • Boyko, E.J.
  • Trone, D.W.
  • Peterson, A.V.
  • Jacobson, I.G.
  • Littman, A.J.
  • Maynard, C.
  • Seelig, A.D.
  • Crum-Cianflone, N.F.
  • Bricker, J.B.

Abstract

Objectives. We examined whether military service, including deployment and combat experience, were related to smoking initiation and relapse. Methods. We included older (panel 1) and younger (panel 2) participants in the Millennium Cohort Study. Never smokers were followed for 3 to 6 years for smoking initiation, and former smokers were followed for relapse. Complementary log-log regression models estimated the relative risk (RR) of initiation and relapse by military exposure while adjusting for demographic, health, and lifestyle factors. Results. Deployment with combat experience predicted higher initiation rate (panel 1: RR = 1.44; 95% confidence interval [CI] = 1.28, 1.62; panel 2: RR = 1.26; 95% CI = 1.04, 1.54) and relapse rate (panel 1 only: RR = 1.48; 95% CI = 1.36, 1.62). Depending on the panel, previous mental health disorders, life stressors, and other military and nonmilitary characteristics independently predicted initiation and relapse. Conclusions. Deployment with combat experience and previous mental disorder may identify military service members in need of intervention to prevent smoking initiation and relapse. © 2015, American Public Health Association Inc. All rights reserved.

Suggested Citation

  • Boyko, E.J. & Trone, D.W. & Peterson, A.V. & Jacobson, I.G. & Littman, A.J. & Maynard, C. & Seelig, A.D. & Crum-Cianflone, N.F. & Bricker, J.B., 2015. "Longitudinal investigation of smoking initiation and relapse among younger and older US Military personnel," American Journal of Public Health, American Public Health Association, vol. 105(6), pages 1220-1229.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302538_8
    DOI: 10.2105/AJPH.2014.302538
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    Cited by:

    1. Kim Korinek & Peter Loebach & Ha Ngoc Trinh, 2017. "Military service and smoking in a cohort of northern Vietnamese older adults," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(1), pages 43-51, January.
    2. Testa, Alexander & Jackson, Dylan B. & Boccio, Cashen, 2021. "Stressful life events and electronic cigarette use during pregnancy," Social Science & Medicine, Elsevier, vol. 276(C).

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