Edward J Boyko1, Daniel W Trone, Arthur V Peterson, Isabel G Jacobson, Alyson J Littman, Charles Maynard, Amber D Seelig, Nancy F Crum-Cianflone, Jonathan B Bricker. 1. Edward J. Boyko, Alyson J. Littman, and Amber D. Seelig are with the Seattle Epidemiologic Research and Information Center, Department of Veterans Affairs (VA) Puget Sound Health Care System, WA. Charles Maynard is with the Denver-Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, Health Services Research and Development, VA Puget Sound Health Care System, VA Eastern Colorado, Denver. Daniel W. Trone and Isabel G. Jacobson are with the Department of Defense Center for Deployment Health Research, Naval Health Research Center, San Diego, CA. Nancy F. Crum-Cianflone is with the Naval Medical Center, San Diego, CA. Arthur V. Peterson and Jonathan B. Bricker are with the Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA.
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.
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.
Authors: Margaret A K Ryan; Tyler C Smith; Besa Smith; Paul Amoroso; Edward J Boyko; Gregory C Gray; Gary D Gackstetter; James R Riddle; Timothy S Wells; Gia Gumbs; Thomas E Corbeil; Tomoko I Hooper Journal: J Clin Epidemiol Date: 2006-09-28 Impact factor: 6.437
Authors: G Wayne Talcott; Jeffrey Cigrang; Deborah Sherrill-Mittleman; Douglas K Snyder; Monty Baker; Jolyn Tatum; Daniel Cassidy; Scott Sonnek; Christina Balderrama-Durbin; Robert C Klesges; Jon O Ebbert; Amy M Slep; Richard E Heyman Journal: Nicotine Tob Res Date: 2013-01-08 Impact factor: 4.244
Authors: Yasmin S Cypel; Kim Hamlett-Berry; Shannon K Barth; Dana E Christofferson; Victoria J Davey; Stephanie Eber; Aaron I Schneiderman; Robert M Bossarte Journal: Public Health Rep Date: 2016-09-16 Impact factor: 2.792
Authors: Amber D Seelig; Kara M Bensley; Emily C Williams; Richard F Armenta; Anna C Rivera; Arthur V Peterson; Isabel G Jacobson; Alyson J Littman; Charles Maynard; Jonathan B Bricker; Rudolph P Rull; Edward J Boyko Journal: J Addict Med Date: 2018 Sep/Oct Impact factor: 3.702
Authors: Christi A Patten; Xin-Qun Wang; Melissa A Little; Jon O Ebbert; Gerald W Talcott; Ann S Hryshko-Mullen; Robert Klesges Journal: Prev Med Rep Date: 2020-05-05
Authors: Shawna V Hudson; Marin Kurti; Jenna Howard; Bianca Sanabria; Kevin R J Schroth; Mary Hrywna; Cristine D Delnevo Journal: Int J Environ Res Public Health Date: 2021-06-05 Impact factor: 3.390