The health and economic costs of tobacco use in military and veteran populations are high. In 2007, the Department of Veterans Affairs (VA) and the Department of Defense (DoD) requested that the Institute of Medicine (IOM) make recommendations on how to reduce tobacco initiation and encourage cessation in both military and veteran populations. In its 2009 report, Combating Tobacco in Military and Veteran Populations, the authoring committee concludes that to prevent tobacco initiation and encourage cessation, both DoD and VA should implement comprehensive tobacco-control programs.

Contents

• THE NATIONAL ACADEMIES
• COMMITTEE ON SMOKING CESSATION IN MILITARY AND VETERAN POPULATIONS
• REVIEWERS
• PREFACE
• SUMMARY
• 1. INTRODUCTION
  • CHARGE TO THE COMMITTEE
  • THE COMMITTEE’S APPROACH TO ITS CHARGE
  • ORGANIZATION OF THE REPORT
  • REFERENCES
• 2. SCOPE OF THE PROBLEM
  • TOBACCO USE IN MILITARY AND VETERAN POPULATIONS
  • HEALTH EFFECTS OF TOBACCO USE
  • ECONOMIC IMPACTS
  • REFERENCES
• 3. FACTORS THAT INFLUENCE TOBACCO USE
  • A SOCIOECOLOGIC ANALYSIS OF TOBACCO USE IN MILITARY AND VETERAN POPULATIONS
  • INDIVIDUAL FACTORS
  • INTERPERSONAL FACTORS
  • COMMUNITY FACTORS
  • SOCIETAL FACTORS
  • SUMMARY
  • REFERENCES
• 4. TOBACCO-CONTROL PROGRAMS: EVIDENCE-BASED PRACTICES
  • COMPREHENSIVE TOBACCO-CONTROL PROGRAMS
  • COMMUNICATION INTERVENTIONS
  • TOBACCO-USE RESTRICTIONS
  • TOBACCO RETAIL ENVIRONMENT
  • TOBACCO-CESSATION INTERVENTIONS
  • DELIVERY OF INTERVENTIONS
  • TOBACCO CESSATION IN SPECIAL POPULATIONS
  • RELAPSE-PREVENTION INTERVENTIONS
  • SURVEILLANCE AND EVALUATION
  • REFERENCES
• 5. DEPARTMENT OF DEFENSE TOBACCO-CONTROL ACTIVITIES
  • ORGANIZATIONAL OVERVIEW
  • TOBACCO-CONTROL PROGRAMS IN THE DEPARTMENT OF DEFENSE
  • COMMUNICATION INTERVENTIONS
  • TOBACCO-USE RESTRICTIONS
  • TOBACCO RETAIL ENVIRONMENT
  • TOBACCO-CESSATION INTERVENTIONS
  • DELIVERY OF INTERVENTIONS
  • SPECIAL POPULATIONS
  • RELAPSE-PREVENTION INTERVENTIONS
  • SURVEILLANCE AND EVALUATION
  • REFERENCES
• 6. DEPARTMENT OF VETERANS AFFAIRS TOBACCO-CONTROL ACTIVITIES
  • ORGANIZATIONAL OVERVIEW
  • TOBACCO-CONTROL PROGRAMS IN THE DEPARTMENT OF VETERANS AFFAIRS
  • COMMUNICATION INTERVENTIONS
  • TOBACCO-USE RESTRICTIONS
  • TOBACCO-CONTROL INTERVENTIONS
  • DELIVERY OF INTERVENTIONS
  • SPECIAL POPULATIONS
  • SURVEILLANCE AND EVALUATION
  • REFERENCES
• 7. SUMMARY AND RECOMMENDATIONS
  • TOWARD A TOBACCO-FREE MILITARY POPULATION
  • TOWARD A TOBACCO-FREE VETERAN POPULATION
  • TOBACCO-CONTROL COMMONALITIES
  • SUMMARY OF FINDINGS AND RECOMMENDATIONS
  • RESEARCH AGENDA
  • REFERENCES
• APPENDIX A EFFECTIVE TOBACCO-CONTROL PROGRAMS
• APPENDIX B DEPARTMENT OF DEFENSE TOBACCO USE PREVENTION STRATEGIC PLAN, 1999

This study was supported by Contract V101 (93) P-2136, TO 101-E85010 (14) between the National Academy of Sciences and the Department of Veterans Affairs. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the authors and do not necessarily reflect the view of the organizations or agencies that provided support for this project.

Suggested citation:

IOM (Institute of Medicine). 2009. Combating Tobacco Use in Military and Veteran Populations. Washington, DC: The National Academies Press.

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.