Evidence map›Paper›PMID 23113448›Full record

ArticleMilitary medicine2012

Why strong tobacco control measures "can't" be implemented in the U.S. Military: a qualitative analysis.

Elizabeth A Smith, Ruth E Malone

Abstract read
In one paragraph

Article in Military medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Smoking and increased Alzheimer's disease risk: a review of potential mechanisms.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2014
    Pooled it
  2. Article
  3. Dual use of cigarettes and smokeless tobacco among active duty service members in the US military.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2022
    Article
  4. "Nobody Views It As a Negative Thing to Smoke": A Qualitative Study of the Relationship Between United States Air Force Culture and Tobacco Use.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2021
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Tobacco Pricing in Military Stores: Views of Military Policy Leaders.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2016
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Elizabeth A SmithDepartment of Social & Behavioral Sciences, University of California, San Francisco, 3333 California Street, Suite 455, San Francisco, CA 94118, USA.
Ruth E Malone

Funding

Tobacco Industry Influence on the U.S. MilitaryR01CA109153 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HADDOCK, CHRISTOPHER KEITH, MALONE, RUTH E · 2004 to 2012
$3.2M
Barriers to Effective Tobacco Control Policy Implementation in the US MilitaryR01DA036507 · NIDA · NATIONAL DEVELOPMENT AND RESEARCH INSTITUTES, INC. · PI HADDOCK, CHRISTOPHER KEITH, MALONE, RUTH E · 2013 to 2015
$1.8M
NCI NIH HHS CA109153NCI NIH HHS R01 CA109153NIDA NIH HHS R01 DA036507
6 · The paper itself

Abstract

The Institute of Medicine recently called for a tobacco-free military, citing evidence that high rates of tobacco use harm readiness and create enormous costs for the Department of Defense and the Veterans Administration. The pro-tobacco activities of the tobacco industry and others, sometimes supported by military authorities even when prohibited by policy, have created a culture highly hospitable to smoking. Through qualitative secondary analysis of data from interviews and focus groups, this article explores the reasons enlisted personnel and their supervisors, installation tobacco control managers, and service policy leaders give for why tobacco control policy change "cannot" effectively be achieved. Three primary reasons were given: policies would impinge on the "right to smoke," policies would be unenforceable and lead to disciplinary breakdown, and the rights of civilian workers on military installations precluded policy enforcement. Yet evidence suggests that these reasons are not only invalid, but inconsistent with military policies addressing other threats to the health of personnel. This pervasive tobacco "exceptionalism" is a significant barrier to achieving a tobacco-free military. The military, Congress, and the President should re-evaluate the "can'ts" that have prevented effective action, and act to regulate and eventually abolish tobacco use in the armed forces.

Indexed as

Military PersonnelSmoking PreventionHealth BehaviorHealth PolicyHuman RightsHumansMilitary MedicineSmokingUnited States

Identifiers

PMID23113448
PMCPMC3572716

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.