title: Efficacy of a tailored tobacco control program on long-term use in a population of U.S. military troops.
abstract: The authors evaluated the effect of a brief tailored smoking control intervention delivered during basic military training on tobacco use in a population of military personnel (N = 33,215). Participants were randomized to either a tobacco use intervention (smoking cessation, smokeless tobacco use cessation, or prevention depending on tobacco use history) or a health education control condition. Results indicated that smokers who received intervention were 1.16 (95% confidence interval [CI] = 1.04, 1.30) times (7-day point prevalence) and 1.23 (95% CI = 1.07, 1.41) times (continuous abstinence) more likely to be abstinent than controls from smoking cigarettes at the 1-year follow-up (p < .01); the cessation rate difference was 1.60% (31.09% vs. 29.49%) and 1.73% (15.47% vs. 13.74%) for point prevalence and continuous abstinence, respectively. Additionally, smokeless tobacco users were 1.33 (95% CI = 1.08, 1.63) times more likely than controls (p < .01) continuously abstinent at follow-up, an overall cessation rate difference of 5.44% (33.72% vs. 28.28%). The smoking prevention program had no impact on smoking initiation. These results suggest potential for large-scale tobacco control efforts.
authors.affiliation: Department of Psychology, University of Memphis, Memphis, TN 38105, USA. bob.klesges@st.jude.org
authors.forename: Robert C
authors.initials: RC
authors.lastname: Klesges
authors.forename: Margaret
authors.initials: M
authors.lastname: DeBon
authors.forename: Mark W
authors.initials: MW
authors.lastname: Vander Weg
authors.forename: C Keith
authors.initials: CK
authors.lastname: Haddock
authors.forename: Harry A
authors.initials: HA
authors.lastname: Lando
authors.forename: George E
authors.initials: GE
authors.lastname: Relyea
authors.forename: Alan L
authors.initials: AL
authors.lastname: Peterson
authors.forename: G Wayne
authors.initials: GW
authors.lastname: Talcott
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008889:Military Personnel / Q000706:statistics & numerical data*; D015995:Prevalence; D016730:Program Development; D016540:Smoking Cessation / Q000379:methods*; D011795:Surveys and Questionnaires; D014029:Tobacco Use Disorder / Q000453:epidemiology* / Q000517:prevention & control / Q000628:therapy*; D014481:United States