这项研究比较了从2018年健康相关行为调查(HRBS)和定期健康评估(PHA)调查中获得的烟草和尼古丁使用的患病率和危险因素的估计。HRBS和PHA是国防部从美国军人那里收集的有关健康行为的重要数据来源。虽然它们的收集方法不同,一些调查问题是相似的,这提供了一个比较调查估计的机会。与HRBS相比,现役服务成员一致报告说,PHA中所有类型的烟草和尼古丁使用的患病率要低得多:香烟(11.1%vs.18.4%),电子烟(7.3%与16.2%),咀嚼烟草(9.7%与13.4%),任何烟草或尼古丁的使用(25.3%vs.37.8%),以及使用2种或更多的烟草或尼古丁产品(5.8%vs.17.4%)。烟草和尼古丁使用以及人口统计学和其他行为变量之间的关联非常相似,包括年龄,性别,教育,种族和民族,等级,酒精的使用。与服务部门的协会,身体质量指数,和睡眠不一致。这项研究的结果表明,随着时间的推移,PHA可以提供有关军事烟草和尼古丁使用趋势的及时信息,但是机密的估计要高得多,本研究报告的自愿性HRBS表明,指令型PHA可能大大低估了所有类型烟草和尼古丁使用的患病率。
This study compared estimates of the prevalence of and risk factors for tobacco and nicotine use obtained from the 2018 Health Related Behaviors Survey (HRBS) and Periodic Health Assessment (
PHA) survey. The HRBS and the
PHA are important Department of Defense sources of data on health behavior collected from U.S. military service members. While their collection methods differ, some survey questions are similar, which provides an opportunity to compare survey estimates. Active duty service members consistently reported a much lower prevalence of all types of tobacco and nicotine use on the
PHA compared to the HRBS: cigarettes (11.1% vs. 18.4%), e-cigarettes (7.3% vs. 16.2%), chewing tobacco (9.7% vs. 13.4%), any tobacco or nicotine use (25.3% vs. 37.8%), and use of 2 or more tobacco or nicotine products (5.8% vs. 17.4%). Associations between tobacco and nicotine use as well as demographic and other behavioral variables were fairly similar, including age, sex, education, race and ethnicity, rank, and alcohol use. The associations with service branch, body mass index, and sleep were inconsistent. This results of this study suggest that the
PHA can provide timely information on trends in military tobacco and nicotine use over time, but much higher estimates from the confidential, voluntary HRBS reported in this study suggest that the command-directed
PHA may substantially underestimate the prevalence of all types of tobacco and nicotine use.