Findings

Recommendations

DoD and the armed services have stated goals of being tobacco-free but have not achieved these goals.

The goal of a tobacco-free military service may be achieved incrementally. DoD and the armed services can use several mechanisms to intensify their efforts to reach the goal:

  • Set a specific date by which the military will be tobacco-free and make compliance in all the armed services mandatory. Require each service to develop and enforce a timeline for achieving tobacco-free status.

  • The military academies, officer-candidate training programs, and university-based reserve officer training corps programs should become tobacco-free first, followed by new enlisted accessions, and then by all other active-duty personnel.

Tobacco control does not have a high priority in DoD or VA. Neither department has instituted a comprehensive tobacco-control program. Existing programs are not comprehensive, standardized, or consistently enforced.

DoD, the armed services, and VA should raise the priority given to tobacco control throughout their organizations.

DoD, the armed services, and VA should develop comprehensive, integrated tobacco-control programs with timelines for benchmarks and strategies for achieving them. The departmentwide plans should encompass tobacco-use restrictions, sales restrictions (in DoD only), communication interventions, treatment interventions (including those for special populations), treatment delivery (such as clinical settings and quitlines), surveillance mechanisms, and periodic program evaluations.

Tobacco use by military personnel and veterans is not denormalized.

DoD and VA should take the following actions to denormalize tobacco use:

  • Eliminate tobacco use on military installations and in VA medical facilities using evidence-based



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