Recommendation: The effectiveness of the programs should be evaluated, and they should be modified as necessary. The DoD needs to focus its counteradvertising campaigns on changing the military norm for tobacco use and create the expectation that tobacco use is inconsistent with military readiness.

Leadership Education and Training

Goal B.1 of the DoD Tobacco Use Prevention Strategic Plan is to “promote a tobacco-free lifestyle and culture through education and leadership,” and Goal B.2 is to “educate commanders at all levels on how best to encourage healthy lifestyles as well as the benefits of being tobacco free.” Requirements to meet Goal B.1 include assessing the content of basic, technical, and professional military training programs to ensure that they address the risks posed by tobacco use and the benefits of being a nonsmoker, and that policy is drafted, if necessary, to inform all those selected for training of the services’ tobacco-free goal. The committee notes that those requirements are best addressed by the individual services, although the OASD(HA) might reserve the right to oversee that the messages are consistent or appropriately adapted to the particular needs of each armed service’s training programs. The committee was unable to determine whether the OASD(HA) tracks such information or has provided guidance to the armed services on incorporating antitobacco messages into their educational and training programs.

The AHPP (Army Regulation 600-63, May 2007) requires that health-education classes during all military training include information on tobacco use. The committee assumes that this would include training that commanders receive when assuming a post, although it is not explicitly stated in the regulation. The Army has a tobacco-cessation policy in its training regulation, Enlisted Initial Entry Training Policies and Administration (TRADOC Regulation 350-6, May 2007), and the AHPP specifically states that tobacco use is to be included in health-education classes as part of professional military training, including basic and advanced courses for enlisted personnel and officers. Air Force Instruction 40-101 (May 1998) mandates that installation commanders support health-promotion program initiatives by authorizing regular senior leadership briefings by experts on such topics as tobacco. The Navy requires that unit commanders, commanding officers, and officers in charge include the topics of nicotine addiction, the harms of tobacco use, and treatment services in all command indoctrinations and orientations, general military training for all military and civilian



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