personnel, and command health-promotion programs (SECNAV Instruction 5100.13E, June 2008).

To meet Goal B.2 to educate commanders on how to encourage healthy lifestyles and the benefits of being tobacco-free, DoD must assess and evaluate existing educational programs for commanders that include such information. Where this component is missing from the education programs, it should be added. The committee was unable to determine whether such education programs include guidance for commanders on encouraging healthy lifestyles, but it finds that this is an appropriate approach and should help commanders to appreciate the need to give tobacco cessation high priority for readiness and health and to convey this priority to those under their commands.

Finding: Although leadership training includes tobacco-control education, the DoD, the armed services, and installation leadership is not sufficiently engaged in tobacco-control policies and their enforcement.

Recommendation: Military leaders’ commitment to tobacco control, including being tobacco-free themselves, should be a consideration in promotion as a part of a larger goal of maintaining military readiness. Education programs for commanders should include guidance on tobacco-use prevention and cessation and how to encourage healthy lifestyles among installation personnel.


As discussed in Chapter 4, restricting tobacco use and increasing the price of tobacco products are among the most effective mechanisms for reducing tobacco consumption. DoD has exercised its authority to prevent the use of tobacco products in many areas but has not achieved tobacco-free military installations. Goal C.1 of the 1999 Tobacco Use Prevention Strategic Plan is to “decrease accessibility and availability of tobacco products through pricing, smoking area, and tobacco-use restrictions.” In this section, the committee examines policies of DoD and the armed services with regard to decreasing the use of tobacco products by restricting when and where they can be used in military workplaces, including military installations, ships, submarines, aircraft, vehicles, military lodgings, the service academies and other training facilities, and other settings peculiar to the military (for example, when in uniform and during basic training). Tobacco sales and access are discussed later under “Tobacco Retail Environment.”

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