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Health Education Research Advance Access originally published online on June 15, 2009
Health Education Research 2009 24(6):909-921; doi:10.1093/her/cyp029
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© The Author 2009. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

Do we believe the tobacco industry lied to us? Association with smoking behavior in a military population

Robert C. Klesges1,2, Deborah A. Sherrill-Mittleman1,*, Margaret DeBon2, G. Wayne Talcott3 and Robert J. Vanecek3

1 Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105, USA
2 Department of Preventive Medicine, University of Tennessee Health Science Center, 66 North Pauline Street, Memphis, TN 38163, USA
3 Wilford Hall Medical Center, Lackland Air Force Base, 2200 Bergquist Dr, San Antonio, TX 78236, USA

* Correspondence to: D. A. Sherrill-Mittleman. E-mail: deborah.mittleman{at}stjude.org

Despite the dangers of smoking, tobacco companies continue to impede tobacco control efforts through deceptive marketing practices. Media campaigns that expose these practices have been effective in advancing anti-industry attitudes and reducing smoking initiation among young people, yet the association between knowledge of industry practices and smoking cessation and relapse has not been studied. In a large military sample entering Air Force Basic Military Training (BMT), where tobacco use is prohibited, we investigated (i) the prevalence of agreement with a statement that tobacco companies have misled the public about the health consequences of smoking and (ii) the association of this acknowledgement with smoking status upon entry into BMT (N = 36 013). At baseline, 56.6% agreed that tobacco companies have been deceptive, and agreement was a strong predictor of smoking status [smokers less likely to agree, odds ratio (OR) = 0.39, P < 0.01]. At 12-month follow-up, we examined the association between industry perception at baseline and current smoking status (N = 20 672). Recruits who had been smoking upon entry into BMT and who had acknowledged industry deception were less likely to report current smoking (OR = 0.84, P = 0.01). These findings suggest that anti-industry attitudes may affect smoking relapse following cessation.

Received on August 25, 2008; accepted on May 11, 2009


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