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Pages 347-368

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From page 347...
... See American Cancer Society Alcohol abuse and dependence, 8, Acupuncture, 137–138, 282 47, 51, 87, 156–157 Acute eosinophilic pneumonia CAGE assessment of, 243 (AEP) , from tobacco use, 50 Alcohol Abuse and Tobacco Use Acute ischemic events, 52 Reduction Committee Acute myocardial infarction (MI)
From page 348...
... See Leadership attitudes; Intervention Study (ASSIST) Social attitudes program, 117, 167, 332–333, Auditor-vigilance tasks, 44 335 Aviation performance, and tobacco Anemia, 52 use, 44–45 Anger, and nicotine withdrawal, 42 Avoidance education, 229 Angina pectoris, 53 Antihypertensive drugs, 54 B Antipsychotic medications, 154, 295 Basic training, 19, 218–221 Anxiety disorders, 16, 87–89 dropout rates during and after, and nicotine withdrawal, 4, 1, 4, 19 42, 84 preventing initiation and Army, 3, 21, 23, 31–34, 43 relapse after, 252–253 Aeromedical Research relapse-prevention Laboratory, 42 interventions during, 250– Center for Health Promotion 252 and Preventive Medicine tobacco-use restrictions (CHPPM)
From page 349...
... See Army Center for 158 Health Promotion and risk for recurrence of, 160 Preventive Medicine from smokeless-tobacco use, Chronic lung disease, a long-term 4, 55 health effect of tobacco use, 53– Carbon monoxide (CO) , 42, 52 54, 159 end-expiratory, 217 Chronic obstructive pulmonary Cardiovascular disease (CVD)
From page 350...
... See Educational approach to its charge, 3, 23– settings 26 Clinical Practice Guidelines. See charge to, 2, 21–23 Public Health Service's Clinical Commonalities among DoD and Practice Guideline–Treating VA tobacco-control concerns, Tobacco Use and Dependence; 316–318 VA/DoD Clinical Practice Communication interventions, Guideline for the Management 119–124, 208–214, 274–275 of Tobacco Use advertising and promotions, Clinical setting interventions, 140– 120–122, 208–210 143, 234–238, 284–287 counteradvertising and public by nurses, 142, 285–286 education, 10, 24, 122–124, by other health-care 210–213, 342 professionals, 142–143, leadership education and 236–238, 286–287 training, 213–214 by primary-care providers, Community-based outpatient 142, 236, 284–285 clinics (CBOCs)
From page 351...
... See Behavioral Comprehensive tobacco-control interventions; Computer-based programs, ix, 5, 8, 11, 15–16, programs 25–27, 116–119, 308 Counteradvertising, 10, 24, 122– components of, 330–331 124, 210–213, 342 Computer-based programs, for Cryptogenic fibrosing alveolitis, 54 tobacco-cessation interventions, Cue-reactivity, 155 7, 11–12, 146–147, 235, 239– Cues. See Smoking cues 241, 274, 290–291 Cultural factors, influencing Concentration, difficulty with, and tobacco use, ix, 21, 101–102, nicotine withdrawal, 4, 42, 84 115 Conditioned behavior, and nicotine CVD.
From page 352...
... , ix–x. See also Instruction 1010.15, 125, 198, Organizational overview of the 205, 215–216, 227 VA; Tobacco-use restrictions in Instruction 1330.09, 59, 96, the VA; Veterans Health 209, 224 Administration Instruction 1330.21, 209, 224– broad implications of tobacco 227, 226 use for, 1–2, 23–27 Office of the Assistant economic impacts of tobacco Secretary of Defense for use on, 62–65 Health Affairs, 8–9, 200, Office of Quality and 204, 206–207, 213, 256 Performance, 299 Department of Defense (DoD)
From page 353...
... See Department of Defense for special populations, 293– DoD Survey of Health Related 298 Behaviors among Active Duty surveillance and evaluation, Military Personnel, 39, 61, 90, 298–301 97, 204, 249, 254, 339 tobacco-control programs in, Dopamine, 84–85 270–274 Driving, and tobacco use, 96 tobacco-free policies in, 276– Drug interactions, 17–18, 54, 294– 277 295 Dependence. See Nicotine Drug metabolism, altered, 41, 54 addiction Deployed service personnel, 1, 8, E 20, 243, 248–249 lack of activities and Economic impacts of tobacco use, privileges during 1, 4 deployment, 97 on the DoD, 4, 56–62 smokeless-tobacco use among, on the VA, 4, 62–65, 159 162 Education.
From page 354...
... , 287–289 125–126, 215 relapse-prevention, 164–165 Veterans Integrated Service tobacco-cessation, 133–138 Networks (VISNs) and tobacco-cessation numbers of, 268–269 medications, 135–136 Factors that influence tobacco use, Evidence-based tobacco-control 5, 79–104 programs, 23, 115–168 community factors, 95–99 comprehensive, 116–119 individual factors, 82–93 for special populations, 149– interpersonal factors, 93–95 164 societal factors, 99–104 surveillance and evaluation, a socioecologic analysis of 165–168 tobacco use in military and tobacco retail environment, veteran populations, 81–82 129–133 Families, involvement in tobacco tobacco-use restrictions, 124– use, 1, 5, 95, 297–298 129 FCTC.
From page 355...
... See Handheld Computer for the DoD and the VA, 318– Smoking Intervention Tool 322 Healing of infections, effect of research agenda, 322–324 tobacco use on, 48–49 tobacco-control Healing of wounds, impaired from commonalities, 316–318 tobacco use, 49 toward a tobacco-free military Health-care costs of tobacco use. population, 308–313 See Tobacco-related illness costs toward a tobacco-free veteran Health-care providers, in clinical population, 313 –316 settings, 6–7, 142–143, 284–287 Fires, and tobacco use, 46, 217 Health effects of tobacco use, 1, 27, 5 A's, 7, 12, 140–141, 148, 237, 40–56 279, 317 long-term, 27, 51–54 5 R's, 7, 140–141 secondhand smoke, 54–55 Flight safety, 44 short-term, 27, 41–50 Flu, 48, 54 smokeless-tobacco use, 55–56 Fluphenazine, 154 tobacco-related illness costs, Food and Drug Administration 57–58, 64 (FDA)
From page 356...
... See also interventions; Evidence-based Genetics of nicotine addiction interventions; Multisession alcohol abuse, 88–89 intensive interventions; Targeted anxiety disorders, 89 interventions; Tobacco-cessation biology of nicotine interventions reinforcement, 84–88 implementing, 79–80 depression, 89–90 stepped-care, 156, 296 mental-health disorders in IOM. See Institute of Medicine veterans, 92–93 Iraq, service in, ix, 8, 11, 20–21, nicotine addiction, 83–84 32, 50, 92–93, 243, 248–249, psychologic stress and 294 comorbid conditions in the Irritability, and nicotine active military, 90–92 withdrawal, 4, 42, 84–85 schizophrenia, 90 self-image, 5, 101 J Infectious diseases, health risk of tobacco use, 4, 54–55 Joint Chiefs of Staff, 198 Influenza, 48, 54 Joint Commission [on Initiation of daily smoking, age at, Accreditation of Healthcare 37 Organizations]
From page 357...
... See also Navy 152 MCO Semper Fit Manual depression, 155–156 P1700.29, 220 and nicotine addiction, 86–88 Order 5100.28, 198 posttraumatic stress disorder, SECNAV Instruction 154–155 5100.13E, 198, 204–205, schizophrenia, 158 210, 216, 220–221, 223, tobacco-cessation medications 235–236 for, 152–154
From page 358...
... Quitline Consortium See also Tobacco Use National Action Plan for Tobacco Prevention Strategic Plan; Cessation, 145–146, 334 TRICARE Management Activity National Alliance for Tobacco Military installations Cessation, 139 prices for cigarettes and National Ambulatory Medical Care smokeless tobacco at and Survey, 141–142, 151 near, 10, 60, 96, 223–226 National Cancer Institute (NCI) , 5, restricting access to tobacco 26, 117, 120, 144, 167, 287, 327 products on, 215–216, 225 American Stop Smoking Military populations Intervention Study program, active-duty, 98 117, 332–333 age of, 33–34 Handheld Computer Smoking demographics of, 20, 31–34 Intervention Tool (HCSIT)
From page 359...
... , ix, 7, 13, 103, 125, DNAS Instruction 3120.1D, 134–136, 142, 145, 151–153, 220 159, 228–232, 236, 276, 280, Health Promotion Wellness 314–315 Tobacco Program, 254 Nicotine withdrawal, 4, 42 Instruction 5100.13E, 215– exacerbating psychiatric 217 symptoms, 150 NAVHOSPGLAKES psychoactive effects of, 84–85 Instruction 6220.7, 254 Night vision, and tobacco use, 43– OPNAVINST 6100.2A, 206 44 Recruit Training Command Nonsmokers, 44, 90 Instruction 5100.6K, 219– recognition of the rights of, 220, 250 20, 228 SECNAV Instruction North American Quitline 1500.13E, 198, 204–205, Consortium (NAQC)
From page 360...
... See Education; Public Parental smoking, 55 education about tobacco; Peptic ulcer disease, from tobacco Relapse-prevention interventions use, 49 Prices for cigarettes and smokeless Perceptions, of cigarette tobacco, ix, 6, 130–132, 224– availability and acceptability in 226, 330 the military, 94 on military installations, 10, Performance 60, 96, 223–226 effects of smoking on military, Primary-care providers, in clinical 3, 42–47, 50 settings, 142, 236, 284–285 measuring, 8, 165–166, 299 Private residences, tobacco-use Periodontal disease, from tobacco restrictions in, 127–128, 221– use, 4, 49–50, 55–56 222 Peripheral vascular disease, 52, 159 Privileges granted during Pharmacies in the Military Health deployment, and tobacco use, 97 System, 230. See also VA Problems created by tobacco use, National Formulary 31–65
From page 361...
... Make Everyone point-of-sale, 103, 121 Proud," 8, 10–12, 123, 211–212, Providers, educating for tobacco- 239–241, 312 cessation interventions, 147– Quitlines in tobacco-cessation 149, 241–242, 291–293 interventions, 6–7, 24, 144–146, Psychiatric comorbidities in 238–239, 287–289, 312 tobacco users, 2, 8, 84–85, 88 Quitting tobacco use, ix, 8, 10 in military populations, 243– motivation for, 80, 138 244 receptivity to idea of, 24 in veteran populations, 293– 297 withdrawal exacerbating, 150 R Psychiatric medications, possible interactions with medications for Reaction time, impaired, 42, 44–45 tobacco-cessation, 17–18, 54, Readiness. See Military readiness 294–295 Recommendations of the Psychotic disorders, 87, 153 committee, 13–17, 307–324.
From page 362...
... See Tobacco retail Smoke breaks, 4, 216 environment on military influencing tobacco use, 97 installations Smoke-Free Policy Retired military personnel. See for all DoD facilities, 215 Veteran populations for VA Health Care Facilities, Risks, of cancer from smoking, 7, 11, 276 52 Smokeless-tobacco use, 55, 216.
From page 363...
... See other tobacco users, 163–164 Tobacco-cessation programs smokeless tobacco and dual Smoking cues, 85 use, 244–246 avoiding, 8, 165 smokeless-tobacco users, 162– reactivity to, 155 163 Snuff, 55. See also Smokeless- tobacco users with medical tobacco use comorbidities, 158–161 Sobriety, 156–157 tobacco users with mentalSocial attitudes, influencing health disorders, 150–158, tobacco use, 81 243–244 Social connections, role of tobacco veterans with mental-health in facilitating, 5, 81 disorders, 293–297 Social skills, training in, 158 women, 162, 247–248 Social support for quitting, 8, 165 Spouses of veterans, 297 Societal factors influencing tobacco State tobacco-control programs, 5, use, 5, 99–104 27, 117, 327–332.
From page 364...
... , 118, Submarine crews, smoking by, 217 120 Substance abuse, and nicotine Tobacco cessation, voluntary, 311 addiction, 2, 86–88 Tobacco-cessation interventions, 7, Sudden infant death syndrome, 55 133–138, 163–164, 227–234, Suicide, 87, 153 311–312. See also TobaccoSurgeon General, 40, 47, 83, 267, control programs 327 in clinical settings, 140–143 Office of the Surgeon General evidence-based, 134–139, in the individual armed 228–232 services, 8, 95, 256 and physical fitness, 232–234 reports on smoking, 40, 41, provider education, 147–149 47, 51 in special populations, 149– Surgery, smokers undergoing, 160 164 Surveillance and evaluation, 6, 8, tobacco quitlines, 144–146 165–168, 253–256, 298–301, in users with mental-health 317 disorders, 150–158 Survey of Veteran Enrollees' and weight management, 97, Health and Reliance upon VA 232–234 with Selected Comparisons to in women, 162 the 1999-2003 Surveys, 298 Tobacco-cessation medications, 7, 135–136, 152–154, 230–231, T 280–281 Tobacco-cessation programs TAG.
From page 365...
... INDEX 365 SmokeFree.gov, 139 in the military, 4, 56–57 used by the VA, 283 in the VA, 4, 62–64 Tobacco Cessation Provider Tobacco retail environment on Competency Course, 241 military installations, 6, 21, 59– Tobacco Cessation Resource 61, 129–133, 223–226 Center, 148 access to tobacco products, Tobacco-control activities 132–133, 224 in the DoD, 6, 24, 197–256 sales and pricing, 224–226 in the VA, 6, 263–301 tobacco prices and taxes, 130– Tobacco-control programs, ix, 5–8 132 commonalities among, 316– Tobacco use, 1, 318. See also 318 Smokeless-tobacco use; communication interventions, Smoking 119–124 and alcohol abuse, 88–89 comprehensive, 116–119 and anxiety disorders, 89 delivery of interventions, 138– death from, 19, 51 149 declines in, 9, 51 in the DoD, 202–207 denormalizing, 5, 14–15, effective, 327–336 319–320 evidence-based practices, and depression, 89–90 115–168 health hazards posed by, 40– federal, 332–336 41 key components of, 119 and mental-health disorders, program leadership, 206–207 150–158, 243–244 reducing tobacco problems created by, 31–65 consumption, 203–204 and quit rates, according to relapse-prevention psychiatric disorder, 87 interventions, 164–165 and schizophrenia, 90 state, 328–332 Tobacco use in the military, 1, 13, surveillance and evaluation, 19, 31–40 165–168 demographics of military and the tobacco retail populations, 31–34 environment, 129–133 goals of the DoD and Armed tobacco-use restrictions, 124– Service, 198 129 and tobacco sales revenue for in the VA, 270–274 DoD, 61 Tobacco-Free Me, 232 Tobacco use in veteran Tobacco industry populations, 13, 19, 21, 31–40 influencing tobacco use, 5, 21, demographics of veteran 100 populations, 34–35 lobbying Congress, 100 Tobacco Use Prevention Strategic Tobacco-related illness costs, 19, Plan, 9–11, 199, 202–208, 213, 27, 57–58 221–222 text of, 339–346
From page 366...
... See Department of Veterans Providers Affairs of commanders, 9, 341–342 VA/DoD Clinical Practice in coping skills, 155 Guideline for the Management instructors, prohibition of of Tobacco Use, 10, 12, 141, tobacco-use by, 9, 218–220 229, 233–238, 242, 247, 252, of leaders for antitobacco 272, 279, 291, 293, 299–300, campaigns, 213–214 312, 321 in social skills, 158 VA medical centers (VAMCs) , 11, tobacco-use restrictions 21, 99, 264, 267, 269, 273–287, during, 218–221 291–292 Training costs, lost through tobacco VA National Formulary, 280–281, use, 58–59 294 Transportation tobacco-use VAMCs.
From page 367...
... See Veterans Health 334–335 Administration World War II veterans, 34–35 Vietnam era veterans, 8, 34 Wound healing, impaired from Viral infections, 48, 53 tobacco use, 41, 49 VISNs. See Veterans Integrated Service Networks Visual acuity and tobacco use, 4, 19 amblyopia, 41 night vision, 43–44 VSOs.


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