Characteristics and Correlates of Cigarette Use Among Recent U.S. Veterans

Little is known about the smoking habits and cessation efforts of veterans returning from Iraq and Afghanistan, many of whom will seek health care services in the public sector. This project documents rates of smoking and quit attempts among veterans receiving Veteran's Health Administration (VHA) health care and describes the relationship between current smoking use/cessation and demographic characteristics, quality of life, and potential alcohol misuse.

A large representative sample of Iraq/Afghanistan era veterans was surveyed using the VA Survey of Healthcare Experiences of Patients (Wright, Craig, Campbell, Schafer, &; Humble, 2006 Wright, S. M., Craig, T., Campbell, S., Schaefer, J. and Humble, C. 2006. Patient satisfaction of female and male users of Veterans Health Administration services. Journal of General Internal Medicine, 21(Suppl. 3): S26–S32. Crossref], PubMed] , Google Scholar]). One third of respondents reported smoking during the past year and 24% reported currently smoking. Current smoking status was more prevalent among those who reported less education and lower household income. Current smoking status was also related to lower mental and physical health quality of life and higher potential alcohol misuse scores. Quit attempts were significantly less common among reserve component veterans and quitters reported higher incomes and were slightly older. The frequency of cigarette smoking among recent veterans underscores the importance of addressing smoking cessation efforts within this population. Individual characteristics associated with current smoking, cessation efforts, and relapse may help tailor cessation treatment for this growing cohort of new veterans.