Abstract
The military is described as a social context that contributes to the (re-)initiation or intensification of cigarette smoking. We draw on data from the 1985-2014 National Survey of Drug Use and Health (NSDUH) and the Wisconsin Longitudinal Study (WLS) to conduct complementary sub-studies of the influence of military service on men’s smoking outcomes across the life course. Descriptive findings from an age–period–cohort analysis of NSDUH data document higher probabilities of current smoking and heavy smoking among veteran men across a broad range of cohorts and at all observed ages. Findings from sibling fixed-effects Poisson models estimated on the WLS data document longer durations of smoking among men who served in the military and no evidence that selection explains the observed relationship. Together, these results provide novel and potentially generalizable evidence that participation in the military in early adulthood exerts a causal influence on smoking across the life course.
| Angrist J. D. (1990). Lifetime earnings and the Vietnam era draft lottery: Evidence from social security administrative records. The American Economic Review, 80, 313-336. | |
| Angrist J. D., Krueger A. B. (1994). Why do World War II veterans earn more than nonveterans? Journal of Labor Economics, 12, 74-97. Crossref | |
| Arvey S. R., Malone R. E. (2008). Advance and retreat: Tobacco control policy in the US military. Military Medicine, 173, 985-991. Crossref, Medline | |
| Barlas F. M., Higgins W. B., Pflieger J. C., Diecker K. (2013). 2011 Department of Defense health related behaviors survey of active duty military personnel. U.S. Department of Defense, TRICARE Management Activity, Defense Health Cost Assessment and Program Evaluation, and the United States Coast Guard. Retrieved from http://health.mil/Reference-Center/Reports/2013/02/01/2011-Health-Related-Behaviors-Active-Duty-Executive-Summary | |
| Bedard K., Deschênes O. (2006). The long-term impact of military service on health: Evidence from World War II and Korean War veterans. The American Economic Review, 96, 176-194. Crossref | |
| Belsky D. W., Moffitt T. E., Baker T. B., Biddle A. K., Evans J. P., Harrington H., . . . Caspi A. (2013). Polygenic risk and the developmental progression to heavy, persistent smoking and nicotine dependence: Evidence from a 4-decade longitudinal study. JAMA Psychiatry, 70, 534-542. Crossref, Medline | |
| Bennett P. R., McDonald K. B. (2013). Military service as a pathway to early socioeconomic achievement for disadvantaged groups. In Wilmoth J. M., London A. S. (Eds.), Life-course perspectives on military service (pp. 119-143). New York, NY: Routledge. | |
| Bondurant S., Wedge R. (Eds.). (2009). Combating tobacco use in military and veteran populations. Washington, DC: The National Academies Press. | |
| Bray R. M., Hourani L. L., Rae K. L., Dever J. A., Brown J. M., . . . Vandermaas-Peeler R. (2003). 2002 Department of Defense survey of health related behaviors among active duty military personnel. Research Triangle Park, NC: RTI International. Crossref | |
| Bray R. M., Hourani L. L., Rae Olmsted K. L., Witt M., Brown J. M., Pemberton M. R., . . . Vandermaas-Peeler R. (2006). 2005 Department of Defense survey of health related behaviors among active duty military personnel. Research Triangle Park, NC: RTI International. | |
| Brown D. W. (2010). Smoking prevalence among US veterans. Journal of General Internal Medicine, 25, 147-149. Crossref, Medline | |
| Carlson E., Andress J. (2009). Military service by twentieth-century generations of American men. Armed Forces & Society, 35, 385-400. Link | |
| Centers for Disease Control. (2008). Cigarette smoking among adults and trends in smoking cessation—United States, 2008. Morbidity and Mortality Weekly Report, 58, 1227-1232. | |
| Centers for Disease Control and Prevention. (2012). Quick stats: Current smoking among men aged 25-64 years, by age group and veteran status—National Health Interview Survey (NHIS), United States, 2007-2010. Morbidity and Mortality Weekly Report, 61, 929. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6145a9.htm | |
| Collie C. F., Clancy C. P., Yeatts B. P., Beckham J. C. (2006). Posttraumatic stress disorder and smoking cessation in veteran smokers. Journal of Trauma Practice, 3, 37-63. Crossref | |
| Conley D., Rauscher E. (2013). Genetic interactions with prenatal social environment effects on academic and behavioral outcomes. Journal of Health and Social Behavior, 54, 109-127. Link | |
| Conway T. L. (1998). Tobacco use and the United States military: A longstanding problem. Tobacco Control, 7, 219-221. Crossref, Medline | |
| Cook C. J., Fletcher J. M. (2014). Interactive effects of in utero nutrition and genetic inheritance on cognition: New evidence using sibling comparisons. Economics & Human Biology, 13, 144-154. Crossref, Medline | |
| Department of Defense. (1986). Report on smoking and health in the military. Retrieved from http://legacy.library.ucsf.edu/tid/ikp35d00 | |
| Department of Defense. (2012). 2011 Demographics: A profile of the military community. Washington, DC: Office of the Deputy Under Secretary of Defense. Retrieved from http://www.militaryonesource.mil/12038/MOS/Reports/2011_Demographics_Report.pdf | |
| Elder G. H. (1986). Military times and turning points in men’s lives. Developmental Psychology, 22, 233-345. Crossref | |
| Elder G. H. (1987). War mobilization and the life course: A cohort of World War II veterans. Sociological Forum, 2(3), 449-472. Crossref | |
| Elder G. H., Wang L., Spence N. J., Adkins D. E., Brown T. H. (2010). Pathways to the all-volunteer military. Social Science Quarterly, 91, 455-475. Crossref, Medline | |
| Feigelman W. (1994). Cigarette-smoking among former military service personnel: A neglected social issue. Preventive Medicine, 23, 235-241. Crossref, Medline | |
| Fletcher J. M., Lehrer S. F. (2011). Genetic lotteries within families. Journal of Health Economics, 30, 647-659. Crossref, Medline | |
| Gimbel C., Booth A. (1994). Why does military combat experience adversely affect marital relations? Journal of Marriage and Family, 56, 691-703. Crossref | |
| Gimbel C., Booth A. (1996). Who fought in Vietnam? Social Forces, 74, 1137-1157. Crossref | |
| Haddock C. K., Hoffman K., Taylor J. E., Schwab L., Poston W. S., Lando H. A. (2008). An analysis of messages about tobacco in the Military Times magazines. Nicotine & Tobacco Research, 10, 1191-1197. Crossref, Medline | |
| Haddock C. K., Parker L. C., Taylor J. E., Poston W. S., Lando H., Talcott G. W. (2005). An analysis of messages about tobacco in military installation newspapers. American Journal of Public Health, 95, 1458-1463. Crossref, Medline | |
| Harville H. M., Held S., Diaz-Font A., Davis E. E., Diplas B. H., Lewis R. A., . . . Hildebrandt F. (2010). Identification of 11 novel mutations in eight BBS genes by high-resolution homozygosity mapping. Journal of Medical Genetics, 47, 262-267. Crossref, Medline | |
| Hauser R. M. (1984). Some cross-population comparisons of family bias in the effects of schooling on occupational status. Social Science Research, 13, 159-187. Crossref | |
| Hauser R. M., Mossel P. A. (1985). Fraternal resemblance in educational attainment and occupational status. American Journal of Sociology, 91, 650-673. Crossref | |
| Hauser R. M., Sewell W. H. (1986). Family effects in simple models of education, occupational status, and earnings: Findings from the Wisconsin and Kalamazoo Studies. Journal of Labor Economics, 4, S83-S115. Crossref | |
| Hauser R. M., Sheridan J., Warren J. R. (1999). Socioeconomic achievements of siblings in the life course: New findings from the Wisconsin Longitudinal Study. Research on Aging, 21, 338-378. Link | |
| Hauser R. M., Sweeney M. (1997). Does poverty in adolescence affect the life chances of high school graduates? In Duncan G., Brooks-Gunn J. (Eds.), Consequences of growing up poor (pp. 541-595). New York, NY: Russell Sage Foundation. | |
| Herd P., Carr D., Road C. (2014). Cohort profile: Wisconsin Longitudinal Study (WLS). International Journal of Epidemiology, 43, 34-41. Crossref, Medline | |
| Hoffman K. M., Haddock C. K., Poston W. S. C., Taylor J. E., Lando H. A., Shelton S. (2008). A formative examination of messages that discourage tobacco use among junior enlisted members of the United States military. Nicotine & Tobacco Research, 10, 653-661. Crossref, Medline | |
| Hoffman K. M., Poston W. S. C., Jitnarin N., Jahnke S. A., Hughey J., Lando H. A., . . . Haddock C. K. (2011). A content analysis of tobacco control policy in the US Department of Defense. Journal of Public Health Policy, 32, 334-349. Crossref, Medline | |
| Jahnke S. A., Haddock C. K., Poston W. S., Hoffman K. M., Hughey J., Lando H. A. (2010). A qualitative analysis of the tobacco control climate in the U.S. military. Nicotine & Tobacco Research, 12, 88-95. Crossref, Medline | |
| Jahnke S. A., Hoffman K. M., Haddock C. K., Long M. A., Williams L. N., Lando H. A., Poston W. C. (2011). Military tobacco policies: The good, the bad, and the ugly. Military Medicine, 176, 1382-1387. Crossref, Medline | |
| Joseph A. M., Muggli M. M., Pearson K. C., Lando H. (2005). The cigarette manufacturer’s efforts to promote tobacco in the U.S. military. Military Medicine, 170, 874-880. Crossref, Medline | |
| Joseph S. C. (1997). Commentary of veterans and smoking: The Defense Department responds. Public Health Reports, 112, 218. Medline | |
| Kelty R., Kleykamp M., Segal D. R. (2010). The military and the transition to adulthood. The Future of Children, 20, 181-207. Crossref, Medline | |
| Kelty R., Segal D. (2013). The military as a transforming influence: Integration into or isolation from normal adult roles? In Wilmoth J. M., London A. S. (Eds.), Life-course perspectives on military service (pp. 19-47). New York, NY: Routledge. | |
| Kennet J., Gfroerer J. C. (2005). Evaluating and improving methods used in the national survey on drug use and health (No. 05–4044). Rockville, MD: Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Office of Applied Studies. Crossref | |
| Kilburn M. R., Klerman J. A. (1999). Enlistment decisions in the 1990s: Evidence from individual-level data. Santa Monica, CA: RAND. | |
| Klevens R. M., Giovino G. A., Peddicord J. P., Nelson D. E., Mowery P., Grummer-Strawn L. (1995). The association between veteran status and cigarette-smoking behaviors. American Journal of Preventive Medicine, 11, 245-250. Medline | |
| Kleykamp M. A. (2006). College, jobs, or the military? Enlistment during a time of war. Social Science Quarterly, 87, 272-290. Crossref | |
| Korn E., Graubard B. (1999). Analysis of health surveys. New York, NY: John Wiley. Crossref | |
| Lacey R. E., Cable N., Stafford M., Bartley M., Pikhart H. (2011). Childhood socio-economic position and adult smoking: Are childhood psychosocial factors important? Evidence from a British birth cohort. The European Journal of Public Health, 21, 725-731. Crossref, Medline | |
| Levy D., Brink S. (2005). A change of heart: How the Framingham heart study helped unravel the mysteries of cardiovascular disease. New York, NY: Knopf. | |
| London A. S., Wilmoth J. M. (2016). Military service in lives: Where do we go from here? In Shanahan M. J., Mortimer J. T., Johnson M. K. (Eds.), Handbook of the life course (Vol. 2, pp. 277-300). Cham, Switzerland: Springer International Publishing. Crossref | |
| MacLean A., Elder G. H.Jr. (2007). Military service in the life course. Sociology, 33, 175-196. Crossref | |
| McCrae R. R., Costa P. T. (1994). The stability of personality: Observations and evaluations. Current Directions in Psychological Science, 3, 173-175. Link | |
| McCrae R. R., Costa P. T. (2003). Personality in adulthood: A five-factor theory perspective (2nd ed.). New York, NY: Guilford Press. Crossref | |
| McKinney W. P., McIntire D. D., Carmody T. J., Joseph A. (1997). Comparing the smoking behavior of veterans and nonveterans. Public Health Reports, 112, 212-217. Medline | |
| Miech R. A., London A. S., Wilmoth J. M., Koester S. (2013). The effects of the military’s antidrug policies over the life course: The case of past-year hallucinogen use. Substance Use & Misuse, 48, 837-853. Crossref, Medline | |
| Mikkola I., Jokelainen J. J., Timonen M. J., Härkönen P. K., Saastamoinen E., Laakso M. A., . . . Mäkinen T. M. (2009). Physical activity and body composition changes during military service. Medicine & Science in Sports & Exercise, 41, 1735-1742. Crossref, Medline | |
| National Center for Veteran Statistics and Analysis. (2014). Office of the Actuary, Veteran Population Projections Model (VetPop2014), Table 2L. Retrieved from http://www.va.gov/vetdata/Veteran_Population.asp | |
| Nelson J. P., Pederson L. L. (2008). Military tobacco use: A synthesis of the literature on prevalence, factors related to use, and cessation interventions. Nicotine & Tobacco Research, 10, 775-790. doi:10.1080/14622200802027123 Crossref, Medline | |
| Offen N., Arvey S. R., Smith E. A., Malone R. E. (2011). Forcing the Navy to sell cigarettes on ships: How the tobacco industry and politicians torpedoed Navy tobacco control. American Journal of Public Health, 101, 404-411. doi:10.2105/AJPH.2010.196329 Crossref, Medline | |
| Offen N., Smith E. A., Malone R. E. (2010). “Willful misconduct:” How the US government prevented tobacco-disabled veterans from obtaining disability pensions. American Journal of Public Health, 100, 1166-1173. doi:10.2105/AJPH.2009.179846 Crossref, Medline | |
| Poston W. S. C., Taylor J. E., Hoffman K. M., Peterson A. L., Lando H. A., Shelton S., Haddock C. K. (2008). Smoking and deployment: Perspectives of junior enlisted US Air Force and US Army personnel and their supervisors. Military Medicine, 173, 441-447. Crossref, Medline | |
| Rindfuss R. R. (1991). The young adult years: Diversity, structural change, and fertility. Demography, 28, 493-512. Crossref, Medline | |
| Settersten R. A. (2006). When nations call how wartime military service matters for the life course and aging. Research on Aging, 28, 12-36. Link | |
| Sewell W. H., Hauser R. M., Springer K. W., Hauser T. S. (2004). As we age: A review of the Wisconsin Longitudinal Study, 1957-2001. In Leicht K. (Ed.), Research in social stratification and mobility (Vol. 20, pp. 3-111). Greenwich, CT: Elsevier Scientific Publishers. | |
| Shanahan M. J., Mortimer J. T., Johnson M. K. (Eds.). (2016). Handbook of the life course (Vol. 2). Cham, Switzerland: Springer International Publishing. Crossref | |
| Smith B., Ryan M. A., Wingard D. L., Patterson T. L., Slymen D. J., Macera C. A. Team Millennium Cohort Study. (2008). Cigarette smoking and military deployment: A prospective evaluation. American Journal of Preventive Medicine, 35, 539-546. Crossref, Medline | |
| Smith E. A., Blackman V. S., Malone R. E. (2007). Death at a discount: How the tobacco industry thwarted tobacco control policies in US military commissaries. Tobacco Control, 16, 38-46. Crossref, Medline | |
| Smith E. A., Malone R. E. (2009). “Everywhere the soldier will be:” Wartime tobacco promotion in the US military. American Journal of Public Health, 99, 1595-1602. doi:10.2105/AJPH.2008.152983 Crossref, Medline | |
| Smith E. A., Malone R. E. (2012). Why strong tobacco control measures “can’t” be implemented in the US military: A qualitative analysis. Military Medicine, 177, 1202-1207. Crossref, Medline | |
| Snowdon D. (2002). Aging with grace: What the Nun Study teaches us about leading longer, healthier, and more meaningful lives. New York, NY: Bantam. | |
| Straits-Troster K. A., Calhoun P. S., Kudler H. S., Jones E. (2007). Gender differences in VA health care and health risks among OIF/OEF veterans. Paper presented at the 25th annual meeting of the Department of Veterans Affairs Health Services Research and Development Service, Arlington, VA, February. | |
| Teachman J. (2004). Military service during the Vietnam era: Were there consequences for subsequent civilian earnings? Social Forces, 83, 709-730. Crossref | |
| Teachman J. (2005). Military service in the Vietnam era and educational attainment. Sociology of Education, 78, 50-68. Link | |
| Teachman J. (2007a). Military service and educational attainment in the all-volunteer era. Sociology of Education, 80, 359-374. Link | |
| Teachman J. (2007b). Race, military service, and marital timing: Evidence from the NLSY-79. Demography, 44, 389-404. Crossref, Medline | |
| Teachman J. (2011). Are veterans healthier? Military service and health at age 40 in the all-volunteer era. Social Science Research, 40, 326-335. Crossref | |
| Teachman J. D., Call V. R. A. (1996). The effect of military service on educational, occupational, and income attainment. Social Science Research, 25, 1-31. Crossref | |
| Teachman J. D., Call V. R. A., Segal M. W. (1993a). Family, work, and school influences on the decision to enter the military. Journal of Family Issues, 14, 291-313. Link | |
| Teachman J. D., Call V. R. A., Segal M. W. (1993b). The selectivity of military enlistment. Journal of Political and Military Sociology, 21, 287-309. | |
| Teachman J. D., Tedrow L. M. (2004). Wages, earnings, and occupational status: Did World War II veterans receive a premium? Social Science Research, 33, 581-605. Crossref | |
| Teachman J., Tedrow L. M. (2007). Joining up: Did military service in the early all volunteer era affect subsequent civilian income? Social Science Research, 36, 1447-1474. Crossref | |
| Teachman J. D., Tedrow L. M. (2008). Divorce, race, and military service: More than equal pay and equal opportunity. Journal of Marriage and Family, 70, 1030-1044. Crossref | |
| Teachman J., Tedrow L. (2013). Veteran status and body weight: A longitudinal fixed-effects approach. Population Research and Policy Review, 32, 199-220. Crossref, Medline | |
| Teachman J., Tedrow L. (2014). Delinquent behavior, the transition to adulthood, and the likelihood of military enlistment. Social Science Research, 45, 46-55. Crossref, Medline | |
| U.S. Census Bureau. (2016). Retrieved from http://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=CF | |
| van Loon A. J. M., Tijhuis M., Surtees P. G., Ormel J. (2005). Determinants of smoking status: Cross-sectional data on smoking initiation and cessation. European Journal of Public Health, 15, 256-261. Crossref, Medline | |
| Warren J. R., Sheridan J. T., Hauser R. M. (2002). Occupational stratification across the life course: Evidence from the Wisconsin Longitudinal Study. American Sociological Review, 67, 432-455. Crossref | |
| White H. (1980). A heteroscedasticity-consistent covariance matrix estimator and a direct test for heteroscedasticity. Econometrica, 48, 817-838. Crossref | |
| Whyman M., Lemmon M., Teachman J. (2011). Non-combat military service in the United States and its effects on depressive symptoms among men. Social Science Research, 40, 695-703. Crossref | |
| Wilmoth J. M., London A. S. (2013). Life-course perspectives on military service. New York, NY: Routledge. | |
| Wilmoth J. M., London A. S. (2016). The influence of military service on aging. In George L. K., Ferraro K. F. (Eds.), Handbook of aging and the social sciences (8th ed., pp. 227-250). Boston, MA: Elsevier. Crossref | |
| Wilmoth J. M., London A. S., Himes C. L. (2015). Inter-cohort variation in the consequences of U.S. military service for men’s mid- to late-life body mass index trajectories. In Burton-Jeangros C., Cullati S., Sacker A., Blane D. (Eds.), A life course perspective on health trajectories and transitions (pp. 133-154). London, England: Springer. Crossref | |
| Wilmoth J. M., London A. S., Parker W. M. (2010). Military service and men’s health trajectories in later life. The Journals of Gerontology, 65, 744-755. doi:10.1093/geronb/gbq072 Crossref, Medline | |
| Wolf D. A., Wing C., Lopoo L. M. (2013). Methodological problems in determining the consequences of military service. In Wilmoth J. M., London A. S. (Eds.), Life-course perspectives on military service (pp. 1-18). New York, NY: Routledge. |

