Nicotine

Smoking & Nicotine

Nicotine consumption rises in conscripted forces, as soldiers turn to cigarettes to deal with the pressures of military life. This addiction leads to long-term health issues and a cycle of dependency.

Conscription Develops Long Lasting Smoking Habits

Tobacco was alway an irresistible pleasure within the army ranks.

“Švejk, with a cigarette hanging from his mouth, stood there quietly as chaos unfolded around him.” 

Wrote Jaroslav Hašek in  The Good Soldier Švejk. In the past century, smoking was so commonplace in the army that cigarettes were routinely included in the soldier’s rations during World War I and World War II. The troops ceased to smoke, only in the rare moments when their operations required the utmost stealth. And even as time went on and smoking justly became the public health enemy number one, the army remained an environment where new recruits discovered and entrenched their tobacco habit. Conscription thus means forceful imprisonment, in the very smoking-prone regiments. Considering that, the emergence of many draftees from their service as smokers won’t be much of a surprise.

Taiwan: More Start Than Stop
During military service, only 1% quit smoking while 7% began smoking, indicating a net initiation effect linked to conscription.
South Korea: The Nine-Year Shadow
Smoking increases in the draft year and, once established, persists for more than nine years after joining the forces, with conscription also raising cigarettes-per-day long after discharge.
Finland: Intensification Over Initiation
Finnish evidence suggests conscription increased smoking primarily among those who already smoked, pointing to the military setting as an amplifier that deepens existing nicotine dependence.
Norway: High Tobacco Use Compared With Civilians
More than 30% of Norwegian soldiers use tobacco products, compared with 13.6% among civilians of the same age and gender, implying conscription-era military life substantially elevates nicotine uptake and/or persistence.

There is overwhelming evidence across many countries that points to smoking addiction as an unintended consequence of the draft.  In Taiwan young men put through military service against their will picked up the habit at statistically significant rates. While only 1% quit smoking during army service, 7% picked up smoking at that time. Smoking was also much higher among military conscripts than in the general population. In South Korea also provides evidence of the damage conscription does by instilling a smoking habit in younger generations.  Conscripts smoke more the year they are drafted into the military, than before. Once they gain the dangerous habit, their smoking persists more than nine years after joining the forces. Conscription leads to a higher number of cigarettes smoked per day even long after conscripts are discharged.

Another more detailed South Korean study shows that over 15% more of conscripts overall ever try smoking or become smokers. More than half of previous smokers smoked more during service. Almost thirty per cent of Koreans who entered the military without ever smoking began smoking when conscripted.  The responsibility for the disastrous result is a mixture of social norms and stress responses to military training. South Korea is a perfect study example since conscription is so widespread and widely enforced with 80-90% of men drafted, that it cannot be argued that the army simply has smokers self-select for military service.

In Finland conscription increased smoking, but mostly among those who smoked already.  In Norway 8% of non-smoking recruits gained a smoking habit, entering their mandatory service. 56% of those already smoking heavily increased their smoking during army service. Interestingly the study shows an important aspect of the problem, which is the widespread presence of passive smoking. 91% of conscripts reported that smoking occurred daily in their dormitories. Over 60% of non-smokers faced discomfort due to cigarette smoke presence in living quarters. Though the smoking culture has shifted away in the last decades from indoor smoking, the effects of passive smoking may still be present even outdoors, though now the escape from its effects may be somewhat easier for unwilling conscripts. Why do Norwegian soldiers smoke? Peer pressure (their closest friends have a high effect on their smoking habits) and dissatisfaction with military service. Clearly this is an effect of conscripting unwilling men. Norwegians are also in most cases taken out of the region they grew up in and placed in the desolate north, where soldiers can only partake in simple beer-drinking and dancing activities during their leisure time. Smoking creeps in at them on every occasion. 

Norway is particularly interesting because one would expect that since on average healthy young Norwegians smoke less than those with poor health, there would simply be a lower population of smokers in the army than in the normal population. And yet the reality is the opposite. The smoking rate was 10% higher than for civilians. Conscription manages to damage the health of the healthiest cohort of the population despite all the odds in their favour.

The reasons for the prevalence of tobacco during conscription come down to the very nature of mandatory military service.  Smoking is a release. A release activated by the environment inevitably created by the instrument in question. A military camp creates a “total institution”, sharing uncanny similarities with prison. The involuntary presence, the enforced uniformity, the anonymity, the subordination, the passivity create a dire need in men to assert themselves and fight boredom. The cigarette is the perfect object to cling to for that purpose. 

One is also forced to adhere to group norms and collective preferences. Smoking becomes one such preference, that no longer can be halted by individual values killed by the forced conformity. Military service detaches one from familiar surroundings and shakes up one’s freshly built adult identity. Attacks fresh conscripts with loneliness, insecurity and desperate search for identity. Smoking then gives one such desperately sought identity of adulthood, independence and masculinity.

One can also see an emergence of interesting patterns in conscript forces concerning alternative tobacco and nicotine products. In Finland conscripts not only shared cigarettes among each other but also snus (a type of smokeless tobacco product). As a 2010 study describes:

“The use of snus spread among those men, too, who had not taken snus prior to military service.”

The same story occurred in Norway. More than 30% of Norwegian soldiers use tobacco products, one of the highest numbers ever recorded in a Norwegian population. Civilians of the same age and gender would only use it in 13.6% of cases.

The long-term health costs of smoking habits encouraged in military environments, running into billions, should be counted among the hidden total expenses of conscription. Conscription has an undeniable impact on boosting smoking habits among young men. One can only hope cigarette manufacturers never notice this dynamic, otherwise tobacco giants might discover a strong financial case for lobbying in favor of conscription.

Explore the evidence

1
Prevalence of Adverse Behaviors among Young Military Conscripts in Taiwan
Nain-Feng Chu, Der-Min Wu, Muh-Han Shen, Yaoh-Shiang Lin, Prevalence of Adverse Behaviors among Young Military Conscripts in Taiwan, Military Medicine, Volume 171, Issue 4, April 2006, Pages 301–305, https://doi.org/10.7205/MILMED.171.4.301
2
archive
Conscription hurts: The effects of military service on physical health, drinking, and smoking
Dirk Bethmann, Jae Il Cho, Conscription hurts: The effects of military service on physical health, drinking, and smoking, SSM - Population Health, Volume 22, 2023, 101391, ISSN 2352-8273, https://doi.org/10.1016/j.ssmph.2023.101391. (https://www.sciencedirect.com/science/article/pii/S2352827323000563) Abstract: Almost all South Korean men serve in the country's armed forces for two years. In this paper, we investigate whether the military service affects the health of draftees. Using an event study design, we use the conscription years to identify the effect the military service has on soldiers' physical health as well as on their smoking and drinking behavior. Our results show that the compulsory military service has a strong and long-lasting negative effect on physical health. Moreover, people who are drafted into the armed forces are more likely to consume more alcohol and cigarettes even years after they are discharged.
3
South Korean Military Service Promotes Smoking: A Quasi-Experimental Design
Allem, J. P., Ayers, J. W., Irvin, V. L., Hofstetter, C. R., & Hovell, M. F. (2012). South Korean military service promotes smoking: a quasi-experimental design. Yonsei medical journal, 53(2), 433–438. https://doi.org/10.3349/ymj.2012.53.2.433
4
The Impact of Military Service on Young Men′s Smoking Behavior
E. Schei, A.J. Sogaard, The Impact of Military Service on Young Men′s Smoking Behavior, Preventive Medicine, Volume 23, Issue 2, 1994, Pages 242-248, ISSN 0091-7435, https://doi.org/10.1006/pmed.1994.1033. (https://www.sciencedirect.com/science/article/pii/S0091743584710334) Abstract: In a cross-sectional study of 2,112 Norwegian army conscripts ages 18 to 25, the prevalence of daily smoking was 50.9%. Among the smokers, 55.7% had increased smoking during military service, and 7.8% of the nonsmokers had started to smoke. These changes in smoking behavior were correlated with having a best friend who smoked, with dissatisfaction with the military service, with physical inactivity, and with frequent alcohol consumption. Ninety percent lived in dormitories where cigarette smoking occurred regularly. Attitudes toward smoking restrictions were determined mainly by the subjects′; smoking behavior and subjective discomfort caused by cigarette smoke. Smokers as well as nonsmokers having a best friend who smoked were significantly less bothered by cigarette smoke than others. The findings support the conclusion that military service has a negative influence on the smoking behavior of young Norwegian men.
5
Nutrition and other lifestyles of conscripts and health risk factors during service : Six-month follow-up study
Absetz P, Uutela A, Jallinoja P, Suihko J, Bingham C, Kinnunen M et al. Varusmiesten ravitsemus ja muut elintavat sekä terveyden riskitekijät palveluksen aikana : Kuuden kuukauden seurantatutkimus. Helsinki: Terveyden ja hyvinvoinnin laitos, 2010. (Raportti/Terveyden ja hyvinvoinnin laitos; 16/2010). https://www.julkari.fi/items/00d6cfe3-2285-4bb5-9453-356337553fec
6
Use of smokeless tobacco among conscripts: A cross-sectional study of Norwegian army conscripts
Edvin Schei, Vinjar Fønnebø, Leif Edvard Aarø, Use of smokeless tobacco among conscripts: A cross-sectional study of Norwegian army conscripts, Preventive Medicine, Volume 19, Issue 6, 1990, Pages 667-674, ISSN 0091-7435, https://doi.org/10.1016/0091-7435(90)90063-P. (https://www.sciencedirect.com/science/article/pii/009174359090063P) Abstract: In a cross-sectional study of 2,112 Norwegian army conscripts ages 18 to 25 years, 10% reported daily use of wet snuff, while 23% were occasional users. Nearly half of the snuff users had started or increased their consumption during the military service. Cigarette smoking, alcohol consumption, and having a best friend using snuff were positively correlated with starting to use snuff. Daily use was associated with high physical activity. Use of snuff did not vary significantly with length of education when adjusting for other variables. Nearly all subjects believed prolonged snuff use to be a hazard to health. Forty percent of the snuff users believed they would give up snuff after the military service. Giving up during the service was statistically associated with having a steady relationship with a girlfriend and with length of time served. The relatively high percentage of occasional users and the high rate of stopping and starting reflect the novelty of snuff use among Norwegian youth. The widespread intention to give up seems to indicate that a large proportion of snuff users have ambivalent attitudes toward their own behavior.
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