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Occupational Medicine Advance Access originally published online on January 11, 2007
Occupational Medicine 2007 57(3):214-216; doi:10.1093/occmed/kql170
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K. Munnoch, Institute of Naval Medicine. © Crown Copyright 2007. Reproduced with the permission of the Controller of Her Majesty's Stationery Office.

Short Reports

Smoking and injury in Royal Marines' training

Kathy Munnoch and Robert S. Bridger

Institute of Naval Medicine, Alverstoke, Gosport, Hampshire, UK

Background Training for the Royal Marines (RMs) is considered to be one of the most arduous military training regimes in the world. Approximately 16% of the annual intake of recruits suffer an injury. Smoking has been found to be a predisposition to injury.

Objective To examine the relationship between recruits' smoking status on entry to training and subsequent incidence of injury.

Method Retrospective, longitudinal analysis of 1 year's intake of RM recruits at Commando Training Centre Royal Marines.

Results A significantly greater proportion of RM recruits who were smokers on entry to training experienced a physical injury during the course than their non-smoking counterparts (chi-square = 8.15, P < 0.01). A recruit who smoked on entry to training was almost twice as likely to acquire an injury during training [relative risk = 1.7 (95% CI = 1.2–2.8)].

Conclusion Smoking status of RM recruits in training was significantly associated with injury.

Keywords      Armed forces; health psychology; injury; rehabilitation; smoking

Correspondence to: Kathy Munnoch, Institute of Naval Medicine, Crescent Road, Alverstoke, Gosport, Hampshire PO12 2DL, UK. Tel: +44 2392 768 056; fax: +44 2392 504 823; e-mail: hsohf2{at}inm.mod.uk


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