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. 2020 Sep 28;10(9):e039367. doi: 10.1136/bmjopen-2020-039367

Table 2.

Themes and codes identified at each level of the Socio-Ecological Model

Level of influence Definition of level Theme and codes
Individual Personal history and characteristics, such as knowledge, attitudes and beliefs, that influence tobacco-use behaviour Coping mechanisms
  • Transition from civilian to military life

  • Therapeutic effect of smoking

  • Killing time


Health beliefs
  • Knowledge and perceived severity of smoking

  • Lack of perceived susceptibility

  • Side effects of smoking


Quit attempt and motivations
  • Quitting experiences

  • Physical and psychological dependence

  • Perceived benefits of quitting smoking

Interpersonal Personal relationships with formal and informal military social network that influence tobacco-use behaviour Role of peers
  • Peer influence

  • Socialisation with peers

  • Perceived social norm


Role of superiors and role models
  • Quitting advice from superiors

  • Relationship building with superiors

  • Different smoking restrictions enforced by superiors


Role of medical officers
  • Routine medical screening

Organisational Policies, facilities and organisational structures in the SAF camps that influence tobacco-use behaviour SAF tobacco-control regulations
  • Common smoking rules in SAF

  • Rules about smoke breaks/ cigarette possession

  • Views about SAF smoking regulations


Accessibility of designated smoking areas
  • Physical distance to the yellow box

  • ‘The socialisation corner’


Accessibility of cigarettes in camp
  • Social sources of cigarettes

  • Stocking up when out


Changes in smoking privileges from BMT to operational unit
  • Strict smoking regulations during BMT

  • Relaxed smoking regulations at the operational unit

BMT, Basic Military Taining; SAF, Singapore Armed Forces.