Views of prison staff in Scotland on the potential benefits and risks of e-cigarettes in smoke-free prisons: a qualitative focus group study
Views of prison staff in Scotland on the potential benefits and risks of e-cigarettes in smoke-free prisons: a qualitative focus group study
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DOI：
10.1136/bmjopen-2018-027799
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发表时间：
2019-06-01
期刊：
影响因子：
2.9
通讯作者：
Hunt, Kate
中科院分区：
文献类型：
--
作者：
Brown, Ashley;Sweeting, Helen;Hunt, Kate
目的电子烟于2018年2月被引入所有苏格兰监狱，几个月前，监狱于2017年开始准备于2018年11月实施的禁烟。1在2016/2017年度，在引入以下内容之前，监狱工作人员对电子烟的潜在好处和风险进行了调查：(1)禁烟和(2)电子烟。设置在苏格兰的14所监狱。参与者17个焦点小组和两个配对访谈，在2017年7月宣布禁烟计划之前4-9个月，对14所苏格兰监狱的132名工作人员进行了采访。结果监狱工作人员强调了无烟监狱中电子烟的三个潜在风险：电子烟蒸气对工作人员的健康风险；电子烟蒸发对囚犯健康的风险；电子烟误用、缺陷或事故对两组人的风险。相反，无烟监狱中电子烟的潜在好处集中在：减少吸烟对工作人员和囚犯的健康危害；帮助囚犯在没有烟草的情况下管理监狱；以及支持工作人员在监狱中维持安全和纪律。参与焦点小组的工作人员对电子烟的经验有限，并对电子烟表达了一些不确定和误解。结论我们的研究结果突显了科学上的不确定性、对电子烟的误解、监狱作为工作场所的复杂性以及监狱控烟政策都影响了工作人员对电子烟在无烟监狱中潜在地位的认知。为了减轻工作人员的担忧，有必要提供有关电子烟的可靠信息。工作人员还可能要求保证产品是否“防篡改”，并要求制定有关室内蒸发的规定。
Objective Electronic cigarettes (e-cigarettes) were introduced into all Scottish prisons in February 2018, some months after prisons began preparing in 2017 for a smoking ban implemented in November 2018.1n 2016/2017, prison staff views on the potential benefits and risks of e-cigarettes were explored in advance of the introduction of: (1) a smoking ban and (2) e-cigarettes.Setting Fourteen prisons in Scotland.Participants Seventeen focus groups and two paired interviews were conducted with 132 staff in 14 Scottish prisons 4-9 months before plans for a smoking ban were announced in July 2017. Both smoking and non-smoking staff were invited to participate.Results Prison staff highlighted three potential risks of e-cigarettes in smoke-free prisons: staff health risks from e-cigarette vapour; prisoner health risks from vaping; and risks to both groups from e-cigarette misuse, defects or accidents. Conversely, potential benefits of e-cigarettes in smoke-free prisons centred on: reducing smoking-related health harms to staff and prisoners; helping prisoners to manage without tobacco; and supporting staff to maintain safety and discipline in prison. Staff who participated in focus groups had limited experience of vaping and expressed some uncertainty and misunderstandings about e-cigarettes.Conclusion Our findings highlight that scientific uncertainty, misunderstanding about vaping, the complexity of prisons as workplaces and prison tobacco control policy all have implications for staff perceptions of the potential place of e-cigarettes in smoke-free prisons. To alleviate staff concerns, there is a need for reliable information on e-cigarettes. Staff may also require reassurances on whether products are 'tamper proof', and rules about vaping indoors.