Tobacco Use by Male Prisoners Under an Indoor Smoking Ban

Tobacco Use by Male Prisoners Under an Indoor Smoking Ban
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DOI:
10.1093/ntr/ntr024
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发表时间:
2011-06-01
影响因子:
4.7
通讯作者:
Wewers, Mary Ellen
Wewers, Mary Ellen
中科院分区:
医学2区
文献类型:
--
作者:
Kauffman, Ross M.;Ferketich, Amy K.;Wewers, Mary Ellen

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导言:大多数惩教机构都实施了烟草限制措施,以努力降低成本和改善囚犯的健康,但几乎没有采取行动来评估这些政策变化的影响。方法:对200名新近服刑的男性服刑人员在服刑前和服刑期间的烟草使用情况进行调查。结果:服刑前烟草使用普遍(77.5%),服刑期间吸烟增加(81.0%)。尽管在监禁期间吸烟的人数有所增加,但人均香烟消费量下降了7.1支/天(p<.001)。尽管广泛使用烟草,但大多数参与者认识到吸烟是肺癌(96.0%)和心脏病(75.4%)的原因之一,并可能使人上瘾(97.5%)。大多数吸烟者(70.0%)表示有戒烟的愿望,63.0%的人表示他们打算在明年尝试戒烟。结论:室内禁烟不会促进监狱内的戒烟,但可能会减少烟草的消耗量。尽管吸烟在监狱里很常见,但大多数囚犯都意识到了其中的风险,并希望戒烟。这为干预创造了一个理想的环境。应向所有被监禁的吸烟者免费提供以证据为基础的戒烟援助。
Introduction: Most correctional facilities have implemented tobacco restrictions in an effort to reduce costs and improve prisoner health, but little has been done to evaluate the impact of these policy changes. Patterns of tobacco use among prisoners were explored to determine the impact of incarceration in a facility with an indoor smoking ban on tobacco use behaviors.Methods: Recently incarcerated male inmates (n = 200) were surveyed about their tobacco use prior to and during incarceration.Results: Tobacco use was prevalent prior to arrest (77.5%) and increased during incarceration (81.0%). Though the number of cigarette smokers increased during imprisonment, percapita cigarette consumption declined by 7.1 cigarettes/day (p < .001). Despite widespread tobacco use, most participants recognized that smoking is a cause of lung cancer (96.0%) and heart disease (75.4%) and that it can be addicting (97.5%). Most tobacco users (70.0%) reported a desire to quit, with 63.0% saying they intended to try quitting in the next year.Conclusions: Indoor smoking bans do not promote cessation in prisons but may reduce the amount of tobacco consumed. Though smoking is commonplace in prisons, most prisoners recognize the risks involved and wish to quit. This creates an ideal setting for intervention. Evidence-based cessation assistance should be made freely available to all incarcerated smokers.