Implementation and impact of anti-smoking interventions in three prisons in the absence of appropriate legislation

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• 作者：Jean-Franç ; ois Etter^a ; ^{Jean-Francois.Etter@unige.ch} ; Catherine Ritter^b ; Derek H. Christie^a ; ^b ; Martina Kunz^b ; Jean-Pierre Rieder^c ; Jean-Paul Humair^c ; Hans Wolff^c ; Ariel Eytan^d ; Corinne Wahl^e ; Bernice Elger^b
• 关键词：Smoking ; Nicotine dependence ; Smoking cessation ; Psychiatry ; Preventive measures ; Second-hand smoke ; Prison
• 刊名：Preventive Medicine
• 出版年：2012
• 出版时间：November, 2012
• 年：2012
• 卷：55
• 期：5
• 页码：475-481
• 全文大小：175 K

文摘

Objective

To assess the acceptability and impact of anti-smoking policies in three prisons in Switzerland.

Methods

A before-after intervention study in A) an open prison for sentenced prisoners, B) a closed prison for sentenced prisoners, and C) a prison for pretrial detainees. Prisoners and staff were surveyed before (2009, n = 417) and after (2010-2011, n = 228) the interventions. Medical staff were trained to address tobacco dependence systematically in prisoners. In prison A, a partial smoking ban was extended. No additional protection against second-hand smoke was feasible in prisons B and C.

Results

In prison A, more prisoners reported receiving medical help to quit smoking in 2011 (20 % ) than in 2009 (4 % , p = 0.012). In prison A, prisoners and staff reported less exposure to second-hand smoke in 2011 than in 2009: 31 % of prisoners were exposed to smoke at workplaces in 2009 vs 8 % in 2011 (p = 0.001); in common rooms: 43 % vs 8 % , (p < 0.001). No changes were observed in prisons B and C.

Conclusions

Reinforcement of non-smoking rules was possible in only one of the three prisons but had an impact on exposure to tobacco smoke and medical help to quit. Implementing anti-smoking policies in prisons is difficult in the absence of appropriate legislation.