Frank Michael R, Blumhagen Rachel, Weitzenkamp David, Mueller Shane R, Beaty Brenda, Min Sung-Joon, Binswanger Ingrid A
Division of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, CO.
Department of Biostatistics and Informatics, Colorado School of Public Health, Aurora, CO.
J Smok Cessat. 2017 Jun;12(2):76-85. doi: 10.1017/jsc.2016.3. Epub 2016 Mar 16.
Tobacco use is common among people who have been in prison. The relationship between social stressors, risky health behaviours, and smoking cessation has not been studied in people recently released from prison. Studying this relationship could yield information that guides strategic and cost-effective tobacco cessation interventions for an under-resourced population.
One hundred and forty-three smokers were interviewed 7 to 21 days after they had been released from USA prisons. Independent variables included employment status, housing security, relationship problems, educational achievement, risky drinking behaviour, recent drug use, history of drug dependence, and depression. The primary outcome was 'trying to quit smoking.' Data were analysed using Pearson chi-square tests and single and multivariable logistic regression models.
Of those who had to quit smoking due to tobacco-free prison policies, 98% reported relapsing on tobacco after release. Trying to quit smoking was associated with the absence of risky drinking behaviour in the past 30 days (adjusted odds ratio [AOR] 6.44, 95% confidence interval [CI] 2.02-20.48).
The absence of risky drinking behaviour is associated with trying to quit smoking among people recently released from prison. Further research may determine whether interventions addressing risky alcohol use can reduce smoking relapse.
吸烟在有入狱经历的人群中很常见。社会压力源、危险健康行为与戒烟之间的关系在刚出狱的人群中尚未得到研究。对这种关系的研究可能会产生相关信息，从而为资源匮乏人群制定具有战略意义且符合成本效益的戒烟干预措施提供指导。
对143名从美国监狱释放7至21天的吸烟者进行了访谈。自变量包括就业状况、住房保障、人际关系问题、教育程度、危险饮酒行为、近期吸毒情况、药物依赖史和抑郁情况。主要结果是“尝试戒烟”。使用Pearson卡方检验以及单变量和多变量逻辑回归模型对数据进行了分析。
在因监狱无烟政策而不得不戒烟的人中，98%报告出狱后又重新吸烟。尝试戒烟与过去30天内无危险饮酒行为相关（调整后的优势比[AOR]为6.44，95%置信区间[CI]为2.02 - 20.48）。
无危险饮酒行为与刚出狱人群尝试戒烟有关。进一步的研究可能会确定针对危险饮酒行为的干预措施是否能减少吸烟复发。
