Griffith Criminology Institute, Griffith University, 176 Messines Ridge Rd., Mt. Gravatt, Queensland, 4122, Australia; Queensland Alcohol and Drug Research and Education Centre, School of Public Health, University of Queensland, 288 Herston Rd, Herston, Queensland, 4006, Australia; Institute for Social Science Research, University of Queensland, 80 Meiers Rd, Indooroopilly, Queensland, 4068, Australia.
Griffith Criminology Institute, Griffith University, 176 Messines Ridge Rd., Mt. Gravatt, Queensland, 4122, Australia; School of Psychology, University of Queensland, Sir Fred Schonell Dr., St. Lucia, Queensland, 4072, Australia; Centre for Youth Substance Abuse Research, School of Psychology and Counselling, Institute of Health and Biomedical Innovation, Centre for Children's Health Research, Queensland University of Technology, Brisbane, Queensland, 4072, Australia.
Drug Alcohol Depend. 2018 Jun 1;187:127-133. doi: 10.1016/j.drugalcdep.2018.02.028. Epub 2018 Apr 11.
Smoke-free prison policies are increasingly common, but few studies have investigated relapse to smoking after release from prison. This study investigated return to tobacco smoking and correlates of smoking at reduced levels after release among adults recently released from smoke-free prisons in Queensland, Australia.
A cross-sectional survey of 114 people at parole offices within two months of release from prison was used. The survey measured health, social, and criminological factors related to tobacco smoking. We used logistic regression to identify factors associated with reduced post-release smoking levels compared to pre-incarceration levels.
94% of participants relapsed to smoking within two months of release; 72% relapsed on the day of release. 62% of participants smoked significantly less per day after compared with before incarceration. Living with a partner (Odds Ratio (OR) 2.77, 95%CI 1.02-7.52), expressing support for smoke-free prison policies (OR 2.44, 95%CI 1.12-5.32), intending to remain abstinent post-release (OR 4.29, 95%CI 1.88-9.82), and intending to quit in the future (OR 3.88, 95%CI 1.66-9.07) were associated with reduced smoking post-release. Use of illicit drugs post-release was negatively associated with reduced smoking post-release (OR 0.27, 95%CI 0.09-0.79). In multivariate analyses, pre-release intention to remain smoke-free was associated with reduced smoking post-release (AOR 2.69, 95%CI 1.01-7.14).
Relapse to smoking after release from smoke-free prisons is common, but many who relapse smoke less than before incarceration, suggesting that smoke-free prison policies may reduce post-release tobacco smoking. There is a need for tailored, evidence-based tobacco cessation interventions for people recently released from prison.
越来越多的监狱实施无烟政策，但很少有研究调查从监狱获释后重新吸烟的情况。本研究调查了澳大利亚昆士兰州最近从无烟监狱获释的成年人在获释后重新开始吸烟以及吸烟量减少的相关因素。
使用了一项在从监狱获释后两个月内对假释办公室的 114 人的横断面调查。该调查测量了与吸烟有关的健康、社会和犯罪学因素。我们使用逻辑回归来确定与获释后吸烟水平低于入狱前相比相关的因素。
94%的参与者在获释后两个月内重新开始吸烟；72%在获释当天就开始吸烟。与入狱前相比，62%的参与者每天吸烟量明显减少。与伴侣一起生活（优势比 (OR) 2.77，95%CI 1.02-7.52）、对无烟监狱政策表示支持（OR 2.44，95%CI 1.12-5.32）、打算在获释后保持戒断（OR 4.29，95%CI 1.88-9.82）和打算在未来戒烟（OR 3.88，95%CI 1.66-9.07）与获释后吸烟量减少相关。获释后使用非法药物与吸烟量减少呈负相关（OR 0.27，95%CI 0.09-0.79）。在多变量分析中，获释前保持无烟的意图与获释后吸烟量减少相关（AOR 2.69，95%CI 1.01-7.14）。
从无烟监狱获释后重新吸烟很常见，但许多重新吸烟的人吸烟量少于入狱前，这表明无烟监狱政策可能会减少获释后的烟草使用。最近从监狱获释的人需要有针对性的、基于证据的戒烟干预措施。
