Kirby Institute, University of New South Wales, Sydney, New South Wales, Australia.
School of Public Health and Community Medicine, University of New South Wales, Sydney, New South Wales, Australia.
BMJ Open. 2020 Jul 20;10(7):e034046. doi: 10.1136/bmjopen-2019-034046.
In Australia, an estimated 90% of those entering prison are current tobacco smokers and three-quarters of current prisoners are tobacco smokers.
To identify factors and their relative contributions to smoking cessation among male prisoners.
A total of 425 male tobacco smokers with a median age of 32 years in Australian prisons. The primary outcome was continuous abstinence at 3, 6 and 12 months. We measured various sociodemographic characteristics, drug use, psychological distress and the mental and physical health status of the participants. Multivariate logistic regression models and population attributable risks (PAR%) were used to identify the significant factors and their contributions to smoking cessation rates.
The median age of participants was 32 years (IQR 25-41 years). High smoking cessation rates were collectively associated with not using drugs, lower psychological distress, good mental health scores and better physical health (PAR%: 93%, 98% and 88% at 3, 6 and 12 months).
Our study suggests that not using drugs and being in good mental/physical health are the important contributors to continuous abstinence among prisoners. Thus, effective smoking cessation programmes require a multicomponent approach that includes addressing drug problems and mental health functioning.
12606000229572.
在澳大利亚，估计有 90%的入狱者是当前的吸烟者，而四分之三的在押囚犯是吸烟者。
确定男性囚犯戒烟的因素及其相对贡献。
共有 425 名年龄中位数为 32 岁的澳大利亚监狱中的男性烟草吸烟者。主要结果是在 3、6 和 12 个月时连续戒烟。我们测量了各种社会人口统计学特征、药物使用、心理困扰以及参与者的精神和身体健康状况。使用多变量逻辑回归模型和人群归因风险（PAR%）来确定显著因素及其对戒烟率的贡献。
参与者的年龄中位数为 32 岁（IQR 25-41 岁）。不使用毒品、心理困扰程度较低、心理健康评分良好和身体健康状况较好与较高的戒烟率相关（PAR%：3、6 和 12 个月时分别为 93%、98%和 88%）。
我们的研究表明，不使用毒品和保持良好的精神/身体健康是囚犯持续戒烟的重要因素。因此，有效的戒烟计划需要采取多组分方法，包括解决毒品问题和心理健康功能。
12606000229572。
