Institute for Social Marketing and Health, Faculty of Health Sciences and Sport, University of Stirling, Stirling, UK.
Faculty of Health Sciences and Sport, University of Stirling, Stirling, UK.
Nicotine Tob Res. 2021 May 24;23(6):939-946. doi: 10.1093/ntr/ntaa271.
INTRODUCTION: E-cigarettes were one measure introduced to help people in custody (PiC) to prepare for and cope with implementation of comprehensive smokefree policies in Scottish prisons. Our earlier study explored experiences of vaping when e-cigarettes were first introduced and most participants were dual tobacco and e-cigarette users. Here we present findings of a subsequent study of vaping among a different sample of PiC when use of tobacco was prohibited in prison, and smokefree policy had become the norm. METHODS: Twenty-eight qualitative interviews were conducted with PiC who were current or former users of e-cigarettes in prison, 6-10 months after implementation of a smokefree policy. Data were managed and analyzed using the framework approach. RESULTS: PiC reported that vaping helped with mandated smoking abstinence. However, findings suggest that some PiC may be susceptible to heavy e-cigarette use potentially as a consequence of high nicotine dependence and situational factors such as e-cigarette product choice and availability in prisons; issues with nicotine delivery; prison regimes; and use of e-cigarettes for managing negative emotions. These factors may act as barriers to cutting down or stopping use of e-cigarettes by PiC who want to make changes due to dissatisfaction with vaping or lack of interest in continued use of nicotine, cost, and/or health concerns. CONCLUSIONS: E-cigarettes helped PiC to cope with smokefree rules, although concerns about e-cigarette efficacy, cost, and safety were raised. PiC may desire or benefit both from conventional smoking cessation programs and from interventions to support reduction, or cessation, of vaping. IMPLICATIONS: Findings highlight successes, challenges, and potential solutions in respect of use of e-cigarettes to cope with mandated smoking abstinence in populations with high smoking prevalence and heavy nicotine dependence. Experiences from prisons in Scotland may be of particular interest to health and/or justice services in other jurisdictions, with similar legislation on e-cigarettes to the United Kingdom, who are planning for institutional smokefree policies in their prisons or inpatient mental health settings in the future.
简介:电子烟是为帮助被监管者(PiC)在苏格兰监狱全面禁烟政策实施前做好准备并应对该政策而引入的一项措施。我们之前的研究探讨了电子烟最初引入时的使用体验,当时大多数参与者都是同时使用烟草和电子烟。在这里,我们展示了另一项针对不同 PiC 群体的研究结果,当时监狱内已禁止使用烟草,且全面禁烟政策已成为常态。
方法:在实施全面禁烟政策 6-10 个月后,对监狱内当前或曾使用电子烟的 PiC 进行了 28 次定性访谈。使用框架方法管理和分析数据。
结果:PiC 报告说,电子烟有助于他们遵守强制禁烟规定。然而,研究结果表明,一些 PiC 可能容易过度使用电子烟,这可能是由于尼古丁高度依赖以及电子烟产品选择和监狱供应等情况因素、尼古丁输送问题、监狱制度以及使用电子烟来管理负面情绪等因素造成的;这些因素可能会阻碍那些由于对电子烟使用效果不满意、缺乏继续使用尼古丁的兴趣、成本和/或健康问题而希望减少或停止使用电子烟的 PiC 减少或停止使用电子烟。
结论:电子烟帮助 PiC 应对了禁烟规定,尽管对电子烟的效果、成本和安全性存在担忧。PiC 可能既需要也受益于常规戒烟计划,也需要支持减少或停止使用电子烟的干预措施。
意义:这些发现强调了在高吸烟率和重度尼古丁依赖人群中使用电子烟来应对强制禁烟的成功、挑战和潜在解决方案。苏格兰监狱的经验可能特别引起具有与英国类似电子烟立法的其他司法管辖区的健康和/或司法服务部门的兴趣,这些司法管辖区未来可能会在其监狱或住院精神健康机构制定机构性禁烟政策。
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