Institute for Social Marketing and Health, University of Stirling, Stirling, UK.
School of Nursing and Health Sciences, University of Dundee, Dundee, UK.
Int J Prison Health. 2020 Jul 29;16(4):389-402. doi: 10.1108/IJPH-12-2019-0065.
PURPOSE: This paper aims to explore smokefree prison policy, from the perspective of people in custody in Scotland. DESIGN/METHODOLOGY/APPROACH: In total, 77 people in custody in Scotland were interviewed in the period leading up to implementation of a nationwide prison smokefree policy. Data were thematically analysed to identify the diversity of views and experiences. FINDINGS: Participants described a widespread awareness in prisons of plans to implement a smokefree policy from 30 November 2018. Opinions about smokefree prisons varied among participants based on perceptions of the fairness, and anticipated positive and negative consequences of removing tobacco from prisons. At the time of the interviews, people in custody were responding to the impending smokefree policy, either by proactively preparing for the smokefree rule change or by deploying avoidance strategies. Participants described opportunities and challenges for implementing smokefree policy in prisons across three main themes: the role of smoking in prison, prison smoking cessation services and motivations for quitting smoking among people in custody. ORIGINALITY/VALUE: This study exploring smokefree prisons from the perspectives of people in custody has several novel features which extend the evidence base. The findings highlight measures for jurisdictions to consider when planning to prohibit smoking in their prisons in the future. These include the need for evidence-based smoking cessation support in advance of smokefree policy, effective communication campaigns, consideration of broader structural determinants of health in prison and ongoing measures to reduce rates of return to smoking post release.
目的:本文旨在从苏格兰被监禁人员的角度探讨无烟监狱政策。
设计/方法/途径:在实施全国范围的监狱无烟政策之前,对苏格兰的 77 名被监禁人员进行了采访。对数据进行了主题分析,以确定观点和经验的多样性。
发现:参与者描述了监狱中广泛意识到计划从 2018 年 11 月 30 日起实施无烟政策。参与者对无烟监狱的看法因对公平性的看法以及对从监狱中去除烟草的预期积极和消极后果而异。在采访时,被监禁者正在对即将到来的无烟政策做出反应,要么积极为无烟规则的改变做准备,要么采取回避策略。参与者描述了在监狱中实施无烟政策的机遇和挑战,主要有三个主题:吸烟在监狱中的作用、监狱戒烟服务以及被监禁者戒烟的动机。
原创性/价值:这项从被监禁者的角度探索无烟监狱的研究具有几个新颖的特点,扩展了证据基础。研究结果强调了司法管辖区在未来计划在监狱中禁烟时需要考虑的措施。其中包括在无烟政策实施之前需要提供基于证据的戒烟支持、有效的宣传活动、考虑监狱中更广泛的健康结构决定因素以及持续采取措施降低释放后重新吸烟的比率。
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