Institute for Social Marketing and Health, University of Stirling, Stirling, UK.
Eur J Public Health. 2022 Feb 1;32(1):112-118. doi: 10.1093/eurpub/ckab075.
A comprehensive smokefree prison policy (SFPP) was introduced in Scottish prisons from November 2018, reflecting concern about inequalities in occupational exposures to second-hand smoke (SHS) and tobacco-related harms among people in custody (PiC). We aimed to address a gap, whereby few studies have sought to understand SFPP from the perspectives of people living and working in prisons.
As part of a comprehensive evaluation, focus groups and interviews with staff (n = 99) and interviews with PiC (n = 23) were conducted 6-9 months post-implementation of SFPP in Scotland. Data were analysed using the framework approach.
Our study found that new restrictions on smoking had been widely accepted by PiC, after a period of adjustment which was less troublesome than participants had anticipated. Benefits of the SFPP for the safety and comfort of staff and PiC who were no longer exposed to SHS, and additionally for the health of PiC who were now smoking-abstinent, were widely acknowledged. Drawbacks of the SFPP, such as difficulties managing without tobacco and use of alternatives (e.g. e-cigarettes and changes in use of illegal drugs), were also reported. Contraband tobacco was not reported to be a major problem following prisons becoming smokefree.
The findings strengthen evidence that SFPPs can be implemented without causing major disruption and highlight the need for removal of tobacco to be underpinned by careful planning, partnership working and ensuring the availability of support for smokers. Experiences from Scotland may be of interest and some comfort, internationally for jurisdictions considering smoke-free rules in prisons.
自 2018 年 11 月起，苏格兰监狱开始实施全面禁烟监狱政策（SFPP），这反映出人们对囚犯（PiC）在工作和生活中接触到的二手烟（SHS）和与烟草相关的危害存在不平等现象的担忧。我们旨在解决一个差距，即很少有研究试图从居住和工作在监狱中的人员的角度来理解 SFPP。
作为全面评估的一部分，在苏格兰实施 SFPP 6-9 个月后，对工作人员（n=99）进行了焦点小组和访谈，并对 PiC（n=23）进行了访谈。使用框架方法分析数据。
我们的研究发现，新的吸烟限制在经过一段时间的调整后，已被 PiC 广泛接受，而且这一调整比参与者预期的要麻烦小得多。SFPP 为不再接触 SHS 的工作人员和 PiC 的安全和舒适带来了好处，此外，PiC 现在也因戒烟而受益，这一点得到了广泛认可。SFPP 的缺点也有报道，例如在没有烟草和替代品（例如电子烟和非法药物使用方式的改变）的情况下管理困难，以及违禁烟草在监狱成为无烟区后并未成为一个主要问题。
这些发现加强了 SFPP 可以在不造成重大干扰的情况下实施的证据，并强调需要在精心规划、合作伙伴关系和确保为吸烟者提供支持的基础上，去除烟草。苏格兰的经验可能对考虑在监狱实施禁烟规定的司法管辖区具有参考价值和一定的安慰作用。
