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在英国苏格兰实施无烟监狱政策前后,监狱内烟草相关产品和电子烟相关产品的购买情况:囚犯消费数据的分析。

Purchasing of tobacco-related and e-cigarette-related products within prisons before and after implementation of smoke-free prison policy: analysis of prisoner spend data across Scotland, UK.

机构信息

Institute for Social Marketing and Health, University of Stirling, Stirling, UK

Institute for Social Marketing and Health, University of Stirling, Stirling, UK.

出版信息

BMJ Open. 2022 Feb 22;12(2):e058909. doi: 10.1136/bmjopen-2021-058909.


DOI:10.1136/bmjopen-2021-058909
PMID:35193923
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8867351/
Abstract

OBJECTIVES: To examine the effect of smoke-free prison policy implementation in November 2018 on purchasing patterns in the prison canteen (shop). DESIGN: Interrupted time series. SETTING: All 12 closed, publicly run prisons in Scotland, UK. PARTICIPANTS: People in custody (PiC) between August 2018 and end of March 2019 (n=11 944). INTERVENTIONS: Implementation of smoke-free prisons policy. OUTCOME MEASURES: Total spent on all products, nicotine-related products, and food and beverage products per week. METHODS: Canteen data were provided for the period July 2018-September 2019 by the Scottish Prison Service. In a series of generalised linear mixed effects models, the amount spent before and after implementation of smoke-free prison policy was compared for all purchases in the time period, and for PiC identified as 'smokers' and 'non-smokers' from their pre-implementation tobacco purchasing patterns. RESULTS: The amount spent on nicotine-related products significantly decreased from pre-implementation to post implementation (incident rate ratio (IRR) 0.40; 99% CI 0.33 to 0.51, p<0.001). However, total canteen spend did not change over the study period (IRR 0.92; 99% CI 0.84 to 1.00). Post implementation about 25% of previous 'smokers' total canteen spend was on nicotine-related products. The amount spent by previous 'smokers' on food and beverages increased from £8.67 (99% CI 8.23 to 9.13) pre-implementation to £10.24 in the post implementation period (99% CI 9.58 to 10.90). CONCLUSION: Although the amount of money previous 'smokers' in prison spent on nicotine-related products decreased after smoke-free policy, nicotine products still account for a large proportion of canteen spend among PiC in smoke-free prisons in Scotland. Results indicate that many PiC may continue to use nicotine in smoke-free prisons where e-cigarettes are permitted.

摘要

目的:探讨 2018 年 11 月实施无烟监狱政策对监狱小卖部(商店)购买模式的影响。

设计:中断时间序列。

设置:英国苏格兰所有 12 所封闭的公立监狱。

参与者:2018 年 8 月至 2019 年 3 月底期间被监禁的人(PiC)(n=11944)。

干预措施:实施无烟监狱政策。

结果测量:每周所有产品、尼古丁相关产品以及食品和饮料产品的总支出。

方法:苏格兰监狱管理局提供了 2018 年 7 月至 2019 年 9 月期间小卖部的数据。在一系列广义线性混合效应模型中,比较了无烟监狱政策实施前后一段时间内所有购买产品的支出情况,并根据实施前的烟草购买模式,将 PiC 分为“吸烟者”和“非吸烟者”进行比较。

结果:与实施前相比,尼古丁相关产品的支出显著减少(发生率比(IRR)0.40;99%置信区间(CI)0.33 至 0.51,p<0.001)。然而,研究期间小卖部总支出没有变化(IRR 0.92;99% CI 0.84 至 1.00)。实施后,约 25%的前“吸烟者”总小卖部支出用于尼古丁相关产品。前“吸烟者”在食品和饮料上的支出从实施前的 8.67 英镑(99%CI 8.23 至 9.13)增加到实施后的 10.24 英镑(99%CI 9.58 至 10.90)。

结论:尽管实施无烟政策后,监狱中前“吸烟者”在尼古丁相关产品上的支出减少,但尼古丁产品在苏格兰无烟监狱中仍占 PiC 小卖部支出的很大比例。结果表明,许多 PiC 在允许使用电子烟的无烟监狱中可能会继续使用尼古丁。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e92f/8867351/a1a24501bbdd/bmjopen-2021-058909f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e92f/8867351/a1a24501bbdd/bmjopen-2021-058909f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e92f/8867351/a1a24501bbdd/bmjopen-2021-058909f01.jpg

相似文献

[1]
Purchasing of tobacco-related and e-cigarette-related products within prisons before and after implementation of smoke-free prison policy: analysis of prisoner spend data across Scotland, UK.

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[2]
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[3]
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[4]
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[8]

2022-1

[9]
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引用本文的文献

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A systematic review and network meta-analysis of population-level interventions to tackle smoking behaviour.

Nat Hum Behav. 2024-12

本文引用的文献

[1]
E-cigarette Use in Prisons With Recently Established Smokefree Policies: A Qualitative Interview Study With People in Custody in Scotland.

Nicotine Tob Res. 2021-5-24

[2]
From Smoking-Permitted to Smokefree Prisons: A 3-Year Evaluation of the Changes in Occupational Exposure to Second-Hand Smoke Across a National Prison System.

Ann Work Expo Health. 2020-11-16

[3]
Prisoners and prison staff express increased support for prison smoking bans following implementation across Scotland: results from the Tobacco In Prisons study.

Tob Control. 2021-9

[4]
Predictors of opinions on prison smoking bans: Analyses of survey data from Scottish staff and prisoners.

Tob Induc Dis. 2019-6-4

[5]
How did the tobacco ban increase inmates' body weight during incarceration in Canadian federal penitentiaries? A cohort study.

BMJ Open. 2019-7-16

[6]
Views of prison staff in Scotland on the potential benefits and risks of e-cigarettes in smoke-free prisons: a qualitative focus group study.

BMJ Open. 2019-6-25

[7]
The impact of implementation of a national smoke-free prisons policy on indoor air quality: results from the Tobacco in Prisons study.

Tob Control. 2020-3

[8]
An exploration of reported food intake among inmates who gained body weight during incarceration in Canadian federal penitentiaries.

PLoS One. 2018-12-18

[9]
Understanding extreme mortality among prisoners: a national cohort study in Scotland using data linkage.

Eur J Public Health. 2015-10

[10]
Public health and the epidemic of incarceration.

Annu Rev Public Health. 2012-1-3

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