Institute for Social Marketing and Health, University of Stirling, Stirling, UK
Institute for Social Marketing and Health, University of Stirling, Stirling, UK.
BMJ Open. 2022 Feb 22;12(2):e058909. doi: 10.1136/bmjopen-2021-058909.
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.
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。
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