Perrett Stephanie E, Craddock Christie, Dunseath Gareth, Shankar Giri, Luzio Stephen, Gray Benjamin J
Department of Health Protection, Public Health Wales, Cardiff, UK.
Diabetes Research Group Swansea, Swansea University, Swansea, UK.
Int J Prison Health. 2023 Sep 5;19(3):340-349. doi: 10.1108/IJPH-02-2022-0012. Epub 2022 Jun 14.
Smoking rates are known to be higher amongst those committed to prison than the general population. Those in prison suffer from high rates of comorbidities that are likely to increase their risk of cardiovascular disease (CVD), making it more difficult to manage. In 2016, a tobacco ban began to be implemented across prisons in England and Wales, UK. This study aims to measure the effect of the tobacco ban on predicted cardiovascular risk for those quitting smoking on admission to prison.
DESIGN/METHODOLOGY/APPROACH: Using data from a prevalence study of CVD in prisons, the authors have assessed the effect of the tobacco ban on cardiovascular risk, using predicted age to CVD event, ten-year CVD risk and heart age, for those who previously smoked and gave up on admission to prison.
The results demonstrate measurable health gains across all age groups with the greatest gains found in those aged 50 years and older and who had been heavy smokers. Quitting smoking on admission to prison led to a reduced heart age of between two and seven years for all participants.
ORIGINALITY/VALUE: The data supports tobacco bans in prisons as a public health measure to reduce risk of CVD. Interventions are needed to encourage maintenance of smoking cessation on release from prison for the full health benefits to be realised.
众所周知，入狱人员的吸烟率高于普通人群。监狱中的人员患有多种合并症，这可能会增加他们患心血管疾病（CVD）的风险，使其病情更难控制。2016年，英国英格兰和威尔士的监狱开始实施烟草禁令。本研究旨在衡量烟草禁令对入狱时戒烟人员预测心血管风险的影响。
设计/方法/途径：作者利用一项监狱中CVD患病率研究的数据，评估了烟草禁令对以前吸烟且入狱时戒烟人员的心血管风险的影响，采用预测的CVD事件年龄、十年CVD风险和心脏年龄进行评估。
结果表明，所有年龄组都有可测量的健康收益，在50岁及以上的人群和重度吸烟者中收益最大。入狱时戒烟使所有参与者的心脏年龄降低了两到七岁。
原创性/价值：数据支持在监狱实施烟草禁令作为降低CVD风险的一项公共卫生措施。需要采取干预措施，鼓励出狱人员维持戒烟状态，以实现全面的健康益处。
