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Published on: January 10, 2015
Tobacco policy in American prisons, 2007
R M Kauffman1, A K Ferketich, M E Wewers
1The Ohio State University College of Public Health, M-006 Starling-Loving Hall, 320 West 10th Avenue, Columbus, OH 43210, USA. kauffman.57@osu.edu
US prisons increasingly implement total tobacco bans, but often terminate smoking cessation programs. This misses a public health opportunity to support long-term cessation for inmates.
Area of Science:
- Public Health
- Criminology
- Addiction Science
Background:
- Tobacco use is prevalent in correctional facilities.
- Prison policies on tobacco significantly impact inmate health and facility management.
- Understanding evolving tobacco policies is crucial for public health initiatives within prisons.
Purpose of the Study:
- To assess current tobacco policies in United States prisons.
- To analyze historical trends in prison tobacco policy implementation.
- To evaluate the impact of these policies on cessation programs.
Main Methods:
- A nationwide telephone survey of all 52 United States departments of correction was conducted.
- Data collected included current tobacco policies, free tobacco distribution, and availability of cessation programs and aids.
- Response rate was 98% (51/52 departments).
Main Results:
- 60% of correctional systems reported total tobacco bans, and 27% had indoor bans.
- No prisons distributed free tobacco; tobacco became a significant contraband item under total bans.
- While 86% of facilities with indoor bans offered cessation programs, only 39% of those with total bans continued programs post-transition.
Conclusions:
- Implementation of total tobacco bans in prisons frequently leads to the discontinuation of cessation programs.
- Terminating cessation support undermines long-term smoking cessation efforts among incarcerated individuals.
- This represents a missed public health opportunity to improve inmate health outcomes.
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