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Tobacco in prisons: a focus group study.

R Richmond1, T Butler, K Wilhelm

  • 1School of Public Health and Community Medicine, University of New South Wales, 2052, Australia. R.Richmond@unsw.edu.au

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Tobacco is deeply ingrained in prison culture, acting as currency and a stress reliever for inmates. Effective smoking cessation programs must address these unique prison challenges and support inmates both inside and after release.

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Area of Science:

  • Criminology
  • Public Health
  • Addiction Science

Background:

  • Tobacco use is prevalent in correctional facilities worldwide.
  • The prison environment presents unique challenges to smoking cessation efforts.
  • Understanding inmate smoking behaviors is crucial for developing effective interventions.

Purpose of the Study:

  • To investigate the role of tobacco use within the prison system.
  • To explore how the prison environment influences smoking among inmates.
  • To inform the development of targeted inmate smoking cessation programs.

Main Methods:

  • Qualitative study utilizing seven focus groups.
  • Involved 40 participants: 9 current prisoners and 31 ex-prisoners.
  • Data collected from a maximum security prison in NSW, Australia, and a community justice center in Sydney.

Main Results:

  • Prisoners use tobacco as currency for goods, debts, and gambling.
  • Smoking helps inmates cope with stressful situations like transfers and court appearances.
  • Effective cessation programs require pharmacotherapy, quitlines, non-smoking areas, and post-release support.

Conclusions:

  • Tobacco use is integral to the prison culture.
  • Prison smoking cessation programs must be tailored to the unique stresses of incarceration.
  • Addressing the cultural role of tobacco is essential for successful cessation in correctional settings.