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Journal of Public Health Policy

, Volume 32, Issue 1, pp 32–45 | Cite as

Smoking in prisons: The need for effective and acceptable interventions

  • Catherine RitterEmail author
  • Heino Stöver
  • Michael Levy
  • Jean-François Etter
  • Bernice Elger
Original Article

Abstract

Tobacco-smoking prevalence has been decreasing in many high-income countries, but not in prison. We provide a summary of recent data on smoking in prison (United States, Australia, and Europe), and discuss examples of implemented policies for responding to environmental tobacco smoke (ETS), their health, humanitarian, and ethical aspects. We gathered data through a systematic literature review, and added the authors’ ongoing experience in the implementation of smoking policies outside and inside prisons in Australia and Europe. Detainees’ smoking prevalence varies between 64 per cent and 91.8 per cent, and can be more than three times as high as in the general population. Few data are available on the prevalence of smoking in women detainees and staff. Policies vary greatly. Bans may either be ‘total’ or ‘partial’ (smoking allowed in cells or designated places). A comprehensive policy strategy to reduce ETS needs a harm minimization philosophy, and should include environmental restrictions, information, and support to detainees and staff for smoking cessation, and health staff training in smoking cessation.

Keywords

tobacco smoking policy prison ban 

References

  1. Sieminska, A., Jassem, E. and Konopa, K. (2006) Prisoners’ attitudes towards cigarette smoking and smoking cessation: A questionnaire study in Poland. BMC Public Health 6: 181.CrossRefGoogle Scholar
  2. Tielking, K., Becker, S. and Stöver, H. (2003) Entwicklung gesundheitsfördern der Angebote im Justizvollzug: Eine Untersuchung zur gesundheitlichen Lage von Inhaftierten der Justizvollzugsanstalt Oldenburg.Google Scholar
  3. Department of Health and HM Prison Service. (2007) Acquitted – Best practice guidance for developing smoking cessation services in prisons. London, http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4005383, accessed 23 April 2010.
  4. Department of Health South West Regional PHG. (2007) Implementation of Smoke Free Prison Service Instruction: Survey of Prisons in the South West Region. Final Results (Report by Mary-Ann McKibben).Google Scholar
  5. Lekka, N.P., Lee, K.H., Argyriou, A.A., Beratis, S. and Parks, R.W. (2007) Association of cigarette smoking and depressive symptoms in a forensic population. Depress Anxiety 24 (5): 325–330.CrossRefGoogle Scholar
  6. Richmond, R., Butler, T., Wilhelm, K., Wodak, A., Cunningham, M. and Anderson, I. (2009) Tobacco in prisons: A focus group study. Tobacco Control 18 (3): 176–182.CrossRefGoogle Scholar
  7. Narkauskaite, L., Juozulynas, A., Mackiewicz, Z., Surkiene, G. and Prapiestis, J. (2007) The prevalence of psychotropic substance use and its influencing factors in Lithuanian penitentiaries. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research 13 (3): CR131–CR135.Google Scholar
  8. Chavez, R., Oto-Kent, D., Porter, J., Brown, K., Quirk, L. and Lewis, S. (2005) Tobacco Policy, Cessation, and Education in Correctional Facilities. Chicago, IL: National Commission on Correctional Health Care and National Network on Tobacco Prevention and Poverty.Google Scholar
  9. Kauffman, R.M., Ferketich, A.K., Murray, D.M., Bellair, P.E. and Wewers, M.E. (2010) Measuring tobacco use in a prison population. Nicotine & Tobacco Research 12 (6): 582–588.CrossRefGoogle Scholar
  10. Scollo, M. and Winstanley, M. (2008) Tobacco in Australia: Facts and Issues, 3rd edn. Melbourne: Cancer Council Victoria, http://www.tobaccoinaustralia.org.au, accessed 14 May 2010.Google Scholar
  11. D'Souza, R.M., Butler, T. and Petrovsky, N. (2005) Assessment of cardiovascular disease risk factors and diabetes mellitus in Australian prisons: Is the prisoner population unhealthier than the rest of the Australian population? Australian and New Zealand Journal of Public Health 29 (4): 318–323.CrossRefGoogle Scholar
  12. WHO. (2007) The European Tobacco Control Report 2007. Geneva: World Health Organization.Google Scholar
  13. Eldridge, G.D. and Cropsey, K.L. (2009) Smoking bans and restrictions in U.S. prisons and jails: consequences for incarcerated women. American Journal of Preventive Medicine 37 (2): S179–S180.CrossRefGoogle Scholar
  14. Heidari, E., Dickinson, C., Wilson, R. and Fiske, J. (2007) Oral health of remand prisoners in HMP Brixton, London. British Dental Journal 202 (2): E5.Google Scholar
  15. SPS. (2008) 11th Prisoner Survey. Edingburgh, UK: Scottish Prison Service (SPS).Google Scholar
  16. Sahajian, F., Lamothe, P. and Fabry, J. (2006) Consommation de substances psycho actives chez les personnes entrant en prison [Psychoactive substance use among newly incarcerated prison inmates]. Santé Publique 18 (2): 223–234.CrossRefGoogle Scholar
  17. Sannier, O., Gignon, M., Defouilloy, C., Hermant, A., Manaouil, C. and Jardé, O. (2009) Dépistage de l'asthme et de la bronchopneumopathie obstructive à la maison d'arrêt d'Amiens: étude préliminaire transversale [Obstructive lung diseases in a French prison: Results of systematic screening]. Revue de pneumologie clinique 65 (1): 1–8.CrossRefGoogle Scholar
  18. Elger, B. (2009) Prison life: Television, sports, work, stress and insomnia in a remand prison. International Journal of Law and Psychiatry 32 (2): 74–83.CrossRefGoogle Scholar
  19. Durrah, T.L. (2005) Correlates of daily smoking among female arrestees in New York City and Los Angeles, 1997. American Journal of Public Health 95 (10): 1788–1792.CrossRefGoogle Scholar
  20. Stuart, G.L. et al (2006) Readiness to quit cigarette smoking, intimate partner violence, and substance abuse among arrested violent women. American Journal on Addictions 15 (5): 396–399.CrossRefGoogle Scholar
  21. Heng, C., Badner, V. and Freeman, K. (2006) Relationship of cigarette smoking to dental caries in a population of female inmates. Journal of Correctional Health Care 12 (3): 164–174.CrossRefGoogle Scholar
  22. Cropsey, K., Eldridge, G.D. and Ladner, T. (2004) Smoking among female prisoners: An ignored public health epidemic. Addictive Behaviors 29 (2): 425–431.CrossRefGoogle Scholar
  23. Awofeso, N., Testaz, R., Wyper, S. and Morris, S. (2001) Smoking prevalence in New South Wales correctional facilities, 2000. Tobacco Control 10 (1): 84–85.CrossRefGoogle Scholar
  24. Belcher, J.M., Butler, T., Richmond, R.L., Wodak, A.D. and Wilhelm, K. (2006) Smoking and its correlates in an Australian prisoner population. Drug and Alcohol Review 25 (4): 343–348.CrossRefGoogle Scholar
  25. Plugge, E.H., Foster, C.E., Yudkin, P.L. and Douglas, N. (2009) Cardiovascular disease risk factors and women prisoners in the UK: The impact of imprisonment. Health Promotion International 24 (4): 334–343.CrossRefGoogle Scholar
  26. Dupont, P. (2008) Is it possible to help prisoners to quit smoking? La Revue de médecine interne/fondée ... par la Société nationale francaise de médecine interne 29 (5): 355–356.CrossRefGoogle Scholar
  27. Palmer, J. (2007) Special health requirements for female prisoners. In: L. Møller, H. Stöver, R. Jürgens, A. Gatherer and H. Nikogosian (eds.) Health in Prisons: A WHO Guide to the Essentials in Prison Health. Copenhagen: World Health Organization, Regional Office for Europe, pp. 157–170, http://www.euro.who.int/__data/assets/pdf_file/0009/99018/E90174.pdf, accessed 27 November 2010.Google Scholar
  28. Knight, M. and Plugge, E. (2005) Risk factors for adverse perinatal outcomes in imprisoned pregnant women: A systematic review. BMC Public Health 5: 111.CrossRefGoogle Scholar
  29. Carpenter, M.J., Hughes, J.R., Solomon, L.J. and Powell, T.A. (2001) Smoking in correctional facilities: A survey of employees. Tobacco Control 10 (1): 38–42.CrossRefGoogle Scholar
  30. Office of the Inspector of Custodial Services. (2008) Issue paper 1: Smoking in prison, p. 1, http://www.custodialinspector.wa.gov.au/go/publications-and-resources/issues-papers, accessed 24 April 2010.
  31. Levy, M. (2010) Prisons: Issues to ponder. Of Substance 8 (1): 12–13, http://www.ofsubstance.org.au/images/archive/pdf/ofsubstance_2010_1.pdf, accessed 27 November 2010.Google Scholar
  32. Butler, T., Richmond, R., Belcher, J., Wilhelm, K. and Wodak, A. (2007) Should smoking be banned in prisons? Tobacco Control 16 (5): 291–293.CrossRefGoogle Scholar
  33. Awofeso, N. (2003) Implementing smoking cessation programmes in prison settings. Addiction Research and Theory 11 (2): 119–130.CrossRefGoogle Scholar
  34. Queensland Government CS. (2009) Custodial anti-smoking policy and implementation plan 2009–2011, http://www.correctiveservices.qld.gov.au/Resources/Procedures/Support_Services/Documents/spsprosmoking.shtml#4, accessed 23 April 2010.
  35. HM Prison service. (2007) Smoke free legislation: Prison service application, http://psi.hmprisonservice.gov.uk/PSI_07_09_smoke_free_legislation.doc, accessed 3 May 2010.Google Scholar
  36. NIPS. (2007) Smoking Policy. Belfast, UK: Northern Ireland Prison Service (NIPS).Google Scholar
  37. MacAskill, S. and Hayton, P. (2007) Stop smoking support in HM prisons: The impact of nicotine replacement therapy, Includes Best Practice Checklist. Stirling, London: University of Stirling, Open University and Centre for Tobacco Control Research.Google Scholar
  38. MacAskill, S. and Eadie, D. (2002) Evaluation of a Pilot Project on Smoking Cessation in Prisons. Final report, The University of Strathclyde, http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4034349.pdf, accessed 3 March 2010.
  39. MacAskill, S. (2008) Social marketing with challenging target groups: Smoking cessation in prisons in England and Wales. International Journal of Nonprofit and Voluntary Sector Marketing 13 (3), (Special issue: Social marketing): 251–261.CrossRefGoogle Scholar
  40. Lincoln, T., Chavez, R.S. and Langmore-Avila, E. (2005) US experience of smoke-free prisons. British Medical Journal 331 (7530): 1473.CrossRefGoogle Scholar
  41. Cropsey, K.L. and Kristeller, J.L. (2005) The effects of a prison smoking ban on smoking behavior and withdrawal symptoms. Addictive Behaviors 30 (3): 589–594.CrossRefGoogle Scholar
  42. Kauffman, R.M., Ferketich, A.K. and Wewers, M.E. (2008) Tobacco policy in American prisons, 2007. Tobacco Control 17 (5): 357–360.CrossRefGoogle Scholar
  43. Convention. (1949) Geneva Convention (IV) relative to the protection of civilian persons in time of war. 12 August, http://www.icrc.org/ihl.nsf/FULL/380?OpenDocument, accessed 14 April 2010.
  44. Commentary. (1949) Convention (IV) relative to the Protection of Civilian Persons in Time of War. Geneva. Commentary Part III: Status and treatment of protected persons #Section IV: Regulations for the treatment of internees #Chapter III: Food and clothing Art. 89. 12 August, http://www.icrc.org/ihl.nsf/WebPrint/380-600100-COM?OpenDocument, accessed 14 April 2010.
  45. Cropsey, K., Eldridge, G., Weaver, M., Villalobos, G., Stitzer, M. and Best, A. (2008) Smoking cessation intervention for female prisoners: Addressing an urgent public health need. American Journal of Public Health 98 (10): 1894–1901.CrossRefGoogle Scholar
  46. Cropsey, K. and Kristeller, J. (2003) Motivational factors related to quitting smoking among prisoners during a smoking ban. Addictive Behaviors 28: 1081–1093.CrossRefGoogle Scholar
  47. NIPS. (2007) Smoking Policy. Belfast, UK: Northern Ireland Prison Service (NIPS), http://www.niprisonservice.gov.uk/module.cfm/opt/5/area/Publications/page/publications/archive/true/year/2009/month/3/cid/0/cid/19, accessed 14 April 2010.
  48. Fazel, S., Hope, T., O'Donnell, I., Piper, M. and Jacoby, R. (2001) Health of elderly male prisoners: worse than the general population, worse than younger prisoners. Age Ageing 30 (5): 403–407.CrossRefGoogle Scholar
  49. Coyle, A. (2007) Standard in prison health: The prisoner as a patient. In: L. Møller, H. Stöver, R. Jürgens, A. Gatherer and H. Nikogosian (eds.) Health in Prisons: A WHO Guide to the Essentials in Prison Health. Copenhagen: Word Health Organisation, Regional Office for Europe, p. 7-13, http://www.euro.who.int/__data/assets/pdf_file/0009/99018/E90174.pdf, accessed 27 November 2010.
  50. Proescholdbell, S.K., Foley, K.L., Johnson, J. and Malek, S.H. (2008) Indoor air quality in prisons before and after implementation of a smoking ban law. Tobacco Control 17 (2): 123–127.CrossRefGoogle Scholar

Copyright information

© Palgrave Macmillan, a division of Macmillan Publishers Ltd 2010

Authors and Affiliations

  • Catherine Ritter
    • 1
    Email author
  • Heino Stöver
    • 2
  • Michael Levy
    • 3
  • Jean-François Etter
    • 4
  • Bernice Elger
    • 1
  1. 1.University Center of Legal Medicine of Geneva and LausanneGenevaSwitzerland
  2. 2.Faculty of Health and Social Work, University of Applied SciencesFrankfurtGermany
  3. 3.School of Clinical Medicine, College of Medicine, Biology and Environment, Australian National UniversityCanberra CityAustralia
  4. 4.Faculty of Medicine, Institute of Social and Preventive Medicine, University of GenevaGenevaSwitzerland

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