Identifying significant contributors for smoking cessation among male prisoners in Australia: results from a randomised clinical trial

Abstract

IntroductionIn Australia, an estimated 90% of those entering prison are current tobacco smokers and three-quarters of current prisoners are tobacco smokers.AimsTo identify factors and their relative contributions to smoking cessation among male prisoners.MethodsA total of 425 male tobacco smokers with a median age of 32 years in Australian prisons. The primary outcome was continuous abstinence at 3, 6 and 12 months. We measured various sociodemographic characteristics, drug use, psychological distress and the mental and physical health status of the participants. Multivariate logistic regression models and population attributable risks (PAR%) were used to identify the significant factors and their contributions to smoking cessation rates.ResultsThe median age of participants was 32 years (IQR 25–41 years). High smoking cessation rates were collectively associated with not using drugs, lower psychological distress, good mental health scores and better physical health (PAR%: 93%, 98% and 88% at 3, 6 and 12 months).ConclusionOur study suggests that not using drugs and being in good mental/physical health are the important contributors to continuous abstinence among prisoners. Thus, effective smoking cessation programmes require a multicomponent approach that includes addressing drug problems and mental health functioning.Trial registration number12606000229572.

Assessment of Satisfaction with Health Services among Prisoners—Descriptive Study

“…In the case of prisoners, 25.8% declared smoking, i.e., less than in the report of the National Health Account of Poles in 2020, which showed that the percentage of active smokers of all tobacco products is 32% [ 37 ]. Wand et al showed that three-quarters of current prisoners in Australia are tobacco smokers [ 38 ]. Smoking is a learned habit and a major preventable chronic disease [ 39 ].…”

Réduire le tabagisme dans les prisons : éléments théoriques et méthodologiques nécessaires à la co-construction d’une intervention en contexte pénitentiaire

“…Ces composantes complémentaires prévoient la diffusion d'informations adaptées concernant les risques du tabac, les bénéfices de l'arrêt et les méthodes d'arrêt existantes (8,24,25), un accès facilité aux substituts nicotiniques (8,24,25), la mise en place d'actions de soutien psychologique et d'activités de compensation pour remédier au manque et à l'ennui (25,26), ainsi que l'aménagement de zones sans tabac (13)(14)(15).…”