Abstract
BackgroundThe aim of the study was, despite the special characteristics of prisons, to identify the features which led prisoners who attended the Smoking Cessation Centre at the Kassavetia Detention Centre in Volos (region of Thessaly, in the central part of mainland Greece) to quit smoking.MethodsPersonal interviews with 204 male prisoners irrespective of smoking habitus over the period June 2008 to December 2010 were obtained. Information about medical history, history of tobacco use and addiction to narcotic use was obtained and imprisonment status was recorded. Pharmaceutical treatment (Varenicline) and counselling or only counselling were suggested as alternative strategies to them in order to help quit smoking. SPSS v15.0 software was employed, descriptive statistics were used, and a X2 independence test and Student’s t-test were performed.ResultsOf the sample examined, 75.5% (154) were smokers. They were mainly Greeks (51.5%), single (53.4%) and had not gratuated from a high school (secondary education level) (70.6%). 59.75% begun smoking early ( ≤14 years of age ) and 64.9% were highly addicted according to Fagerstrom Tolerance Questionnaire. 74% (114) of all smokers at the prison attended the Smoking Cessation Centre. Of them, 30.7% were able to quit smoking at 3 months but 1 year later there were 20.2% ex-smokers. The key characteristics of those who were able to be ex-smokers were a change in smoking habits (decreased) compared to when free (p = .001), previous attempts to quit (while incarcerated and in general) (p = .001), average dependence levels (p < .001), started smoking after 21 years of age (p = .032), no history of addictive substance use (p = .029), being already prisoners for a longer period of time (p = .019), a limited number (3.9 ± 3.4) of prisoners per cell (p < .001) and in particular a limited number (2.8 ± 3.2) of smokers in the cell (p < .001).ConclusionsAverage dependence, a past free of addictive substance abuse and a better environment of daily living for certain prisoners (as far as the number of cellmates was concerned) had a catalytic impact on prisoners finally managed to quit smoking.
Highlights
IntroductionThe aim of the study was, despite the special characteristics of prisons, to identify the features which led prisoners who attended the Smoking Cessation Centre at the Kassavetia Detention Centre in Volos (region of Thessaly, in the central part of mainland Greece) to quit smoking
The aim of the study was, despite the special characteristics of prisons, to identify the features which led prisoners who attended the Smoking Cessation Centre at the Kassavetia Detention Centre in Volos to quit smoking
To run a Smoking Cessation Centre for prisoners needs to consider specific aspects of closed settings: the stress [7] over lack of liberty and absence of family, the prison overcrowding [8] with smokers and non-smokers being engaged in the same cell, transfers to other prisons or court appearances [9], high degree of nicotine dependence [10] and prison leave granted in accordance with law [11]
Summary
The aim of the study was, despite the special characteristics of prisons, to identify the features which led prisoners who attended the Smoking Cessation Centre at the Kassavetia Detention Centre in Volos (region of Thessaly, in the central part of mainland Greece) to quit smoking. For the last 10 years, the Respiratory Department of the University of Thessaly has been testing the general population in 4 prefectures in central Greece by performing spirometry tests to diagnose chronic obstructive pulmonary disease early, and attended the Kassavetia Detention Centre in Volos with a population of 220 male prisoners for that purpose (no regulation regarding smoking). This is a low security rural prison in the prefecture of Magnesia. To run a Smoking Cessation Centre for prisoners needs to consider specific aspects of closed settings: the stress [7] over lack of liberty and absence of family, the prison overcrowding [8] with smokers and non-smokers being engaged in the same cell, transfers to other prisons or court appearances [9], high degree of nicotine dependence [10] and prison leave granted in accordance with law [11]
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