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  • Relapse to smoking following release from smoke-free correctional facilities in Queensland, Australia

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    Puljevic_PUB5220.pdf (358.8Kb)
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    Accepted Manuscript (AM)
    Author(s)
    Puljevic, Cheneal
    de Andrade, Dominique
    Coomber, Ross
    Kinner, Stuart A
    Griffith University Author(s)
    De Andrade, Dominique F.
    Year published
    2018
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    Abstract
    Background: Smoke-free prison policies are increasingly common, but few studies have investigated relapse to smoking after release from prison. This study investigated return to tobacco smoking and correlates of smoking at reduced levels after release among adults recently released from smoke-free prisons in Queensland, Australia. Methods: A cross-sectional survey of 114 people at parole offices within two months of release from prison was used. The survey measured health, social, and criminological factors related to tobacco smoking. We used logistic regression to identify factors associated with reduced post-release smoking ...
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    Background: Smoke-free prison policies are increasingly common, but few studies have investigated relapse to smoking after release from prison. This study investigated return to tobacco smoking and correlates of smoking at reduced levels after release among adults recently released from smoke-free prisons in Queensland, Australia. Methods: A cross-sectional survey of 114 people at parole offices within two months of release from prison was used. The survey measured health, social, and criminological factors related to tobacco smoking. We used logistic regression to identify factors associated with reduced post-release smoking levels compared to pre-incarceration levels. Results: 94% of participants relapsed to smoking within two months of release; 72% relapsed on the day of release. 62% of participants smoked significantly less per day after compared with before incarceration. Living with a partner (Odds Ratio (OR) 2.77, 95%CI 1.02–7.52), expressing support for smoke-free prison policies (OR 2.44, 95%CI 1.12–5.32), intending to remain abstinent post-release (OR 4.29, 95%CI 1.88–9.82), and intending to quit in the future (OR 3.88, 95%CI 1.66–9.07) were associated with reduced smoking post-release. Use of illicit drugs post-release was negatively associated with reduced smoking post-release (OR 0.27, 95%CI 0.09–0.79). In multivariate analyses, pre-release intention to remain smoke-free was associated with reduced smoking post-release (AOR 2.69, 95%CI 1.01–7.14). Discussion: Relapse to smoking after release from smoke-free prisons is common, but many who relapse smoke less than before incarceration, suggesting that smoke-free prison policies may reduce post-release tobacco smoking. There is a need for tailored, evidence-based tobacco cessation interventions for people recently released from prison.
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    Journal Title
    Drug and Alcohol Dependence
    Volume
    187
    DOI
    https://doi.org/10.1016/j.drugalcdep.2018.02.028
    Copyright Statement
    © 2018 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
    Subject
    Biomedical and clinical sciences
    Psychology
    Other psychology not elsewhere classified
    Publication URI
    http://hdl.handle.net/10072/377924
    Collection
    • Journal articles

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