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dc.contributor.authorPuljevic, Cheneal
dc.contributor.authorCoomber, Ross
dc.contributor.authorde Andrade, Dominique
dc.contributor.authorKinner, Stuart A
dc.date.accessioned2019-07-04T12:37:54Z
dc.date.available2019-07-04T12:37:54Z
dc.date.issued2019
dc.identifier.issn0955-3959
dc.identifier.doi10.1016/j.drugpo.2019.03.018
dc.identifier.urihttp://hdl.handle.net/10072/384505
dc.description.abstractBackground: The prevalence of smoking among people entering prisons is high. Despite increasing adoption of prison smoke-free policies, relapse to smoking after release from prison is nearly universal, and policy to effectively mitigate this is largely absent. Informed by a risk environment framework, we aimed to identify key barriers and facilitators to maintaining smoking abstinence among former smokers released from smoke-free prisons. Method: Twenty-one people released from smoke-free prisons in Queensland, Australia, were followed up from a larger survey of 114 former prisoners. Semi-structured interviews were used to explore the perceived barriers and facilitators of maintained smoking abstinence. Findings: Identified barriers to continued abstinence included pre-release intention to resume smoking; normalisation of smoking in home or social environments, resumption of smoking as a symbolic act of freedom and resistance from and to a restrictive environment; a perception that smoking provides stress relief to their difficult lives, and the use of tobacco/smoking to cope with cravings experienced on release for illicit substances. A number of interviewees were unable to provide clear reflective reasons for relapse. For those who did manage to remain abstinent for a period of time, identified facilitators included an awareness of the health and financial benefits of smoking abstinence, the use of intrinsic motivation, distraction from nicotine cravings using alternative activities, and social support from family and peers. Discussion: Interventions promoting continued smoking abstinence among people exiting smoke-free prisons should focus on targeting the perceived individual- and environmental-level barriers to maintained smoking abstinence while simultaneously promoting perceived facilitators, so as to reduce smoking-related health and economic disparities in this marginalised population.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier Science
dc.relation.ispartofpagefrom9
dc.relation.ispartofpageto17
dc.relation.ispartofjournalINTERNATIONAL JOURNAL OF DRUG POLICY
dc.relation.ispartofvolume68
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchHuman society
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode44
dc.subject.fieldofresearchcode52
dc.titleBarriers and facilitators of maintained smoking abstinence following release from smoke-free prisons: A qualitative enquiry
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorCoomber, Ross
gro.griffith.authorKinner, Stuart A.
gro.griffith.authorDe Andrade, Dominique F.
gro.griffith.authorPuljevic, Cheneal


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