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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Implementation and impact of anti-smoking interventions in three prisons in the absence of appropriate legislation
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Implementation and impact of anti-smoking interventions in three prisons in the absence of appropriate legislation

机译：在没有适当立法的情况下，在三所监狱中实施反吸烟干预措施及其影响

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摘要

Objective: To assess the acceptability and impact of anti-smoking policies in three prisons in Switzerland. Methods: A before-after intervention study in A) an open prison for sentenced prisoners, B) a closed prison for sentenced prisoners, and C) a prison for pretrial detainees. Prisoners and staff were surveyed before (2009, n=417) and after (2010-2011, n=228) the interventions. Medical staff were trained to address tobacco dependence systematically in prisoners. In prison A, a partial smoking ban was extended. No additional protection against second-hand smoke was feasible in prisons B and C. Results: In prison A, more prisoners reported receiving medical help to quit smoking in 2011 (20%) than in 2009 (4%, p=0.012). In prison A, prisoners and staff reported less exposure to second-hand smoke in 2011 than in 2009: 31% of prisoners were exposed to smoke at workplaces in 2009 vs 8% in 2011 (p=0.001); in common rooms: 43% vs 8%, (p. <0.001). No changes were observed in prisons B and C. Conclusions: Reinforcement of non-smoking rules was possible in only one of the three prisons but had an impact on exposure to tobacco smoke and medical help to quit. Implementing anti-smoking policies in prisons is difficult in the absence of appropriate legislation.
机译：目的：评估瑞士三所监狱中禁烟政策的可接受性和影响。方法：一项针对A）囚犯开放监狱，B）囚犯封闭监狱和C）审前被拘留者监狱的事前干预研究。在干预之前（2009年，n = 417）和之后（2010-2011年，n = 228）对囚犯和员工进行了调查。对医务人员进行了培训，以系统地解决囚犯对烟草的依赖。在监狱A中，扩大了部分吸烟禁令。在监狱B和监狱C中，没有任何针对二手烟的额外保护措施是可行的。结果：在监狱A中，据报告，2011年接受戒烟治疗的囚犯（20％）比2009年（4％，p = 0.012）更多。在监狱A中，囚犯和工作人员报告的2011年二手烟暴露量低于2009年：2009年有31％的囚犯在工作场所暴露于烟雾，而2011年为8％（p = 0.001）;在普通房间中：43％比8％，（第<0.001）。在B监狱和C监狱中未观察到任何变化。结论：在三所监狱中只有一所可以加强不吸烟规定，但对接触烟草烟雾和医疗帮助产生了影响。没有适当的立法，很难在监狱中实施反吸烟政策。

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