Stein Egil Kolderup Hervik, Astrid Kolderup Hervik, Trine Thoresen, Miranda Thurston
{"title":"\"When you've been living in darkness, the light suddenly becomes frightening\" - prisoners' experiences of health promotion in a Norwegian prison.","authors":"Stein Egil Kolderup Hervik, Astrid Kolderup Hervik, Trine Thoresen, Miranda Thurston","doi":"10.1108/IJOPH-05-2024-0026","DOIUrl":"10.1108/IJOPH-05-2024-0026","url":null,"abstract":"<p><strong>Purpose: </strong>A settings-based approach to health promotion emphasizes everyday environments in shaping health. Prisons are, therefore, potentially important arenas for health promotion. However, the inherent restriction of prisoner agency presents a fundamental challenge in this regard. There is a gap in qualitative research on prisoners' perspectives on health-related topics and a need for greater understanding of health promotion within prisons. This study aims to explore male prisoners' experiences of a Norwegian low-security prison as a setting for health promotion.</p><p><strong>Design/methodology/approach: </strong>This study was conducted in Forest Prison, a Norwegian low-security facility for 125 male prisoners. The prison offers various amenities and activities to prepare inmates for reintegration into society. The research used semi-structured interviews with 20 diverse prisoners. Interviews were transcribed and analyzed using Gale <i>et al.</i>'s framework method.</p><p><strong>Findings: </strong>This study revealed varied prisoner perspectives on Forest Prison as a setting for health promotion. In prisoners' talk, the importance of agency was evident. Restricted agency triggered negative emotions and distrust, while extended agency fostered trust and wellbeing. Although Forest Prison provides a considerable degree of agency, some prisoners did not fully benefit from this agentic context because of disparities in resources.</p><p><strong>Originality/value: </strong>Initiatives across three areas of action will strengthen Forest Prison as a setting for health promotion: extending agency, empowering prisoners and developing a prison culture with positive social relationships, effective communication and information flow. The findings of this study provide theoretical insights beyond the specific context, which can serve as a basis for developing prisons as health promoting settings.</p>","PeriodicalId":519936,"journal":{"name":"International journal of prison health","volume":" ","pages":"42-54"},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ramazan Mert Atan, Sedat Arslan, Kevser Tari Selçuk
{"title":"Health behind bars: obesity and cardiometabolic risk according to different indicators in incarcerated men.","authors":"Ramazan Mert Atan, Sedat Arslan, Kevser Tari Selçuk","doi":"10.1108/IJOPH-07-2024-0037","DOIUrl":"10.1108/IJOPH-07-2024-0037","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to evaluate the obesity and cardiometabolic disease risks of incarcerated men and to determine the related factors.</p><p><strong>Design/methodology/approach: </strong>This study was cross-sectional and 139 incarcerated men were included. Data were collected using a questionnaire containing the Descriptive Information Form and the Pittsburgh Sleep Quality Index. The incarcerated men' body mass index (BMI), waist circumference, waist-to-hip ratio and waist-to-height ratio were evaluated. The significance level of statistical tests was accepted as <i>p</i> < 0.05.</p><p><strong>Findings: </strong>According to BMI, the rates of incarcerated men with overweight were 53.2% and with obesity were 13.7%. Their cardiometabolic disease risk according to waist circumference, waist-to-hip ratio and waist-to-height ratio was 47.5%, 53.2% and 73.4%, respectively. The cardiometabolic disease risk was 2.66 times higher in the married and 3.71 times higher in those with senior high school or lower education according to waist circumference, and 4.16 times higher in those who were in the aged = 40 years according to the waist-to-hip ratio, 3.49 times higher in those who were in the aged = 40 years and 4.26 times higher in those with senior high school or lower education according to the waist-to-height ratio.</p><p><strong>Originality/value: </strong>To the best of the authors' knowledge, this study is the first study in which obesity and the risk of cardiometabolic disease in incarcerated men was investigated in Türkiye. In the incarcerated individuals, there was an association between the increased cardiometabolic diseases risk and variables such as older age, being married and having senior high school or lower education.</p>","PeriodicalId":519936,"journal":{"name":"International journal of prison health","volume":" ","pages":"103-115"},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael Denhof, Rachel Crawley, Leigha Puckett, Jesse Wiese, Theresa Ferry
{"title":"The development and psychometric properties of the Prison Fellowship-Well-being Index (PF WBI).","authors":"Michael Denhof, Rachel Crawley, Leigha Puckett, Jesse Wiese, Theresa Ferry","doi":"10.1108/IJOPH-03-2024-0009","DOIUrl":"10.1108/IJOPH-03-2024-0009","url":null,"abstract":"<p><strong>Purpose: </strong>This paper aims to describe the development and validation of the Prison Fellowship Well-being index (PF-WBI), a new quantitative tool for assessing prisoner and staff well-being within prison cultures.</p><p><strong>Design/methodology/approach: </strong>The PF-WBI was developed through an iterative process of item creation, administration alongside established well-being measures and a series of data analyses. Data was collected from both staff and prisoners (<i>n</i> = 989) across four North Dakota prisons.</p><p><strong>Findings: </strong>Analysis supported a four-factor structure for the PF-WBI measuring motivation/self-esteem, relationships/community functioning, hope/mood and stress-related detriments. The PF-WBI demonstrated excellent internal consistency reliability, convergent validity with established well-being measures and criterion-related validity for both staff and prisoners. Measurement invariance across staff and prisoners was also confirmed.</p><p><strong>Originality/value: </strong>The PF-WBI offers a new and versatile tool for researchers and practitioners to assess staff and prisoner well-being in correctional settings. It can be used to evaluate prison cultures and the effectiveness of culture improvement efforts.</p>","PeriodicalId":519936,"journal":{"name":"International journal of prison health","volume":" ","pages":"55-74"},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142690342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manjistha Datta, Sujita Kumar Kar, S M Yasir Arafat
{"title":"Suicide among prisoners: a bibliometric analysis.","authors":"Manjistha Datta, Sujita Kumar Kar, S M Yasir Arafat","doi":"10.1108/IJOPH-04-2024-0016","DOIUrl":"10.1108/IJOPH-04-2024-0016","url":null,"abstract":"<p><strong>Purpose: </strong>Suicide in prisons accounts for about half of all prison deaths globally. A bibliometric analysis would indicate research output and potential contributors in the sector, which has not been conducted previously. The purpose of this paper was to conduct a bibliometric analysis to understand the patterns, trends and gaps in research on this issue.</p><p><strong>Design/methodology/approach: </strong>The PubMed database was searched by using the terms: (suicide) AND ((Prison) OR (prisoner) OR (incarceration)). A bibliometric analysis was done with the help of Harvard Catalyst, PubMed PubReMiner and biblioshiny.</p><p><strong>Findings: </strong>A total of 1,683 publications were identified in the PubMed database from 1949 to 2024, with an annual growth rate of 4.4% and a Hirsch index of 46. Journal articles were the top publications with the highest number in the journal Crisis. The USA published the highest number of articles, and countries with low income showed much less production.</p><p><strong>Originality/value: </strong>Prison suicide is not well-researched worldwide. The majority of the studies are published in high-income countries. An interdisciplinary outlook and more intervention-based and longitudinal studies are required in this field. Importantly, more research in low- and middle-income countries is required to understand mental health issues and prevent suicide in prisons.</p>","PeriodicalId":519936,"journal":{"name":"International journal of prison health","volume":" ","pages":"94-102"},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Physical activity and wellbeing in prisoners: a scoping review.","authors":"Fabrizio Liguori, Patrizia Calella","doi":"10.1108/IJOPH-07-2024-0038","DOIUrl":"https://doi.org/10.1108/IJOPH-07-2024-0038","url":null,"abstract":"<p><strong>Purpose: </strong>This scoping review aims to evaluate the impact of physical activity interventions on the well-being of incarcerated individuals. It seeks to provide a comprehensive overview of existing research on various forms of physical activity, including structured exercise programs, yoga and mindfulness, and their effects on both mental and physical health within prison populations.</p><p><strong>Design/methodology/approach: </strong>A scoping review was conducted by searching Google Scholar, PubMed and Web of Science in June 2024. Keywords used included \"physical activity,\" \"exercise,\" \"fitness,\" \"sports,\" \"prisoners,\" \"inmates,\" \"incarcerated individuals,\" \"well-being,\" \"mental health,\" \"physical health,\" \"psychological well-being\" and \"emotional well-being.\" After screening 1,736 potential articles, 54 relevant studies were selected. These included structured exercise programs, yoga/mindfulness programs and evaluations of physical activity levels. Two authors independently reviewed and selected studies based on predefined inclusion criteria, ensuring a comprehensive overview of the literature on physical activity interventions in prison settings.</p><p><strong>Findings: </strong>The review identified 12 relevant studies, revealing that physical activity interventions, including structured exercise programs, yoga and mindfulness, positively impact the psychological and physical well-being of incarcerated individuals. Consistent improvements were noted in mental health outcomes, such as reduced depression and anxiety, and enhanced physical health indicators, including lower body mass index and increased fitness levels. The findings underscore the necessity for age- and gender-specific interventions to address the unique health challenges faced by different inmate demographics, highlighting the importance of incorporating diverse and culturally relevant exercise programs in prisons.</p><p><strong>Originality/value: </strong>This review uniquely synthesizes the impact of various physical activity interventions on the well-being of incarcerated individuals, emphasizing the necessity for tailored, culturally relevant programs. Notably, no previous review has comprehensively analyzed this aspect. By comparing diverse types of interventions, it provides comprehensive insights into the benefits of structured exercise, yoga and mindfulness in prison settings. This work highlights the importance of implementing physical activity in various forms, especially for female inmates, to enhance health and well-being. It offers valuable guidance for developing effective rehabilitation strategies in correctional facilities.</p>","PeriodicalId":519936,"journal":{"name":"International journal of prison health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142804292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"LGBTQ+ lives in prisons: addressing the policy-practice gap.","authors":"Scott Thomas, Jonathan Glazzard","doi":"10.1108/IJOPH-06-2024-0033","DOIUrl":"https://doi.org/10.1108/IJOPH-06-2024-0033","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is to use lived experience and research to bridge the gap between LGBTQ+ policy and practice in prisons. The authors hope that this paper will ignite debate and lead to the development of policy, training and awareness across the prison estate in the United Kingdom (UK).</p><p><strong>Design/methodology/approach: </strong>This paper draws on the lived experiences of a serving prisoner, who has co-authored this paper. He identifies as gay. His examples of life behind bars depict the clear disconnect between policy and its application in practice. The authors have drawn on aspects of lived experience which best highlight gaps in policy and they have then used these to inform and justify the recommendations at the end of this paper.</p><p><strong>Findings: </strong>This paper found that there is a clear disconnect between policy and practice in relation to supporting LGBTQ+ people in the prison estate. The findings highlight the haphazard approach to risk assessments and the manipulation of policy by both staff and prisoners.</p><p><strong>Research limitations/implications: </strong>There is some research on the experiences of LGBTQ+ people in prisons in the UK, albeit limited. The authors recognise that drawing on the lived experiences of individuals calls into question the reliability of the findings and implications that they have proposed. However, these experiences do align with the existing research. There is an urgent need for further research into the experiences of LGBTQ+ people within prisons.</p><p><strong>Practical implications: </strong>This paper is intended to ignite debate on the experiences and rights of LGBTQ+ prisoners. Implementing the recommendations that are outlined in this article will help to create a more consistent approach to the application of LGBTQ+ prisoners' rights.</p><p><strong>Social implications: </strong>LGBTQ+ people are more likely to experience poor mental health. Implementing the policy recommendations will help to create more inclusive cultures within prisons. In addition, the recommendations seek to foster the development of positive attitudes through developing educational resources which aim to challenge discrimination and prejudice. This furthers the advancement of social justice and inclusion, not just in prisons but also in the community. Prisoners returning to the community are more likely to enter it with healthy and inclusive values in relation to LGBTQ+.</p><p><strong>Originality/value: </strong>This paper draws on the lived experiences of a serving long-term prisoner. Thus, it provides a valuable and unique insight into day-to-day life in the prison system. This insight is valuable to both policy makers and researchers who are seeking to develop a better, more informed understanding of life behind bars for LGBTQ+ prisoners.</p>","PeriodicalId":519936,"journal":{"name":"International journal of prison health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kathryn Ashton, Aimee Challenger, Christie Craddock, Timo Clemens, Jordan Williams, Oliver Kempton, Mariana Dyakova, Liz Green
{"title":"Self-administered sexual health testing in an open prison setting: a pilot health impact assessment and social return on investment analysis.","authors":"Kathryn Ashton, Aimee Challenger, Christie Craddock, Timo Clemens, Jordan Williams, Oliver Kempton, Mariana Dyakova, Liz Green","doi":"10.1108/IJOPH-03-2024-0011","DOIUrl":"10.1108/IJOPH-03-2024-0011","url":null,"abstract":"<p><strong>Purpose: </strong>The sexual health of the male prison population is often among the poorest in a country. This paper aims to identify the wider health impacts and social value of a sexual health self-sampling programme offered to male prisoners in an open prison setting in Wales.</p><p><strong>Design/methodology/approach: </strong>This study applied a unique pilot approach of using Health Impact Assessment and Social Return on Investment Frameworks in tandem. Key stakeholder groups affected by the intervention were identified, and engaged with through workshops, interviews and questionnaires to identify and quantify the health impacts and wider outcomes. Outcomes were then valued using proxy financial values to present the overall estimated social value of the self-sampling service.</p><p><strong>Findings: </strong>Based on a small sample, results indicate that for every £1 spent on the self-sampling service in the prison, a potential value of £4.14 was created. This resulted in a ratio of £4.14:£1. Approximately one-third of the value created (£1,517.95) was categorised as monetarily returnable, whereas the remaining value (£3,260.40) was purely illustrative social value, for example improved mental well-being.</p><p><strong>Originality/value: </strong>This unique pilot study demonstrates the health impacts and wider social value of providing a self-sampling sexual health service to prisoners within an open prison setting. By innovatively testing the feasibility of using a Health Impact Assessment process alongside Social Return on Investment analyses, this paper has outlined how the frameworks can be used in synergy to illustrate not just direct return on investment but also the social value of providing such a service.</p>","PeriodicalId":519936,"journal":{"name":"International journal of prison health","volume":"ahead-of-print ahead-of-print","pages":"28-41"},"PeriodicalIF":0.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mental health and well-being in prisons and places of detention.","authors":"Atina N Ndindeng","doi":"10.1108/IJOPH-07-2024-0035","DOIUrl":"10.1108/IJOPH-07-2024-0035","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to address the critical mental health challenges faced by individuals in prisons and places of detention. By introducing and validating a novel conceptual framework that integrates social determinants of health with the stress process model, this study aims to provide actionable insights for improving mental health care in correctional settings. The research seeks to inform policymakers, prison administrators and mental health professionals about effective interventions and systemic reforms that can reduce recidivism, enhance rehabilitation and promote a more humane and just criminal justice system.</p><p><strong>Design/methodology/approach: </strong>This study uses a multi-method research design integrating a systematic literature review, qualitative interviews, multi-criteria evaluation (MCE) and a small-scale empirical study within a correctional facility. The systematic review follows PRISMA guidelines, analysing peer-reviewed articles, government reports and policy documents. Semi-structured interviews with 25 mental health professionals provide practical insights, whereas the MCE assesses intervention effectiveness based on expert consensus. The empirical study involves baseline assessments, intervention implementation and follow-up evaluations using validated tools, providing robust data to validate the proposed conceptual framework that integrates social determinants of health with the stress process model.</p><p><strong>Findings: </strong>This study finds that mental health disorders are significantly more prevalent in prison populations than in the general population, with interventions like cognitive behavioural therapy (CBT), peer support programs and trauma-informed care showing considerable effectiveness in reducing symptoms. Emerging technologies such as AI and telemedicine present promising avenues for enhancing care but require careful ethical consideration. The research also highlights the critical role of social determinants and the importance of systemic reforms, such as reducing solitary confinement and integrating prison health care with broader public health systems, in improving inmate mental health and reducing recidivism.</p><p><strong>Research limitations/implications: </strong>This study's quasi-experimental design, while robust, may limit the generalizability of the findings to other correctional settings because of specific facility characteristics. Additionally, the sample size for qualitative interviews, although diverse, could have been larger to provide more nuanced insights, particularly for underrepresented groups. This study highlights the need for more longitudinal research to assess the long-term effects of interventions and the scalability of approaches across different cultural and legal contexts. Future studies should address these limitations by using more diverse sampling, larger sample sizes and extended follow-up periods.</p><p><strong>Practical implication","PeriodicalId":519936,"journal":{"name":"International journal of prison health","volume":"ahead-of-print ahead-of-print","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lin Guo, Padmanabhan Badrinath, Jessica Mookherjee, Anjan Ghosh, Edyta McCallum, Nirosha Dissanayake, Abraham George
{"title":"Managing COVID-19 outbreaks in prisons - a brief review of literature and key lessons learnt.","authors":"Lin Guo, Padmanabhan Badrinath, Jessica Mookherjee, Anjan Ghosh, Edyta McCallum, Nirosha Dissanayake, Abraham George","doi":"10.1108/IJOPH-08-2023-0049","DOIUrl":"10.1108/IJOPH-08-2023-0049","url":null,"abstract":"<p><strong>Purpose: </strong>During the COVID-19 pandemic, prisons faced a unique challenge of preventing and managing outbreaks with minimal adverse impact. This study aims to describe the epidemiology of COVID-19 in prisons, identify lessons learnt and make recommendations.</p><p><strong>Design/methodology/approach: </strong>The authors used the PubMed advanced search function using MeSH terms; (coronavirus, sars) AND (prisons) AND (disease outbreaks). The authors included original research reporting COVID-19 outbreaks in prisons. All other types and non-English publications were excluded. The authors used a structured data abstraction template to extract data systematically, and a second author independently abstracted data from 10% of the papers for quality assurance.</p><p><strong>Findings: </strong>The search yielded 96 hits. The authors included 15 studies meeting the inclusion criteria. These studies were from four countries. Seven studies reported individual outbreaks. The mean and median number of inmates and staff were 1,765, 1,126 and 575, 510. The mean and median number of cases among inmates and staff were 584, 464, and 72, 77. The number of reported deaths varied from 0 to 11. The authors present the prison-specific hazards grouped under human factors, healthcare factors and environmental factors. The authors also summarise interventions deployed as either primary prevention interventions, such as vaccinations, or secondary prevention interventions, including screening and contact tracing.</p><p><strong>Originality/value: </strong>This narrative review summarises the prison-specific hazards, which include movement of people in and out of the person, moving in new prisoners from other prisons, mixing of prisoners when transporting to courts, limited medical and isolation resources, crowded dormitories, shared lavatories, small communal facilities, poor ventilation and overcrowding. The interventions included limiting non-medical transfers into and out of the persons, assigning staff members to specific areas, encouraging face coverings among prisoners and staff and social isolation measures within the constraints of the prison setting. The interventions were adopted by prison authorities to contain and manage the outbreaks. Public Health and prison authorities need to be aware of the risk of further outbreaks of COVID-19 and other infectious diseases in these settings and implement key measures identified in this review to minimise adverse outcomes.</p>","PeriodicalId":519936,"journal":{"name":"International journal of prison health","volume":"ahead-of-print ahead-of-print","pages":"410-421"},"PeriodicalIF":0.0,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recent evidence on rates and factors influencing smoking behaviours after release from smoke-free prisons: a scoping review.","authors":"Ashley Brown, Clair Woods-Brown, Kathryn Angus, Nicola McMeekin, Kate Hunt, Evangelia Demou","doi":"10.1108/IJOPH-10-2023-0064","DOIUrl":"10.1108/IJOPH-10-2023-0064","url":null,"abstract":"<p><strong>Purpose: </strong>Smoke-free prison policies have been introduced in some countries, in part to address very high levels of tobacco use in people in prison. However, relapse rates post-release remain high. This papers aims to improve understanding of post-release smoking and/or vaping behaviour is necessary to inform support for a priority population.</p><p><strong>Design/methodology/approach: </strong>The authors searched health, social science and criminal justice databases for studies about smoking/vaping behaviours among people released from smoke-free prisons. Studies were included if they reported primary data and were published between January 2017 and March 2024 in English; the population was adults/young people (16 yr+) imprisoned or formerly imprisoned, in prisons with comprehensive smoke-free policies; and at least one of the following was reported: pre-release intention to smoke, vape or remain abstinent post-release; smoking/vaping behaviour post-release and factors influencing smoking/vaping behaviour; attempts to quit again following post-release smoking/vaping relapse.</p><p><strong>Findings: </strong>Nine studies met our criteria. The evidence base is small and mainly from the USA or Australia. Evidence continues to suggest that most people resume smoking after leaving a smoke-free prison. No new interventions have been successful in reducing relapse rates. No studies report on vaping post-release, although two studies report on perceived factors affecting smoking relapse post-release from prisons allowing vaping.</p><p><strong>Research limitations/implications: </strong>Given very high rates of relapse, there remains a significant need to better understand what approaches are feasible and acceptable for reducing return to smoking post-release.</p><p><strong>Originality/value: </strong>This review updates the limited evidence on smoking behaviours after leaving a smoke-free prison.</p>","PeriodicalId":519936,"journal":{"name":"International journal of prison health","volume":"ahead-of-print ahead-of-print","pages":"450-465"},"PeriodicalIF":0.0,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11616588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}