Donna R Parker1, Diandra Fallone, Rosemarie A Martin, L A R Stein, Beth Bock, Stephen A Martin, Mary B Roberts, Cheryl E Lopes, Jennifer J Clarke. 1. From the Departments of Family Medicine and Epidemiology (DRP), Alpert Medical School of Brown, University, Providence, RI; Brown University Center for Primary Care and Prevention (DRP, MBR, JJC), Memorial Hospital of Rhode Island, Pawtucket; Memorial Hospital of Rhode Island (DF), Pawtucket; Department of Medicine (RAM, JJC), Alpert Medical School of Brown University, Providence, RI; Psychology Department & Social Sciences Research Center (LARS), University of RI, Kingston; RI Training School (LARS), Cranston; Center for Behavioral and Preventive Medicine (BB), Department of Psychiatry, Brown University, Providence, RI; Department of Family Medicine and Community Health (SAM), University of Massachusetts, Medical School, Worcester; Rhode Island Department of Corrections (CEL), Cranston; and Department of OB/GYN (JJC), Alpert Medical School of Brown University, Providence, RI.
Abstract
OBJECTIVES: The rate of smoking among incarcerated adults is more than 3 times that of the general population. Negative health consequences of smoking have prompted many correctional facilities to become tobacco-free. This presents a unique opportunity to examine health conditions associated with motivation to remain tobacco-free after release from prison. We examined this association among individuals who participated in the WISE randomized clinical trial. METHODS: A total of 247 participants completed a baseline questionnaire asking about illnesses (both smoking-related and non-smoking-related), family history of smoking-related illnesses, demographics, and smoking history. Smoking status was assessed 3 weeks postrelease. RESULTS: Approximately 38% of participants reported having an illness caused by or worsened by smoking and 53.0% reported having "moderate" to "a lot" of concern about their health due to smoking; 22.9% reported having asthma and 26.8% reported hypertension. The adjusted odds of remaining tobacco-free at 3 weeks postrelease from a tobacco-free prison was significant only for individuals with a family history of smoking-related illnesses (odds ratio [OR] = 0.28; 95% confidence interval [CI], 0.12-0.68). For individuals with smoking-related conditions, the adjusted odds of remaining tobacco-free was nonsignificant (OR = 1.91; 95% CI, 0.85-4.27). Similarly, the adjusted odds of remaining tobacco-free for participants with non-smoking-related medical conditions was nonsignificant (OR = 0.27; 95% CI, 0.06-1.22). CONCLUSIONS: These results offer a first look at understanding health conditions as a motivator to remain tobacco-free after release from prison. Although these findings require additional investigation, these results suggest that providing treatment to prisoners with chronic disease and specifically targeting smoking-related illnesses might be beneficial with regard to smoking cessation success.
RCT Entities:
OBJECTIVES: The rate of smoking among incarcerated adults is more than 3 times that of the general population. Negative health consequences of smoking have prompted many correctional facilities to become tobacco-free. This presents a unique opportunity to examine health conditions associated with motivation to remain tobacco-free after release from prison. We examined this association among individuals who participated in the WISE randomized clinical trial. METHODS: A total of 247 participants completed a baseline questionnaire asking about illnesses (both smoking-related and non-smoking-related), family history of smoking-related illnesses, demographics, and smoking history. Smoking status was assessed 3 weeks postrelease. RESULTS: Approximately 38% of participants reported having an illness caused by or worsened by smoking and 53.0% reported having "moderate" to "a lot" of concern about their health due to smoking; 22.9% reported having asthma and 26.8% reported hypertension. The adjusted odds of remaining tobacco-free at 3 weeks postrelease from a tobacco-free prison was significant only for individuals with a family history of smoking-related illnesses (odds ratio [OR] = 0.28; 95% confidence interval [CI], 0.12-0.68). For individuals with smoking-related conditions, the adjusted odds of remaining tobacco-free was nonsignificant (OR = 1.91; 95% CI, 0.85-4.27). Similarly, the adjusted odds of remaining tobacco-free for participants with non-smoking-related medical conditions was nonsignificant (OR = 0.27; 95% CI, 0.06-1.22). CONCLUSIONS: These results offer a first look at understanding health conditions as a motivator to remain tobacco-free after release from prison. Although these findings require additional investigation, these results suggest that providing treatment to prisoners with chronic disease and specifically targeting smoking-related illnesses might be beneficial with regard to smoking cessation success.
Authors: Polly Hitchcock Noël; Michael L Parchman; John W Williams; John E Cornell; Lee Shuko; John E Zeber; Lewis E Kazis; Austin F S Lee; Jacqueline A Pugh Journal: J Gen Intern Med Date: 2007-12 Impact factor: 5.128
Authors: Elizabeth S Hawes; Sofía Mildrum Chana; Alexandra Faust; Julianne C Baker; Peter S Hendricks; Andres Azuero; Adrienne C Lahti; Matthew J Carpenter; Karen L Cropsey Journal: Front Psychiatry Date: 2022-06-21 Impact factor: 5.435