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Resumption of Smoking After Release From a Tobacco-Free Correctional Facility

Baystate Medical Center, Tufts University School of Medicine, Springfield, Massachusetts, thomas.lincoln{at}bhs.org, Hampden County Correctional Center, Ludlow, Massachusetts

Robert W. Tuthill, PhD

University of Massachusetts School of Public Health, Amherst, Massachusetts

Cheryl A. Roberts, MPA

and Abt Associates Inc., Cambridge, Massachusetts

Sofia Kennedy, MPH

and Abt Associates Inc., Cambridge, Massachusetts

Theodore M. Hammett, PhD

and Abt Associates Inc., Cambridge, Massachusetts

Elizabeth Langmore-Avila, MA, DTR

Hampden County Correctional Center, Ludlow, Massachusetts

Thomas J. Conklin, MD

Hampden County Correctional Center, Ludlow, Massachusetts

Approximately 70% of incarcerated people smoke tobacco, and an estimated 12% of all smokers in the United States leave correctional facilities annually. Many facilities prohibit smoking, but no published study has measured the relapse to tobacco after release. In a study of 200 people with chronic health conditions reentering the community from jail, 165 (83%) were cigarette smokers. Of these, 129 were interviewed at 1 and/or 6 months after release. Self-reported sustained abstinence rates were 37.3% at the end of the first day, 17.7% for the first week, 13.7% for 1 month, and 3.1% for 6 months. These abstinence rates are lower than those reported after military basic training and medical hospitalization but similar to rates after inpatient psychiatric and addiction programs. More efforts and resources are needed to determine successful tobacco cessation interventions during incarceration and after release.

Key Words: forced abstinence • jail • reentry • smoking cessation • tobacco

This version was published on July 1, 2009

Journal of Correctional Health Care, Vol. 15, No. 3, 190-196 (2009)
DOI: 10.1177/1078345809333388


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