Brown, A., O’Donnell, R., Eadie, D., Ford, A., Mitchell, D., Hackett, A., Sweeting, H. , Bauld, L. and Hunt, K. (2021) E-cigarette use in prisons with recently established smokefree policies: a qualitative interview study with people in custody in Scotland. Nicotine and Tobacco Research, 23(6), pp. 939-946. (doi: 10.1093/ntr/ntaa271) (PMID:33367804)
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Abstract
Introduction: E-cigarettes were one measure introduced to help people in custody (PiC) to prepare for and cope with implementation of comprehensive smokefree policies in Scottish prisons. Our earlier study explored experiences of vaping when e-cigarettes were first introduced and most participants were dual tobacco and e-cigarette users. Here we present findings of a subsequent study of vaping among a different sample of PiC when use of tobacco was prohibited in prison, and smokefree policy had become the norm. Methods: Twenty eight qualitative interviews were conducted with PiC who were current or former users of e-cigarettes in prison, 6-10 months after implementation of a smokefree policy. Data were managed and analysed using the framework approach. Results: PiC reported that vaping helped with mandated smoking abstinence. However, findings suggest that some PiC may be susceptible to heavy e-cigarette use potentially as a consequence of high nicotine dependence and situational factors such as e-cigarette product choice and availability in prisons; issues with nicotine delivery; prison regimes; and use of e-cigarettes for managing negative emotions. These factors may act as barriers to cutting down or stopping use of e-cigarettes by PiC who want to make changes due to dissatisfaction with vaping or lack of interest in continued use of nicotine, cost and/or health concerns. Conclusions: E-cigarettes helped PiC to cope with smokefree rules, although concerns about e-cigarette efficacy, cost and safety were raised. PiC may desire or benefit both from conventional smoking cessation programmes, and interventions to support reduction, or cessation, of vaping.
Item Type: | Articles |
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Additional Information: | The study was supported by Cancer Research UK (C45874/A27016). HS is funded by UK Medical Research Council (MC_UU_12017/12) and Scottish Chief Scientist Office (SPHSU-12). |
Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Brown, Ms Ashley and Sweeting, Dr Helen |
Authors: | Brown, A., O’Donnell, R., Eadie, D., Ford, A., Mitchell, D., Hackett, A., Sweeting, H., Bauld, L., and Hunt, K. |
College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU |
Journal Name: | Nicotine and Tobacco Research |
Publisher: | Oxford University Press |
ISSN: | 1462-2203 |
ISSN (Online): | 1469-994X |
Published Online: | 26 December 2020 |
Copyright Holders: | Copyright © 2020 The Authors |
First Published: | First published in Nicotine and Tobacco Research 23(6): 939-946 |
Publisher Policy: | Reproduced under a Creative Commons License |
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