Background A comprehensive smokefree prison policy (SFPP) was introduced in Scottish prisons from November 2018, reflecting concern about inequalities in occupational exposures to second-hand smoke (SHS) and tobacco-related harms among people in custody (PiC). We aimed to address a gap, whereby few studies have sought to understand SFPP from the perspectives of people living and working in prisons. Methods As part of a comprehensive evaluation, focus groups and interviews with staff (n = 99) and interviews with PiC (n = 23) were conducted 6–9 months post-implementation of SFPP in Scotland. Data were analysed using the framework approach. Results Our study found that new restrictions on smoking had been widely accepted by PiC, after a period of adjustment which was less troublesome than participants had anticipated. Benefits of the SFPP for the safety and comfort of staff and PiC who were no longer exposed to SHS, and additionally for the health of PiC who were now smoking-abstinent, were widely acknowledged. Drawbacks of the SFPP, such as difficulties managing without tobacco and use of alternatives (e.g. e-cigarettes and changes in use of illegal drugs), were also reported. Contraband tobacco was not reported to be a major problem following prisons becoming smokefree. Conclusions The findings strengthen evidence that SFPPs can be implemented without causing major disruption and highlight the need for removal of tobacco to be underpinned by careful planning, partnership working and ensuring the availability of support for smokers. Experiences from Scotland may be of interest and some comfort, internationally for jurisdictions considering smoke-free rules in prisons.

中文翻译：

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无烟监狱政策实施后的观点：对工作人员和在押人员的定性研究

背景 从 2018 年 11 月起，苏格兰监狱引入了一项全面的无烟监狱政策 (SFPP)，反映了对在押人员 (PiC) 职业接触二手烟 (SHS) 和烟草相关危害方面不平等的担忧。我们旨在解决一个差距，很少有研究试图从监狱中生活和工作的人的角度来理解 SFPP。方法 作为综合评估的一部分，在苏格兰实施 SFPP 后 6-9 个月进行了焦点小组和员工访谈（n = 99）和 PiC 访谈（n = 23）。使用框架方法分析数据。结果 我们的研究发现，在经过一段时间的调整后，PiC 已广泛接受新的吸烟限制，这比参与者预期的麻烦少。SFPP 对不再暴露于 SHS 的员工和 PiC 的安全和舒适的好处，以及对现在戒烟的 PiC 的健康的好处，得到了广泛认可。还报告了 SFPP 的缺点，例如在没有烟草的情况下难以管理和使用替代品（例如电子烟和非法药物使用的变化）。据报道，在监狱实现无烟后，走私烟草不是一个主要问题。结论 研究结果强化了 SFPP 可以在不造成重大破坏的情况下实施的证据，并强调需要通过仔细规划、合作伙伴工作和确保为吸烟者提供支持来支持烟草清除。来自苏格兰的经验可能很有趣，也很舒服，