Evidence map›Paper›PMID 35193923›Full record

ArticleBMJ open2022

Purchasing of tobacco-related and e-cigarette-related products within prisons before and after implementation of smoke-free prison policy: analysis of prisoner spend data across Scotland, UK.

Catherine Susan Best, Ashley Brown, Kate Hunt

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Catherine Susan BestInstitute for Social Marketing and Health, University of Stirling, Stirling, UK catherine.best2@stir.ac.uk.ORCID 0000-0002-3652-2498
Ashley BrownInstitute for Social Marketing and Health, University of Stirling, Stirling, UK.ORCID 0000-0002-2307-5916
Kate HuntInstitute for Social Marketing and Health, University of Stirling, Stirling, UK.ORCID 0000-0002-5873-3632

Funding

Cancer Research UK 27016Cancer Research UK C45874/A27016
6 · The paper itself

Abstract

objectivesTo examine the effect of smoke-free prison policy implementation in November 2018 on purchasing patterns in the prison canteen (shop).

designInterrupted time series.

settingAll 12 closed, publicly run prisons in Scotland, UK.

participantsPeople in custody (PiC) between August 2018 and end of March 2019 (n=11 944).

interventionsImplementation of smoke-free prisons policy. OUTCOME MEASURES: Total spent on all products, nicotine-related products, and food and beverage products per week.

methodsCanteen data were provided for the period July 2018-September 2019 by the Scottish Prison Service. In a series of generalised linear mixed effects models, the amount spent before and after implementation of smoke-free prison policy was compared for all purchases in the time period, and for PiC identified as 'smokers' and 'non-smokers' from their pre-implementation tobacco purchasing patterns.

resultsThe amount spent on nicotine-related products significantly decreased from pre-implementation to post implementation (incident rate ratio (IRR) 0.40; 99% CI 0.33 to 0.51, p<0.001). However, total canteen spend did not change over the study period (IRR 0.92; 99% CI 0.84 to 1.00). Post implementation about 25% of previous 'smokers' total canteen spend was on nicotine-related products. The amount spent by previous 'smokers' on food and beverages increased from £8.67 (99% CI 8.23 to 9.13) pre-implementation to £10.24 in the post implementation period (99% CI 9.58 to 10.90).

conclusionAlthough the amount of money previous 'smokers' in prison spent on nicotine-related products decreased after smoke-free policy, nicotine products still account for a large proportion of canteen spend among PiC in smoke-free prisons in Scotland. Results indicate that many PiC may continue to use nicotine in smoke-free prisons where e-cigarettes are permitted.

Indexed as

Electronic Nicotine Delivery SystemsPrisonersSmoke-Free PolicyTobacco ProductsHumansNicotinePrisonsScotlandUnited KingdomNicotinehealth policypreventive medicinepublic health

Identifiers

PMID35193923
PMCPMC8867351

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.