État des lieux et caractérisation de la consommation tabagique au centre pénitentiaire de Bordeaux-Gradignan

Abstract : Introduction : tobacco is the world first avoidable cause of death and is overrepresented in prison. The main goal of this study is to have an overview of consumption habits and describe smokers profile in the Bordeaux-Gradignan prison. Tools and Method : 212 prisoners answered anonymously a self-report questionnaire that was distributed on the 26th of May 2016 to all the Bordeaux-Gradignan prison areas, except to the minors one. Results : 69,8% of people that took part in the survey are smokers. The majority of smoking prisoners smoke between 11 and 20 cigarettes a day (43,2%), rolled or manufactured (86,4%), and mostly obtained through canteen (94,5%). The most insecure socio-professional status and the concurrent drug or alcohol consumption foster tabagism and consumed amounts (p<0,05). During the imprisonment time, one third of smokers increased its tobacco consumption, one third didn’t change it, and one third wether stopped it or decreased it. 63,7% of smokers already made a withdrawal attempt, mostly without medical help (66,7%). 36,3% of smokers wants to quit smoking in prison, mostly in order to protect their health (57,1%). Inmates who feel able to quit smoking in prison are mostly « low smokers » (p=0,001) and those who started again smoking in prison. Conclusion : there is a strong enrootment of tobacco in prison environment, fostered by underpriviledged socioprofessional situations and by related consumptions such as drugs and alcohol. However, some prisoners want to quit smoking and the imprisonment time can be used to protect one’s health. The medical team must focus on these inmates and offer them a specific care.
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Master Thesis
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Aurélie Vollaire. État des lieux et caractérisation de la consommation tabagique au centre pénitentiaire de Bordeaux-Gradignan. Médecine humaine et pathologie. 2017. ⟨dumas-01615670⟩

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