PT - JOURNAL ARTICLE AU - R M Kauffman AU - A K Ferketich AU - M E Wewers TI - Tobacco policy in American prisons, 2007 AID - 10.1136/tc.2007.024448 DP - 2008 Oct 01 TA - Tobacco Control PG - 357--360 VI - 17 IP - 5 4099 - http://tobaccocontrol.bmj.com/content/17/5/357.short 4100 - http://tobaccocontrol.bmj.com/content/17/5/357.full SO - Tob Control2008 Oct 01; 17 AB - Objective: To examine current tobacco policy in US prisons and explore changes in prison tobacco policies over time.Data source: Telephone survey of the 52 US departments of correction.Main outcome measures: Current tobacco policy; distribution of free tobacco; availability of smoking cessation programming and cessation aids.Participants: Complete responses were received from 51 of 52 (98%) departments, while one provided partial information.Results: The majority of correctional systems (60%) reported total tobacco bans on prison grounds, with most remaining facilities (27%) having an indoor ban on tobacco use. No prisons distributed free tobacco. No major violence was reported relating to the implementation of stricter tobacco policies; however many respondents noted that tobacco became a major contraband item following the implementation of a total ban. While most prison systems with an indoor tobacco ban (86%) reported having tobacco cessation programmes, few of those with total bans (39%) continued such programmes after the initial transition period.Conclusion: Total tobacco bans have often been accompanied by the termination of tobacco cessation programmes. Such actions undermine efforts to promote long-term cessation resulting in a missed public health opportunity.