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Tobacco policy in American prisons, 2007
  1. R M Kauffman,
  2. A K Ferketich,
  3. M E Wewers
  1. The Ohio State University College of Public Health, Columbus, OH, USA
  1. Ross M Kauffman, The Ohio State University College of Public Health, M-006 Starling-Loving Hall, 320 West 10th Avenue, Columbus, OH 43210, USA; kauffman.57{at}


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.

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  • Competing interests: None.

  • Funding: None.