{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T08:28:45Z","timestamp":1790756925300,"version":"4.1.0"},"reference-count":33,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2021,11,15]],"date-time":"2021-11-15T00:00:00Z","timestamp":1636934400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The disproportionately high prevalence of tobacco use among prisoners remains an important public health issue. While Ireland has well-established legislative bans on smoking in public places, these do not apply in prisons. This study evaluates a multi-component tobacco control intervention in a medium security prison for adult males in Ireland. A stop-smoking intervention, targeting staff and prisoners, was designed, implemented, and evaluated with a before-and-after study. Analysis was conducted using McNemar\u2019s test for paired binary data, Wilcoxon signed rank test for ordinal data, and paired T-tests for continuous normal data. Pre-intervention, 44.3% (n = 58) of the study population were current smokers, consisting of 60.7% of prisoners (n = 51) and 15.9% of staff (n = 7). Post-intervention, 45.1% of prisoners (n = 23\/51) and 100% of staff (n = 7\/7) who identified as current smokers pre-intervention reported abstinence from smoking. Among non-smokers, the proportion reporting being exposed to someone else\u2019s cigarette smoke while being a resident or working in the unit decreased from 69.4% (n = 50\/72) pre-intervention to 27.8% (n = 20\/72) post-intervention (p &lt; 0.001). This multicomponent intervention resulted in high abstinence rates, had high acceptability among both staff and prisoners, and was associated with wider health benefits across the prison setting.<\/jats:p>","DOI":"10.3390\/ijerph182211981","type":"journal-article","created":{"date-parts":[[2021,11,15]],"date-time":"2021-11-15T08:19:20Z","timestamp":1636964360000},"page":"11981","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["An Evaluation of the Impact of a Multicomponent Stop Smoking Intervention in an Irish Prison"],"prefix":"10.3390","volume":"18","author":[{"given":"Andrea","family":"Bowe","sequence":"first","affiliation":[{"name":"Health Intelligence Unit, Strategic Planning and Transformation, Health Service Executive, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Marron","sequence":"additional","affiliation":[{"name":"Department of Public Health, Health Service Executive, Dr. Steevens\u2019 Hospital, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Devlin","sequence":"additional","affiliation":[{"name":"Irish Prison Service Irish, IDA Business Park, Ballinalee Road, Longford, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8576-2247","authenticated-orcid":false,"given":"Paul","family":"Kavanagh","sequence":"additional","affiliation":[{"name":"Health Intelligence Unit, Strategic Planning and Transformation, Health Service Executive, Dublin, Ireland"},{"name":"Department of Public Health and Epidemiology, Royal College of Surgeons in Ireland, Dublin 2, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,11,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1093\/epirev\/mxy005","article-title":"Smoking in Correctional Settings Worldwide: Prevalence, Bans, and Interventions","volume":"40","author":"Spaulding","year":"2018","journal-title":"Epidemiol. 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