Smoke-free prisons in England: indoor air quality before and after implementation of a comprehensive smoke-free policy

Jayes, LR ORCID logoORCID: https://orcid.org/0000-0002-5240-6286, Murray, RL, Opazo Breton, M, Hill, C, Ratschen, E and Britton, J, 2019. Smoke-free prisons in England: indoor air quality before and after implementation of a comprehensive smoke-free policy. BMJ Open, 9 (6): e025782. ISSN 2044-6055

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Abstract

Objectives: High levels of particulate pollution due to secondhand smoke (SHS) have previously been recorded in English prisons. As part of an evaluation to ascertain whether a new comprehensive smoke-free policy introduced in the first four prisons in England was successfully implemented, this study compares indoor air quality on prison wing landing locations three months before and three months after going smoke-free.

Design: An indoor air quality monitoring study, comparing SHS levels before and after a comprehensive smoke-free prison policy.

Setting: The first four prisons in England to implement a comprehensive smoke-free policy.

Primary and secondary measures: We compared concentrations of airborne particulate matter <2.5 microns in diameter (PM₂.₅), as a marker for SHS, on wing landing locations three months before and three months after the smoke-free policy was implemented. Static battery operated aerosol monitors were used to sample concentrations of PM₂.₅ on wing landings.

Results: After discarding data from monitors that had been tampered with we were able to analyse paired data across four prisons from 74 locations, across 29 wing landing locations, for an average sampling time of five hours and eight minutes. When comparing samples taken three months before with the paired samples taken three months after policy implementation (paired for prison, day of the week, time of day, wing location and position of monitor), there was a 66% reduction in mean PM₂.₅ concentrations across the four prisons sampled, from 39 to 13 µg/m³ (difference 26 µg/m³, 95% CI 25 to 26 µg/m³).

Conclusion: Prison smoke-free policies achieve significant improvements in indoor air quality. A national smoke-free policy would therefore be an effective means of protecting prisoners and staff from harm due to SHS exposure in the prison environment.

Item Type: Journal article
Publication Title: BMJ Open
Creators: Jayes, L.R., Murray, R.L., Opazo Breton, M., Hill, C., Ratschen, E. and Britton, J.
Publisher: BMJ
Date: 14 June 2019
Volume: 9
Number: 6
ISSN: 2044-6055
Identifiers:
Number
Type
10.1136/bmjopen-2018-025782
DOI
1855749
Other
Divisions: Schools > School of Social Sciences
Record created by: Jeremy Silvester
Date Added: 01 Feb 2024 16:05
Last Modified: 01 Feb 2024 16:05
URI: https://irep.ntu.ac.uk/id/eprint/50782

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