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<p>Compared to the general population, people living in prison show a&#xa0;significantly higher prevalence of tobacco use. This article analyzes the causes and consequences of this phenomenon as well as existing deficits in tobacco prevention within German prisons and forensic psychiatric institutions. The high smoking rates among people in prison contrast with limited cessation services, insufficient nonsmoking protection and a&#xa0;lack of health support. Beyond consumption, cigarettes also serve as a&#xa0;social and structural element in daily prison life. International studies indicate that smoking bans in correctional settings can reduce second hand smoke exposure, although they are only sustainably effective when combined with robust cessation programs. The article highlights the need for comprehensive tobacco control strategies that integrate structural, organizational and individual level measures. It calls for tailored, gender and culturally sensitive smoking cessation and reduction programs for both inmates and staff, including education, individualized support, health-promoting infrastructures and systematic monitoring and evaluation. Ultimately, the article recommends a&#xa0;differentiated approach that combines health promotion with harm reduction, without uncritically adopting blanket smoking bans.</p>

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Rauchen im Justiz- und Maßregelvollzug – ein zentrales, aber vernachlässigtes Thema der Gesundheitsfürsorge

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年2月10日

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  • Heino Stöver,
  • Ulla-Britt Klankwarth

摘要

Compared to the general population, people living in prison show a significantly higher prevalence of tobacco use. This article analyzes the causes and consequences of this phenomenon as well as existing deficits in tobacco prevention within German prisons and forensic psychiatric institutions. The high smoking rates among people in prison contrast with limited cessation services, insufficient nonsmoking protection and a lack of health support. Beyond consumption, cigarettes also serve as a social and structural element in daily prison life. International studies indicate that smoking bans in correctional settings can reduce second hand smoke exposure, although they are only sustainably effective when combined with robust cessation programs. The article highlights the need for comprehensive tobacco control strategies that integrate structural, organizational and individual level measures. It calls for tailored, gender and culturally sensitive smoking cessation and reduction programs for both inmates and staff, including education, individualized support, health-promoting infrastructures and systematic monitoring and evaluation. Ultimately, the article recommends a differentiated approach that combines health promotion with harm reduction, without uncritically adopting blanket smoking bans.