176029 Association between cigarette smoking and illicit drug use among male inmates in Taiwan

Tuesday, October 28, 2008

Eugene Yu-Chang Peng, MD, MS , Department of Community Medicine, Taipei City Hospital, Renai Branch, Taipei, Taiwan
Shu-Yu Lyu, MPH, PhD , School of Public Health, Taipei Medical University, Taipei, Taiwan
Yi-Ming Arthur Chen, MD, ScD , Institute of Microbiology and Immunology, National Yang-Ming University, Taipei, Taiwan
Donald E. Morisky, ScD, MSPH, ScM , Department of Community Health Sciences, School of Public Health, University of California at Los Angeles, Los Angeles, CA
Purpose: To explore the relationship between cigarette smoking and illicit drug use. Method: In 2006, in the designated prisons, all male inmates except those isolated HIV infected inmates and those incarcerated within drug abuser treatment centers were surveyed anonymously using a self-administered questionnaire. The survey was done in group settings and was instructed by our interviewers. Prisons were selected using stratified sampling based on their geographic location. Totally, 11,795 subjects, who comprised 25 % of all male prisoners in Taiwan, were recruited into this study. Results: Roughly 56.3% of the subjects had committed drug crime, while 62.1% of the subjects had used illicit drugs. Prevalence of smoking and of drinking among subjects was respectively 92.7% and 58.1%. The mean age of subjects was 36.99.6. The mean age of smoking initiation (17.03.5) was about 6 years preceding the mean age of illegal drug use behavior (23.97.5). Among those illicit drugs, heroin (74.2%) and amphetamine (75.1%) were the most commonly used drugs, followed by Marijuana (21.8%), Ketamine (15.7%) and MDMA (10.8%). Multiple logistic regression analyses revealed that subjects who smoke were 5.37 times more likely to use illicit drugs compared to their counterparts(OR=5.37, 95%CI=4.42-6.51), having controlled the subjects' marital status, level of education, religious belief, drinking habit, smoking habit and sport habit. Conclusion: Cigarette smoking is associated with illicit drug use among male inmates in Taiwan. Tobacco control education needs to be emphasized among prisoners.

Learning Objectives:
1. Recognize the prevalence rate of smoking and other substance among male inmate population. 2. Explore association between cigarette smoking and illicit drug use among male inmates. 3. Identify the potential health education needs among adult incarceration population. 4. Discuss Tobacco control strategies among adult incarceration population.

Keywords: Substance Abuse, Correctional Facility

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the co-principal investigator of this research project
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.