Implementation and impact of anti-smoking interventions in three prisons in the absence of appropriate legislation

► In Europe in general, prisoners are not adequately protected against SHS. ► An extension of a smoking ban was feasible in only one of 3 prisons in this study. ► It decreased exposure to SHS and did not cause any serious discipline problems. ► Cohabitation between smokers and non-smokers remained difficult. ► In the absence of legal changes, ad hoc, local policy changes are insufficient.