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Article 9: Smoking Behaviours, Nicotine Dependence and Use of Nicotine Replacement Therapy in Young People Entering Australian Youth Detention – A Retrospective Cross-Sectional Study

L. Haysom, Nazifa Nahla Kashem, Penelope A Abbott

Advancing Corrections Journal, 2025

Abstract

Smoking behaviours, nicotine dependence and use of nicotine replacement therapies (NRT) in young people in Australian youth detention have not been studied for a decade, and not since the rapid rise of youth vaping. This study analysed youth detention reception data regarding vaping, cigarette smoking, cannabis use, nicotine dependence and use of NRT. Health leaders in Australian youth detention jurisdictions reported on the barriers and enablers to NRT use in their settings. In comparison to previous studies, cigarette smoking was significantly reduced, cannabis use was unchanged and vaping rates were high. Barriers to NRT provision in youth detention settings included staff concerns about misuse, a lack of identified need and low acceptance amongst the youth.

How strong is the evidence?

Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause.

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