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Marie Gilbert Majella 1 Article
High Tobacco Use among Presumptive Tuberculosis Patients, South India: Time to Integrate Control of Two Epidemics
Kunal Pradip Kanakia, Marie Gilbert Majella, Pruthu Thekkur, Gomathi Ramaswamy, Divya Nair, Palanivel Chinnakali
Osong Public Health Res Perspect. 2016;7(4):228-232.   Published online August 31, 2016
DOI: https://doi.org/10.1016/j.phrp.2016.06.001
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AbstractAbstract PDF
Objectives
Tobacco is an important risk factor for tuberculosis (TB) infection and TB disease. Identifying tobacco users and providing tobacco cessation services is expected to reduce the burden of TB. We assessed tobacco use among presumptive TB patients attending a tertiary hospital and their willingness to attend tobacco cessation services.
Methods
A cross-sectional study was conducted among presumptive TB patients attending a designated microscopy center of a tertiary hospital in South India. All presumptive TB patients aged ≥ 18 years attending the designated microscopy center were interviewed using a semistructured interview schedule. Data on presumptive TB patient's age, sex, tobacco use and forms of tobacco, attempts to quit tobacco since 1 year, and willingness to attend a smoking cessation clinic in tertiary hospital were captured. History of use of tobacco in the past 1 month was considered as “tobacco use.”.
Results
A total of 424 presumptive TB patients aged ≥ 18 years were interviewed. Tobacco use in the past 1 month was reported by 176 (41.5%, 95% confidence interval: 36.9–46.3%) presumptive TB patients. In total, 78 (18%) presumptive TB patients were eventually diagnosed with smear-positive pulmonary TB, of them 63 (80%) were tobacco users. Presumptive TB patients aged ≥ 30 years, male sex, and < 10 years of education were significantly associated with tobacco use. Of 176, a majority of 132 (75%) used some form of smoking. Of a total of 132 smokers, 70 (53%) were willing to avail of tobacco cessation services.
Conclusion
Tobacco use among presumptive TB patients was high. Considering the high willingness to quit among smokers, proven brief interventions to help quit smoking can be tried.

Citations

Citations to this article as recorded by  
  • Smoking cessation interventions in South Asian Region: a systematic scoping review
    Sajid Iqbal, Rubina Barolia, Pammla Petrucka, Laila Ladak, Rameesha Rehmani, Abdul Kabir
    BMC Public Health.2022;[Epub]     CrossRef
  • Tobacco use and nicotine dependence among newly diagnosed pulmonary tuberculosis patients in Ballabgarh tuberculosis unit, Haryana
    Rakesh Kumar, Shashi Kant, Ankit Chandra, Anand Krishnan
    Journal of Family Medicine and Primary Care.2020; 9(6): 2860.     CrossRef
  • A narrative review of facilitators and barriers to smoking cessation and tobacco-dependence treatment in patients with tuberculosis in low- and middle-income countries
    Kamila Zvolska, Alexandra Pankova, Iveta Nohavova, Rumana Huque, Helen Elsey, Melanie Boeckmann, Aziz Sheikh, Kamran Siddiqi, Eva Kralikova
    Tobacco Induced Diseases.2020;[Epub]     CrossRef
  • Characteristics and sputum conversion of tuberculosis (TB) patients in Kalutara, Sri Lanka
    Sumal Nandasena, Chaminda Senavirathna, Champa Munasinghe, Chapa Wijesena, Ridmi Sucharitharathna
    Indian Journal of Tuberculosis.2019; 66(1): 76.     CrossRef
  • Tuberculosis and cigarette smoke exposure: An update ofin vitroandin vivostudies
    Y. López-Hernández, C. E. Rivas-Santiago, J. A. López, G. Mendoza-Almanza, R. Hernandez-Pando
    Experimental Lung Research.2018; 44(2): 113.     CrossRef

PHRP : Osong Public Health and Research Perspectives