Kanakia Kunal Pradip, Majella Marie Gilbert, Thekkur Pruthu, Ramaswamy Gomathi, Nair Divya, Chinnakali Palanivel
Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Osong Public Health Res Perspect. 2016 Aug;7(4):228-32. doi: 10.1016/j.phrp.2016.06.001. Epub 2016 Jun 11.
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.
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.".
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.
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.
烟草是结核病（TB）感染和结核病发病的重要危险因素。识别烟草使用者并提供戒烟服务有望减轻结核病负担。我们评估了在一家三级医院就诊的疑似结核病患者的烟草使用情况及其参加戒烟服务的意愿。
在印度南部一家三级医院指定的显微镜检查中心对疑似结核病患者进行了一项横断面研究。使用半结构化访谈提纲对所有年龄≥18岁、在指定显微镜检查中心就诊的疑似结核病患者进行访谈。收集疑似结核病患者的年龄、性别、烟草使用情况和烟草形式、自1年来尝试戒烟的情况以及在三级医院参加戒烟门诊的意愿等数据。过去1个月内使用烟草的历史被视为“烟草使用”。
共访谈了424名年龄≥18岁的疑似结核病患者。176名（41.5%，95%置信区间：36.9 - 46.3%）疑似结核病患者报告在过去1个月内使用过烟草。总共有78名（18%）疑似结核病患者最终被诊断为涂片阳性肺结核，其中63名（80%）是烟草使用者。年龄≥30岁、男性以及受教育年限<10年的疑似结核病患者与烟草使用显著相关。在176名使用者中，大多数132名（75%）使用某种形式的吸烟方式。在总共132名吸烟者中，70名（53%）愿意接受戒烟服务。
疑似结核病患者中的烟草使用率很高。鉴于吸烟者中有很高的戒烟意愿，可以尝试采用经证实有效的简短干预措施来帮助戒烟。
