Mwiru Ramadhani Stephano, Nagu Tumaini Joseph, Kaduri Pamela, Mugusi Ferdinand, Fawzi Wafaie
Triangle Solutions, P.O. Box 78807, Dar es Salaam, Tanzania.
Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, United Nations Rd, P.O. Box 65001, Dar es Salaam, Tanzania; Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden.
Drug Alcohol Depend. 2017 Jan 1;170:128-132. doi: 10.1016/j.drugalcdep.2016.11.006. Epub 2016 Nov 12.
Cigarette smoking is one of the major risk factors for non-AIDS related morbidities and is highly prevalent among HIV infected people. However, no reports exist from Tanzania, one of the countries highly affected by the HIV pandemic and one of Africa's biggest tobacco producer.
We examined the patterns and prevalence of cigarette smoking among HIV and TB co-infected adult patients in Dar es Salaam using a cross sectional study design. Proportions were used to describe the pattern of cigarette smoking. Logistic regression was used to assess the association of various participant characteristics with smoking.
Out of the 518 participants, 17 (3.3%) were current smokers, 96 (18.5%) were ex-smokers and the rest (78.2%) denied ever smoking. Male sex (p<0.001), alcohol (p<0.001), and illicit substance use (p<0.001) were significantly associated with cigarette smoking.
The study indicates that, the level of current cigarette smoking among HIV/TB co-infected patients in Dar es Salaam is low. Nevertheless, the preponderance of cigarette smoking among men, alcohol drinkers, and those who use illicit substances provides a unique opportunity for targeting such population with smoking cessation interventions; HIV care and treatment clinics are uniquely positioned to provide such interventions.
吸烟是非艾滋病相关发病的主要风险因素之一，在艾滋病毒感染者中高度流行。然而，在坦桑尼亚这个受艾滋病毒大流行影响严重且是非洲最大烟草生产国之一的国家，尚无相关报告。
我们采用横断面研究设计，调查了达累斯萨拉姆艾滋病毒和结核病合并感染的成年患者中吸烟的模式和流行情况。用比例来描述吸烟模式。使用逻辑回归评估各种参与者特征与吸烟之间的关联。
在518名参与者中，17人（3.3%）为当前吸烟者，96人（18.5%）为既往吸烟者，其余（78.2%）否认曾吸烟。男性（p<0.001）、饮酒（p<0.001）和使用非法物质（p<0.001）与吸烟显著相关。
该研究表明，达累斯萨拉姆艾滋病毒/结核病合并感染患者中当前吸烟水平较低。然而，男性、饮酒者和使用非法物质者中吸烟情况较为普遍，这为针对此类人群开展戒烟干预提供了独特机会；艾滋病毒护理和治疗诊所具备提供此类干预的独特条件。
