助长结核病流行：烟草控制在终结结核病紧急状况中的作用。
Fuelling the tuberculosis epidemic: The role of tobacco control in ending the TB emergency.
作者信息
Goel Sonu, Siddiqi Kamran, Singh Rana J, Lal Pranay, Aghi Mira B, Gupta Prakash, Elsey Helen, Bhatt Garima
机构信息
Post Graduate Institute of Medical Education and Research, India; MPOWER Research Group-The Union.
University of York, UK; MPOWER Research Group-The Union.
出版信息
Indian J Tuberc. 2019 Oct;66(4):555-560. doi: 10.1016/j.ijtb.2019.11.009.
BACKGROUND
Ending the TB epidemic by 2030 is among the key targets for countries to achieve Sustainable Development Goals. In current times we are grappling with dual burden of tuberculosis as well as tobacco use.
METHODS
There is sufficient evidence to establish that tobacco smoking significantly spikes up the risk of acquiring, developing and death among tuberculosis patients. Active or passive exposure to tobacco smoke is significantly associated with tuberculosis infection and tuberculosis disease, independent of a large number of other potential confounders.
RESULTS
Despite having substantial evidence about the impact of tobacco control measures, particularly tobacco cessation, on TB outcomes, the integration of TB and tobacco control still remains far-off.
CONCLUSION
It is high time when TB control programs must begin to address tobacco control as a potential preventive intervention to combat colliding epidemics of tobacco and tuberculosis. This white paper discusses about the role of tobacco control in reaching the ambitious goal of ending TB epidemic by 2030.
背景
到2030年终结结核病流行是各国实现可持续发展目标的关键目标之一。当前，我们正应对结核病和烟草使用的双重负担。
方法
有充分证据表明，吸烟会显著增加结核病患者感染、发病和死亡的风险。主动或被动接触烟草烟雾与结核病感染和结核病发病显著相关，且不受大量其他潜在混杂因素的影响。
结果
尽管有大量证据表明烟草控制措施，尤其是戒烟，对结核病结局有影响，但结核病与烟草控制的整合仍任重道远。
结论
结核病控制项目早就应该将烟草控制作为一项潜在的预防干预措施，以应对烟草和结核病这两种相互冲突的流行病。本白皮书探讨了烟草控制在实现到2030年终结结核病流行这一宏伟目标中所起的作用。
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