Outcomes of a smoking cessation intervention at follow-upafter 5 years among tuberculosis patients in China

Tobacco Induced Diseases

卷:17

Xu Meng¹  Riitta A. Dlodlo²  Yan Lin²  Qin Huang³  Qi Shu⁴  Xianglin Zeng⁵  Haoxiang Lin⁶  Lixin Xiao⁷  Yongming Chen⁷ 

[1] Ganzhou City Centerfor Disease Control andPrevention, Ganzhou, China;

[2] International Union Against Tuberculosis and Lung Disease, Paris, France;

[3] Jiangxi Provincial Instituteof Tuberculosis Control andPrevention, Nanchang, China;

[4] Jinshan District Center for Disease Control and Prevention, Shanghai, China;

[5] Ningdu County TuberculosisDispensary, Ningdu, China;

[6] School of Public Health,Peking University, Beijing,China;

[7] Xingguo CountyTuberculosis Dispensary,Xingguo, China;

关键词: smoking cessation;    long-term outcome;    tuberculosis;    China;   

DOI  :  10.18332/tid/111539

来源: DOAJ

【 摘 要 】

IntroductionSmoking cessation should be part of tuberculosis (TB) treatment, buta cessation service is not available as part of a routine TB service in most low- andmiddle-income countries. WHO and The International Union Against Tuberculosisand Lung Disease (The Union) issued a guideline and China implemented a pilotproject 5 years ago. This study aimed to determine changes in smoking statusamong TB patients at 5 years after completion of anti-TB treatment to observelong-term outcome of a smoking cessation project whose baseline characteristicswere associated with a relapse of smoking behavior.MethodsA prospective longitudinal study was conducted 5 years after completionof anti-TB treatment to assess changes in patient smoking status against individualbaseline data that were entered into a database at the time of TB registration.The patients were tracked by trained village doctors and validated by townshiphealth staff. Their smoking status was assessed and entered into the databaseand analysed.ResultsOf the 800 TB patients registered at baseline, 650 (81.2%) were tracked.Ninety-one (11.4%) patients died and 59 (7.4%) were lost to follow-up. The ratesof remaining non-smoking after 5 years were 82.0%, 63.0%, 49.6%, 43.5% and30.0%, respectively for non-smokers, ex-smokers, current smokers who receivedcessation intervention, recent quitters, and current smokers not on a cessationintervention. The odds of smoking relapse were significantly higher for those aged≥65 years (p=0.003) and registered in Xingguo County (p=0.025).ConclusionsFindings from this study confirmed that non-smokers, ex-smokers andcurrent smokers who received cessation intervention at baseline maintained highernon-smoking rates compared with those who did not receive the intervention. Toprevent relapse, intensive cessation support should be given to TB patients aged≥65 years. TB programme managers need to ensure integration and provision ofsmoking cessation advice and smoke-free policy in routine TB services.

【 授权许可】

Unknown