ArticleBMC public health2015
Smoking cessation and smokefree environments for tuberculosis patients in Indonesia-a cohort study.
Article in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 30 citations in OpenAlex.
- Effect of smoking cessation interventions on abstinence and tuberculosis treatment outcomes among newly diagnosed patients: a randomized controlled trial.Microbiology spectrum · 2024Trial
- Strategies to integrate non-communicable disease interventions in HIV and tuberculosis care contexts in low- and middle-income countries: a scoping review.BMJ global health · 2026Article
- Effectiveness of smoking cessation intervention based on the ABC Approach in patients with TB.Public health action · 2024Article
- Prevalence of tobacco consumption and smoking and its effect on outcome among microbiologically confirmed new pulmonary tuberculosis patients on daily regimen of DOTS in Amritsar city.Journal of family medicine and primary care · 2022Article
- A narrative review of facilitators and barriers to smoking cessation and tobacco-dependence treatment in patients with tuberculosis in low- and middle-income countries.Tobacco induced diseases · 2020Review
- Contribution of Smoking to Tuberculosis Incidence and Mortality in High-Tuberculosis-Burden Countries.American journal of epidemiology · 2018Article
- Integration of tobacco cessation and tuberculosis management by NGOs in urban India: a mixed-methods study.Public health action · 2018Article
- A systematic review of the effectiveness of smoking cessation interventions among patients with tuberculosis.Public health action · 2018Review
- Treating tobacco dependence: guidance for primary care on life-saving interventions. Position statement of the IPCRG.NPJ primary care respiratory medicine · 2017Review
- The Influence of Smoking on Pulmonary Tuberculosis in Diabetic and Non-Diabetic Patients.PloS one · 2016Article
- A smoking cessation intervention among tuberculosis patients in rural China.Public health action · 2015Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResearch indicates that smoking substantially increases the risk of tuberculosis (TB), delay in diagnosis, failure of TB treatment and death from TB. Quitting smoking is one of the best ways to prevent unwanted outcomes. Exposure to secondhand smoke increases the risks of both TB infection and development of active TB disease among children and adults. TB patients who smoke in the home are also placing their families at a greater risk of TB infection. It is very important to keep homes smokefree. The present study assessed the implementation and effectiveness of an intervention that promotes smoking cessation and smokefree environments for TB patients.
methodsAll consecutive new sputum smear-positive TB patients (aged ≥ 15 years old) diagnosed and registered in 17 health centres between 1 January 2011 and 31 December 2012 were enrolled. The ABC (A=ask, B=brief advice, C=cessation support) intervention was offered for 5 to 10 minutes within DOTS services at each visit. Smoking status and smokefree environments at home were assessed at the first visit, each monthly follow up and at month six. Factors associated with quitting were analysed by univariable and multivariable analysis
resultsOf the 750 TB patients registered, 582 (77.6%) were current smokers, 40 (5.3%) were ex-smokers and 128 (17.1%) were never smokers. Of the 582 current smokers, 66.8% had quit smoking at month six. A time from waking to first cigarette of >30 minutes, having a smokefree home and the display of "no smoking" signage at home at month six were significantly associated with quitting. Of the 750 TB patients, 86.1% had created a smokefree home at six month follow-up compared with 18.5% at baseline. All 80 health facilities were 100% tobacco-free at the end of 2012 compared with only 52 (65%) when the intervention began in March 2011.
conclusionsBrief advice of 5-10 minutes with minimal cessation support at every visit of TB patients resulted in high quit rates and higher awareness of adverse health effects of secondhand smoke exposure, which led patients to make their homes smokefree and health providers to make health care tobacco-free.
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