Intention to Quit Smoking and Associated Factors in Smokers Newly Diagnosed with Pulmonary Tuberculosis
- PMID: 27403174
- PMCID: PMC4937757
Intention to Quit Smoking and Associated Factors in Smokers Newly Diagnosed with Pulmonary Tuberculosis
Abstract
Background: Several studies have shown that smoking, as a modifiable risk factor, can affect tuberculosis (TB) in different aspects such as enhancing development of TB infection, activation of latent TB and its related mortality. Since willingness to quit smoking is a critical stage, which may lead to quit attempts, being aware of smokers' intention to quit and the related predictors can provide considerable advantages.
Materials and methods: In this cross-sectional study, subjects were recruited via a multi-stage cluster sampling method. Sampling was performed during 2012-2014 among pulmonary TB (PTB) patients referred to health centers in Tehran implementing the directly observed treatment short course (DOTS) strategy and a TB referral center. Data analysis was conducted using SPSS version 22 and the factors influencing quit intention were assessed using bivariate regression and multiple logistic regression models.
Results: In this study 1,127 newly diagnosed PTB patients were studied; from which 284 patients (22%) were current smokers. When diagnosed with TB, 59 (23.8%) smokers quit smoking. Among the remaining 189 (76.2%) patients who continued smoking, 52.4% had intention to quit. In the final multiple logistic regression model, living in urban areas (OR=8.81, P=0.003), having an office job (OR= 7.34, P=0.001), being single (OR=4.89, P=0.016) and a one unit increase in the motivation degree (OR=2.60, P<0.001) were found to increase the intention to quit smoking.
Conclusion: The study found that PTB patients who continued smoking had remarkable intention to quit. Thus, it is recommended that smoking cessation interventions should be started at the time of TB diagnosis. Understanding the associated factors can guide the consultants to predict patients' intention to quit and select the most proper management to facilitate smoking cessation for each patient.
Keywords: Intention; Smoking Cessation; Tuberculosis, Pulmonary.
Similar articles
-
Factors Related Intention To Smoking Cessation Among Thai People Who Joined Quit Smoking Project For The King: A Cross-Sectional Study Of Northern Thailand.J Ayub Med Coll Abbottabad. 2019 Oct-Dec;31(4):512-516. J Ayub Med Coll Abbottabad. 2019. PMID: 31933301
-
Continued smoking after a cancer diagnosis: a longitudinal study of intentions and attempts to quit.J Cancer Surviv. 2019 Oct;13(5):687-694. doi: 10.1007/s11764-019-00787-5. Epub 2019 Jul 22. J Cancer Surviv. 2019. PMID: 31332721
-
Short-term fluctuations in motivation to quit smoking in a sample of smokers in Hawaii.Subst Use Misuse. 2015 Jan;50(2):236-41. doi: 10.3109/10826084.2014.966846. Epub 2014 Oct 22. Subst Use Misuse. 2015. PMID: 25338289 Free PMC article.
-
Intention to quit smoking, attempts to quit, and successful quitting among Hong Kong Chinese smokers: population prevalence and predictors.Am J Health Promot. 2005 May-Jun;19(5):346-54. doi: 10.4278/0890-1171-19.5.346. Am J Health Promot. 2005. PMID: 15895537
-
Quit Intentions and Attempts among Smokers in Sub-urban Nepal: Findings from the Dhulikhel Heart Study.Kathmandu Univ Med J (KUMJ). 2018 Jan.-Mar;16(61):83-88. Kathmandu Univ Med J (KUMJ). 2018. PMID: 30631024
Cited by
-
A narrative review of facilitators and barriers to smoking cessation and tobacco-dependence treatment in patients with tuberculosis in low- and middle-income countries.Tob Induc Dis. 2020 Aug 6;18:67. doi: 10.18332/tid/125195. eCollection 2020. Tob Induc Dis. 2020. PMID: 32818030 Free PMC article. Review.
-
Smoking behavior and beliefs about the impact of smoking on anti-tuberculosis treatment among health care workers.Int J Tuberc Lung Dis. 2017 Sep 1;21(9):1049-1055. doi: 10.5588/ijtld.17.0023. Epub 2017 Jun 29. Int J Tuberc Lung Dis. 2017. PMID: 28664827 Free PMC article.
-
Smoking behaviour in post-acute myocardial infarction patients: cross-sectional study.Ann Med Surg (Lond). 2024 Apr 3;86(5):2531-2537. doi: 10.1097/MS9.0000000000001333. eCollection 2024 May. Ann Med Surg (Lond). 2024. PMID: 38694391 Free PMC article.
-
Identifying factors associated with quit intentions among smokers from two nationally representative samples in Africa: Findings from the ITC Kenya and Zambia Surveys.Prev Med Rep. 2019 Jul 13;15:100951. doi: 10.1016/j.pmedr.2019.100951. eCollection 2019 Sep. Prev Med Rep. 2019. PMID: 31372329 Free PMC article.
-
The impact of textual and pictorial warnings on tumbac (waterpipe tobacco) boxes on the motivation and intention to quit waterpipe smoking in Lebanon: a cross-sectional study.Environ Sci Pollut Res Int. 2019 Dec;26(36):36647-36657. doi: 10.1007/s11356-019-06801-8. Epub 2019 Nov 16. Environ Sci Pollut Res Int. 2019. PMID: 31734838
References
-
- Pai M, Mohan A, Dheda K, Leung CC, Yew WW, Christopher DJ, Sharma SK. Lethal interaction: the colliding epidemics of tobacco and tuberculosis. Expert review of anti-infective therapy. 2007; 5(3: 385– 91. - PubMed
-
- Mohajan HK. Tuberculosis is a Fatal Disease among Some Developing Countries of the World. American Journal of Infectious Diseases and Microbiology 2015; 3 (1): 18– 31.
-
- WHO report on the global tobacco epidemic , 2008. The MPOWER packgage. Geneva: , World Health Organization; , 2008. .
LinkOut - more resources
Full Text Sources