TITLE

Review of cigarette smoking and tuberculosis in China: intervention is needed for smoking cessation among tuberculosis patients

AUTHOR(S)
Jianming Wang; Hongbing Shen
PUB. DATE
January 2009
SOURCE
BMC Public Health;2009, Vol. 9, p292
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: As a risk factor of tuberculosis (TB), tobacco smoking has increased substantially over the past three decades, especially in developing countries. However, the association between smoking and TB, which has been shown to exist in different studies with different ethnic background, has not yet received sufficient attention in terms of TB care standards and research in China. Methods: An observational study was conducted in two rural areas of China. A total of 613 TB patients frequency matched with 1226 controls were interviewed by using a structured questionnaire. The associations between cigarette smoking and risk of TB were estimated by computing odds ratios (ORs) and 95% confidence intervals (95% CIs) from logistic regression model. Patients' smoking behavior and patterns of smoking cessation were followed after TB diagnosis. Multivariate Cox proportional hazards model was applied to calculate hazard ratios (HRs) and 95% confidence intervals (95% CIs) in analyzing the risk factors for smoking relapse. The Kaplan-Meier estimate was computed to plot the ability of smoking-free after cessation among different groups, with the Log-rank test being used to compare the difference. Results: The proportion of cigarette smoking was 54.6% in TB cases, which was significantly higher than that in controls (45.1%) with adjusted OR of 1.93(95% CI: 1.51-2.48). Though 54.9% smokers stopped smoking after being diagnosed with TB, more than 18% relapsed during the follow-up period. The proportion of relapse was higher within 6-9 months (6%) and 12-15 months (11%) after cessation. In the Cox regression estimates adjusted for age and gender, compared with those highly educated and previously treated patients, the hazard ratios of smoking relapse were 3.48(95% CI: 1.28-9.47) for less educated (< 6 years) and 4.30(95% CI: 1.01-18.30) for newly treated patients, respectively. Conclusion: Cigarette smoking is associated with TB in the Chinese. Interventions of smoking cessation are recommended to be included in the current TB control practice.
ACCESSION #
44171709

 

Related Articles

  • How I Quit Smoking for Good. Wolenski, Kerry // Smart Business Akron/Canton;Jan2016, Vol. 25 Issue 8, p15 

    A personal narrative is presented which explores the author's experience of quitting smoking dealing with topics including her wanting to smoke during her father's death, decision to quit smoking after planning of Hawaii trip, and help she received by Western Reserve Hospital's Lung Health Program.

  • Intensive Smoking Cessation Counseling for COPD Patients Appears Cost Effective.  // Pulmonary Reviews;Sep2010, Vol. 15 Issue 9, p20 

    A review of the article "Long-term effectiveness and cost-effectiveness of smoking cessation interventions in patients with COPD," by M. Hoogendoorn et al, published in the August 2010 issue of the journal "Thorax."

  • Quitting may undo damage.  // Clinical Advisor;Feb2010, Vol. 13 Issue 2, p16 

    The article highlights a study which found that smoking cessation may reverse some of the lung damage that aggravates their asthmatic symptoms.

  • 7 steps for healthier lungs.  // Consumer Reports on Health;Nov2011, Vol. 23 Issue 11, p4 

    The article presents seven lifestyle measures that can help prevent lung disease and reduce breathing difficulty. It states people should, if they smoke, quit smoking, and avoid second-hand smoke, along with avoiding inhaled irritants such as air pollution or dust. It recommends people test for...

  • Five-years experiences of the Revised National Tuberculosis Control Programme in northern part of Kolkata, India. Pandit, Sudipta; Dey, Atin; Chaudhuri, Arunabha Datta; Saha, Mita; Sengupta, Amitava; Kundu, Sushmita; Bhuniya, Sourin; Shib Singh // Lung India;2009, Vol. 26 Issue 4, p109 

    Background: The Revised National Tuberculosis Control programme (RNTCP), India. Aim: To assess the impact of the expansion of the RNTCP in the case detection and treatment outcome. Materials and Methods: Reports of patients with tuberculosis (TB) diagnosed and treated under RNTCP from 2001 to...

  • Dawning of a new lung age? Cooper, Brendan // Primary Care Respiratory Journal;Mar2012, Vol. 21 Issue 1, p15 

    The author reflects on a study which reinvestigates lung age index limitations. He highlights the evidence claiming how behavioral change is influenced by physiological impairment, which can also encourage patients to cease from smoking. He notes that there is limited value in using spirometry...

  • Smoking cessation counselling: who does best - pulmonologists or GPs? Abi-Fadel, Francois; Gorga, Joseph; Fahmy, Samir // Primary Care Respiratory Journal;Mar2013, Vol. 22 Issue 1, p17 

    A letter to the editor is presented concerning the importance of smoking cessation in the management of patient with chronic obstructive pulmonary disease (COPD).

  • Variable Loss of Lung Function in COPD. Burney, Peter // New England Journal of Medicine;9/29/2011, Vol. 365 Issue 13, p1246 

    A reprint of the article "Variable Loss of Lung Function in COPD," which was published on the September 26, 2011 issue is presented. The article discussed studies on chronic obstructive pulmonary disease (COPD). It explained the implications of decreased forced expiratory volume in one second...

  • Non-pharmacological advice for patients with COPD. Perry, Margaret // Practice Nurse;1/12/2007, Vol. 33 Issue 1, p26 

    The article focuses on Chronic Obstructive Pulmonary disease, which is characterized by progressive airflow limitation and a gradual decline in lung function. It is the 5th most common cause of death in Great Britain. Increasing breathlessness is integral to the progression of the disease and it...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics