B N Siddiquea1, M A Islam1, T S Bam2, S Satyanarayana3, D A Enarson4, A J Reid5, Md A Husain6, S M Ahmed7, S Ferdous1, N Ishikawa8. 1. Health, Nutrition and Population Programme, BRAC, Dhaka, Bangladesh. 2. International Union Against Tuberculosis and Lung Disease (The Union), Jakarta, Indonesia. 3. The Union South-East Asia Regional Office, New Delhi, India. 4. The Union, Paris, France. 5. Operational Research Unit, Médecins Sans Frontières, Operational Centre Brussels, Luxembourg. 6. National Tuberculosis Control Programme, Ministry of Health, Dhaka. 7. BRAC Research and Evaluation Division, Dhaka, Bangladesh. 8. Research Institute of Tuberculosis, Tokyo, Japan.
Abstract
SETTING: BRAC, a non-governmental organisation, implemented a modified smoking cessation programme for tuberculosis (TB) patients based on International Union Against Tuberculosis and Lung Disease (The Union) guidelines in 17 peri-urban centres of Dhaka, Bangladesh. OBJECTIVE: To determine whether a modified version of The Union's smoking cessation intervention was effective in promoting cessation among TB patients and determinants associated with quitting smoking. DESIGN: Cohort study of routinely collected data. RESULTS: A total of 3134 TB patients were registered from May 2011 to April 2012. Of these, 615 (20%) were current smokers, with a mean age of 38 years (±13.8). On treatment completion, 562 patients were analysed, with 53 (9%) lost to follow-up or dead, while 82% of smokers had quit. Patients with extra-pulmonary TB were less likely to quit than those with pulmonary TB. Patients with high-intensity dependence were less likely to quit than those with low-intensity dependence. CONCLUSION: This study suggests that a simplified smoking cessation intervention can be effective in promoting smoking cessation among TB patients in Bangladesh. This is encouraging for other low-resource settings; the Bangladesh National Tuberculosis Control Programme should consider nationwide scaling up and integration of this smoking cessation plan.
SETTING: BRAC, a non-governmental organisation, implemented a modified smoking cessation programme for tuberculosis (TB) patients based on International Union Against Tuberculosis and Lung Disease (The Union) guidelines in 17 peri-urban centres of Dhaka, Bangladesh. OBJECTIVE: To determine whether a modified version of The Union's smoking cessation intervention was effective in promoting cessation among TB patients and determinants associated with quitting smoking. DESIGN: Cohort study of routinely collected data. RESULTS: A total of 3134 TB patients were registered from May 2011 to April 2012. Of these, 615 (20%) were current smokers, with a mean age of 38 years (±13.8). On treatment completion, 562 patients were analysed, with 53 (9%) lost to follow-up or dead, while 82% of smokers had quit. Patients with extra-pulmonary TB were less likely to quit than those with pulmonary TB. Patients with high-intensity dependence were less likely to quit than those with low-intensity dependence. CONCLUSION: This study suggests that a simplified smoking cessation intervention can be effective in promoting smoking cessation among TB patients in Bangladesh. This is encouraging for other low-resource settings; the Bangladesh National Tuberculosis Control Programme should consider nationwide scaling up and integration of this smoking cessation plan.
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