Elsey, H, Dogar, O, Ahluwalia, J et al. (1 more author) (2015) Predictors of cessation in smokers suspected of TB: Secondary analysis of data from a cluster randomized controlled trial. Drug and Alcohol Dependence, 155. pp. 128-133. ISSN 0376-8716
Abstract
Background Smoking cessation services are rarely found within health services in low income countries. Given the interactions between Tuberculosis (TB) and tobacco, including cessation support within TB programs offers a promising cost-effective solution. We conducted secondary analysis of data from a cluster randomized controlled trial of smoking cessation in health centers in Pakistan to identify predictors of continuous and short-term abstinence in smokers suspected of TB using cigarettes or hookah. Methods Predictor variables of those continuously abstinent at 5 and 25 weeks post quit-date (continuous abstinence) and those abstinent only at 5 weeks (short-term abstinence) were compared with those who continued smoking and with each other. Self-reported abstinence at both time points was confirmed biochemically. Results Data obtained from 1955 trial participants were analyzed. The factors that predicted continued smoking when compared to continuous abstinence were: being older RR 0.97 (0.95 to 0.98), smoking higher quantities of tobacco RR 0.975 (0.97 to 0.98) and sharing a workplace with other smokers RR 0.88 (0.77 to 0.99). Those with a confirmed TB diagnosis were more likely to remain continuously abstinent than those without RR 1.27 (1.10–1.47). Conclusions Those diagnosed with TB are more likely to be abstinent than those diagnosed with other respiratory conditions. Beyond this, predictors of continued smoking in Pakistan are similar to those in high income contexts. Taking advantage of the ‘teachable moment’ that a TB diagnosis provides is an efficient means for resource-poor TB programs in low income settings to increase tobacco cessation and improve health outcomes. Clinical trial registration Current controlled trials: ISRCTN08829879
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2015 Elsevier Ireland Ltd. All rights reserved. This is an author produced version of a paper published in Drug and Alcohol Dependence. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Tobacco cessation; Tuberculosis; Low income country; Pakistan; Teachable moments; Respiratory conditions |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Nuffield Centre for International Health and Development (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 08 Mar 2016 12:33 |
Last Modified: | 16 Nov 2016 13:27 |
Published Version: | http://dx.doi.org/10.1016/j.drugalcdep.2015.08.002 |
Status: | Published |
Publisher: | Elsevier |
Identification Number: | 10.1016/j.drugalcdep.2015.08.002 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:95722 |