Predictors of tobacco smoking abstinence among tuberculosis patients in South Africa View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2015-06

AUTHORS

Goedele M. C. Louwagie, Olalekan A. Ayo-Yusuf

ABSTRACT

This study examines predictors of smoking cessation in tuberculosis patients with high HIV co-infection rates in a South African primary care setting. Current smokers were randomly allocated to brief motivational interviewing (n = 205) or receipt of a brief message (n = 204). Multi-level logistic regression was performed to identify predictors of sustained 3- and 6-month abstinence and 7-day point prevalence abstinence (PPA) at 1 month, with the facility as a random effect. The intervention was ineffective among smokers with high nicotine-dependence at 1 month, but was effective for all smokers over longer periods. Higher baseline self-efficacy predicted the 1-month 7-day PPA, but not sustained abstinence. HIV-positive participants' odds of sustained abstinence were about three times higher than those of their HIV-negative counterparts. Results support a more intensive motivational intervention and/or coping skills' training to increase self-efficacy and abstinence rates. Tobacco cessation services can be introduced in tuberculosis services where high HIV co-infection rates occur. More... »

PAGES

472-482

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10865-015-9620-y

DOI

http://dx.doi.org/10.1007/s10865-015-9620-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1026519384

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25655663


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