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Brief advice to tuberculosis patients in Nepal to stop smoking: a pilot study by the Britain Nepal Medical Trust

Campbell, I. A., Chaudhary, R. D., Holdsworth, G. M. C., Lyne, O. D. (2014) Brief advice to tuberculosis patients in Nepal to stop smoking: a pilot study by the Britain Nepal Medical Trust. International journal of tuberculosis and lung disease, 18 (12). pp. 1438-1442. ISSN 1815-7920. (doi:10.5588/ijtld.14.0358) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided)

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Official URL
http://dx.doi.org/10.5588/ijtld.14.0358

Abstract

SETTING Tuberculosis (TB) treatment centres in Eastern Nepal. OBJECTIVE To determine smoking cessation rates among TB patients advised to quit. DESIGN One intervention and one control centre were studied. At the intervention centre, brief advice about smoking and cessation was given at the start of anti-tuberculosis treatment, and repeated 2 and 5 months later. After 6 months of standard treatment, patients were asked about quitting. Expired air carbon monoxide (CO) was measured in those claiming 6 months of abstinence. RESULTS None of the 51 controls achieved 6 months of abstinence, whereas 77 (39%) of the 195 in the intervention group claimed at least 6 months of abstinence. All claims were verified by CO measurement in expired air (95%CI 31.4-47.6, P < 0.0001 for the difference in smoking cessation). CONCLUSION Brief advice on smoking cessation to patients starting anti-tuberculosis treatment in the National Tuberculosis Programme (NTP) setting in Eastern Nepal led to 39% quitting for least 6 months. Our results should encourage randomised trials in smokers with TB in Nepal: if substantiated, smoking cessation advice should become a mandatory component of the NTP.

Item Type: Article
DOI/Identification number: 10.5588/ijtld.14.0358
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculties > Sciences > School of Mathematics Statistics and Actuarial Science > Statistics
Depositing User: Owen Lyne
Date Deposited: 07 Apr 2015 14:08 UTC
Last Modified: 29 May 2019 14:24 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/47878 (The current URI for this page, for reference purposes)
Lyne, O. D.: https://orcid.org/0000-0003-2894-580X
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