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Cigarette smoking in patients newly-diagnosed with pulmonary tuberculosis

Mahshid Aryanpur1, Mohammad Reza Masjedi1, Esmaeil Mortaz1, Zahra Hessami1, Mohammad Reza Aryan1, Gholamreza Heydari1, Mostafa Hossei2, Hooman Sharifi1, Masoud Baikpour2 and Payam Tabarsi1
1Tobacco Prevention and Control Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran, 2Department of Epidemiology and Biostatistics, School of Public Health and Institute of Public Health Research, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran

Setting: Association between pulmonary tuberculosis (PTB) and tobacco smoke has been verified by most studies on this matter, but various figures have been reported from different countries regarding the prevalence of smoking among PTB patients.

Objective: We aimed to evaluate the smoking prevalence in these patients and its effective factors in Iran.

Design: In this cross-sectional study subjects were included through a multi-stage cluster sampling method during 2012-2014 on a first-come, first-served basis from the newly-diagnosed PTB patients. Data collection was performed via face-to-face interviews and a questionnaire with enquiries on smoking habits.

Results In this survey 1127 newly-diagnosed PTB patients were included whose mean age was 49.97?19.82 years. 228 subjects (20.2%) stated daily smoking, 20 (1.8%) stated occasional smoking and 93 (8.9%) had quitted before the time of diagnosis. Moreover, simultaneous drug abuse (P<0.001, OR=75.21), increasing age (P=0.001), being single (P<0.001, OR=16.95), Iranian nationality (P<0.001, OR=6.26) and living in rural areas (P<0.001, OR=5.85) were found to be independent risk factors for smoking in these patients.

Conclusion: Considering the association between TB and smoking, the alarmingly higher prevalence of smoking among newly-diagnosed PTB patients compared to the normal population warrants inclusion of smoking cessation plans in TB control programs.

PDPI Surakarta. 29/03/17.

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