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Promoting tobacco cessation by integrating ‘brief advice’ in tuberculosis control programme / Jagdish Kaur;Kuldeep S. Sachdeva;Bhavesh Modi;Dinesh C. Jain;Lakhbir S. Chauhan;Paresh Dave;Rana J. Singh;Nevin Wilson

Tác giả : Jagdish Kaur;Kuldeep S. Sachdeva;Bhavesh Modi;Dinesh C. Jain;Lakhbir S. Chauhan;Paresh Dave;Rana J. Singh;Nevin Wilson

Nhà xuất bản : World Health Organization. Regional Office for South-East Asia

Năm xuất bản : 2013

Chủ đề : 1. Brief advice. 2. cessation. 3. India. 4. tobacco. 5. tuberculosis. 6. Journal / periodical articles.

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Tóm tắt :

Background: There is an enormous health burden caused by the co‑prevalence oftuberculosis (TB) and tobacco use in India. This intervention study was undertakenin district Vadodara, Gujarat, India to promote tobacco cessation by integrating‘brief advice’ for tobacco cessation in TB patients who were tobacco users andregistered for treatment under TB control programme, based on the testedstrategies advocated by World Health Organization (WHO) and the InternationalUnion against Tuberculosis and Lung Diseases (The Union).Materials and Methods: Brief advice for tobacco cessation based on five A’s,advocated by the WHO and the UNION was incorporated into the on‑goingTB Control programme in India in the year 2010. The tools were developed foreducation, training and capturing data. All the registered TB patients receivingdirectly observed treatment short‑course (DOTS) who used tobacco in any formwere offered brief advice during routine interaction for treatment.Results: A total of 46.3% of TB patients, predominantly males (89.6% males and10.3% females) were current users of tobacco; 39.1% used smokeless tobacco,35.9% were smokers and 25% were dual users, that is, smoked as well as usedsmokeless tobacco. At the end of treatment, of the 67.3% patients who wereoffered brief advice, quit tobacco use, 18.2% re‑lapsed while 14.5% were lostto follow‑up.Conclusion: A significant numbers of TB patients use tobacco with adverse impacton TB control programmes. Our study shows that it is feasible to introduce ‘briefadvice’ strategy as a cost effective intervention for tobacco cessation among TBpatients with careful monitoring

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https://iris.who.int/handle/10665/329767