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Journal of Behavioral Medicine

Erschienen in:

01.06.2015

Predictors of tobacco smoking abstinence among tuberculosis patients in South Africa

verfasst von: Goedele M. C. Louwagie, Olalekan A. Ayo-Yusuf

Erschienen in: Journal of Behavioral Medicine | Ausgabe 3/2015

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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.

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Titel: Predictors of tobacco smoking abstinence among tuberculosis patients in South Africa
verfasst von: Goedele M. C. Louwagie
Olalekan A. Ayo-Yusuf
Publikationsdatum: 01.06.2015
Verlag: Springer US
Erschienen in: Journal of Behavioral Medicine / Ausgabe 3/2015
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-015-9620-y

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