Introducing smoking cessation to Indonesian males treated for tuberculosis: The challenges of low-moderate level smoking

Mark Nichter, Siwi Padmawati, Nawi Ng

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

There is a dearth of information about the smoking habits of people currently and formerly treated for tuberculosis (TB) in low- and middle-income countries (LMICs). In this paper we describe research carried out in Indonesia between 2007 and 2011 designed to investigate both the impact of TB-specific quit smoking messages in the TB clinic and at home, and shifts in patterns of smoking among those formerly treated for TB who continue to smoke. The results of a modest two-arm smoking cessation trial involving 87 patients undergoing Directly Observed Therapy Short course treatment (DOTS) for TB are presented. In one arm patients received a TB-specific quit smoking message delivered by doctors and a TB and smoking educational booklet and quit smoking guide. In the second, family support arm, patients also received on-going cessation messages delivered by family members trained to be DOTS supporters. The study followed patients twice during their six months of DOTS treatment and twice six months post treatment. Both arms of the study reduced rates of smoking during and following TB treatment significantly with 73% of patients in the doctor arm and 71% in the family support arm remaining quit at the end of the treatment (month 6). When complete abstinence at six months after treatment was taken as a primary outcome measure, no statistical difference was found in the effectiveness of the two arms of the intervention. Notably, 67% of higher-level smokers at baseline and 33% of low-moderate level smokers at baseline quit entirely. Many of those who resumed smoking did so at low-moderate levels (

Original languageEnglish (US)
Pages (from-to)70-79
Number of pages10
JournalSocial Science and Medicine
Volume152
DOIs
StatePublished - Mar 1 2016

Keywords

  • Family support
  • Indonesia
  • Low-moderate level smoking
  • Smoking cessation
  • Tuberculosis

ASJC Scopus subject areas

  • Health(social science)
  • History and Philosophy of Science

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