Predictors of tobacco smoking abstinence among tuberculosis patients in South Africa
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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Louwagie et al. found no brief intervention effect on tobacco use at 1 month for those with high nicotine dependence.
“Louwagie et al. [61] found no BI effect on tobacco use at 1 month for those with high nicotine dependence (Table 1).”
From A scoping review of substance use brief interventions in Africa (2024) · cites this paper as [61]
Single-session brief interventions resulted in reduced alcohol use at 3 months.
“Concerning alcohol use, single session BI resulted in reduced use at month 1 [50,54]; 6 weeks [72], 3 months [50,61–64], and 6 months [50,52,60,72].”
From A scoping review of substance use brief interventions in Africa (2024) · cites this paper as [61]
The Results report higher smoking abstinence at three months among participants who received motivational interviewing, not reduced alcohol use. The Predictor variables section describes alcohol problems as a baseline measure; a search for three-month alcohol-use outcomes found no passage addressing the claimed reduction. (LLM, conf=0.76)
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ผลของโปรแกรมการชวยเลกบหรแบบสนตอพฤตกรรมการเลกบหรในผทเปนวณโรคปอด
พรกิจวรกุล, ว. (2022) · doi:10.58837/chula.the.2022.479
- Authors
- Louwagie, G. M. C., & Ayo-Yusuf, O. A.
- Affiliations
- University of Pretoria (ZA)
- Sefako Makgatho Health Sciences University (ZA)
- Corresponding author
- Louwagie, Goedele M. C.
- Venue
- Journal of Behavioral Medicine
- Published
- 2015-02-06
- Volume
- 38
- Issue
- 3
- Pages
- 472-482
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- OpenAlex
- W2020533659
- Cited by
- 11
- References
- 65
- Citations by year
- 2026: 1 · 2024: 2 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 3 · 2015: 1
- FWCI
- 0.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- UpSpace Institutional Repository (University of Pretoria) (submittedVersion)
- Funders
- Mayo Clinic
- Pfizer
- National Research Foundation
- Smoking Research Foundation
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- tobacco smoking cessation, tuberculosis, HIV coinfection, motivational interviewing, nicotine dependence, self-efficacy, point prevalence abstinence, sustained abstinence, smoking cessation services, primary care
- MeSH terms
- Adult, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Patient Education as Topic, Primary Health Care, Smoking, South Africa, Tobacco Use Disorder, Tuberculosis, Pulmonary, Smoking Cessation, Motivational Interviewing
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