Effectiveness of two methods of tobacco cessation among tuberculosis patients: Visiting directly observed treatment short-course (DOTS) centers in Delhi, India
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Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India
Chest Clinic, Lok Nayak Hospital, Delhi, India
Sneha Malhotra   

Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India
Publication date: 2021-09-02
Tob. Induc. Dis. 2021;19(Suppl 1):A179
Tobacco and Tuberculosis(TB) are the world’s two greatest public health problems. An estimated 1.3 billion people use tobacco products, the majority of whom live in low or middle-income countries. Exposure to tobacco has been shown to be associated with higher risk of tuberculous infection and adverse outcomes like relapse and TB mortality.

1. To assess and compare self-reported tobacco quit status, biochemically verified cotinine levels and nicotine dependence among TB patients at different time intervals among the two study groups. 2.To assess the various predictors of tobacco cessation among Tuberculosis patients visiting DOTS centres.

The current study is a parallel time series clinical trial on TB patients attending the DOTS centres in Delhi who reported using tobacco in any form. Centers were randomly assigned to two intervention groups: integrated intervention using behavioural counselling with NRT gum and behavioural counselling alone (45 subjects in each in intervention and control group). Prior to initiation of the interventions, TB patients were assessed through a structured questionnaire recording age, gender, body weight and height, BMI. Motivational Ladder and Transtheoretical Model of Stages of Change were used to assess readiness to change subject’s tobacco habit. The study subjects underwent motivational interviewing. The subjects will be followed at different time intervals for tobacco cessation. The quit status will be assessed at the 1st week, 1st month, 3rd month and 6th month and biochemically verified urine cotinine levels will be performed at baseline and the 6th month.

Results Awaited

DOTS with tobacco cessation should be presented to every tobacco user with TB contemplating to quit the habit. Few studies are done in other parts of the world using brief advise and use of other methods only on smokers. Tobacco cessation may be beneficial and confer advantages to future health outcomes of TB patients who quit tobacco use.