https://doi.org/10.4081/monaldi.2024.2970

Smoking cessation among tuberculosis patients during the coronavirus disease-2019 pandemic

Early Access
Submitted: February 27, 2024
Accepted: March 25, 2024
Published: April 24, 2024
Tuberculosis, smoking, COVID-19, smoking cessation, anxiety, coronavirus
Abstract Views: 243
PDF_EARLY VIEW: 132
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Authors

Sandra Eugênia Coutinho
https://orcid.org/0000-0003-3822-7422
Postgraduate Program in Pulmonary Sciences, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
Raimunda Sinthia Lima de Braga
Faculty of Medicine, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
André Külzer Santos
Faculty of Medicine, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
Joanna Scopel Velho
Faculty of Medicine, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
Denise Rossato Silva
denise.rossato@terra.com.br
https://orcid.org/0000-0003-0230-2734
Postgraduate Program in Pulmonary Sciences, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre; Faculty of Medicine, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre; Clinical Hospital of Porto Alegre , Brazil.

Smoking has been recognized as a significant risk factor for COVID-19 and mortality. The World Health Organization (WHO) has recommended smoking cessation to reduce the impact of COVID-19. This study aimed to evaluate the smoking cessation rate of patients starting tuberculosis (TB) treatment at six months using motivational interviewing based on the WHO "five steps to quit" model. In addition, we assessed the knowledge about smoking and the barriers to smoking cessation. We conducted a retrospective cohort study. Outpatients aged >18 years, smokers, and those who are starting TB treatment in two outpatient TB clinics were invited to participate. Patients received information about the importance of smoking cessation, especially in TB patients, and standardized advice based on guidelines. This information was repeated during phone calls during the second and fourth months of treatment. During the study period, 111 patients were included. The primary outcome was the smoking cessation rate at the end of the sixth month of treatment, which was 26.8% (19/71). The barriers to smoking cessation described by the patients were anxiety/depression (47.4%), seeing someone smoking (38.5%), drug use (19.2%), and alcohol abuse (2.6%). The assessment of knowledge about smoking showed that patients had some information gaps. In conclusion, TB smokers who tried to quit smoking during the COVID-19 pandemic faced many challenges. Despite this, we demonstrated a reasonable smoking cessation rate with a nurse-conducted motivational interview.

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Ethics approval

The study was approved by the Ethics Committee of Hospital de Clínicas de Porto Alegre in June 3rd, 2020 (number 180540).

How to Cite

Coutinho, Sandra Eugênia, Raimunda Sinthia Lima de Braga, André Külzer Santos, Joanna Scopel Velho, and Denise Rossato Silva. 2024. “Smoking Cessation Among Tuberculosis Patients During the Coronavirus Disease-2019 Pandemic”. Monaldi Archives for Chest Disease, April. https://doi.org/10.4081/monaldi.2024.2970.
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