Authors: Ng, N.¹; Padmawati, R.S.²; Prabandari, Y.S.¹; Nichter, M.³

Source: The International Journal of Tuberculosis and Lung Disease, Volume 12, Number 5, May 2008 , pp. 567-572(6)

Publisher: International Union Against Tuberculosis and Lung Disease

Abstract:

SETTING: Five lung clinics in Jogjakarta Province, Indonesia.

OBJECTIVE: To document smoking patterns among tuberculosis (TB) patients before diagnosis and following treatment, to identify smoking-related messages given by health professionals and DOTS providers and to identify predictors of smoking relapse.

DESIGN: A cross-sectional survey of 239 male TB patients completed DOTS-based treatment during 2005-2006. Subjects were interviewed at home using a semi-structured questionnaire. Female patients were excluded, as very few smoke.

RESULTS: Most TB patients quit smoking when under treatment, but over one third relapsed at 6 months post-treatment. About 30% were never asked about their smoking behavior or advised about quitting. Of relapsed smokers, 60% received only general health messages and not TB-specific smoking messages. DOTS providers are not currently involved in cessation activities. The perception that any level of smoking is harmless for ex-TB patients was a significant predictor for smoking relapse.

CONCLUSION: Physicians and DOTS providers should be actively involved in smoking cessation activities among TB and ex-TB patients. Based on these data, the Quit Tobacco Indonesia Project is mounting a pilot intervention to train DOTS providers, who are mostly family members of patients, to deliver smoking cessation messages and reinforce the cessation advice provided by physicians during and following TB treatment.

Keywords: smoking; tuberculosis; cessation; health professional; Indonesia

Document Type: Regular paper

Affiliations: 1: Department of Public Health, Faculty of Medicine, Gadjah Mada University, Jogjakarta, Indonesia 2: Centre for Bioethics and Medical Humanities, Faculty of Medicine, Gadjah Mada University, Jogjakarta, Indonesia 3: Department of Anthropology, University of Arizona, Tucson, Arizona, USA

Publication date: 2008-05-01

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• The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

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