Patient and doctor perspectives on incorporating smoking cessation into tuberculosis care in Beijing, China
Abstract:SETTING: Tuberculosis (TB) hospital in Beijing, China.
OBJECTIVE: To describe perspectives of patients and physicians regarding the incorporation of smoking cessation interventions as part of TB treatment.
DESIGN: Seven focus groups were conducted with 39 patients and 17 physicians.
RESULTS: Patients were more receptive to physicians' advice to quit smoking due to increased concerns about their health after becoming ill with TB. However, patients indicated that they might start smoking again after they recovered from TB. Patients' attempts to quit smoking may have been inhibited by exposure to smoking at the TB facility. Physicians had low levels of knowledge regarding the effect of smoking on TB. Many doctors, particularly those who smoked, did not view smoking cessation as an integral part of TB treatment.
CONCLUSION: Despite the presence of a ‘teachable moment’, TB patients experience significant barriers to quitting smoking. Patient education in TB treatment programs should address the specific effects of smoking on TB and the general health benefits of cessation. Smoke-free policies should be strictly enforced in TB facilities. Successful integration of smoking cessation interventions within TB treatment regimens may require that providers adopt smoking cessation as an essential part of TB treatment.
Document Type: Research Article
Affiliations: 1: Joint Doctoral Program in Global Health, San Diego State University/University of California, San Diego, California, USA 2: Beijing Institute of Respiratory Medicine, Beijing Chao-Yang Hospital, Capital Medical University, WHO Collaborating Center for Tobacco or Health, Beijing, China 3: Beijing Chest Hospital, Capital Medical University, Beijing, China 4: Peking Union Medical College, Beijing, China 5: Graduate School of Public Health, San Diego State University, San Diego, California, USA
Publication date: 2012-01-01
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