Tobacco Troubles: Unraveling Tobacco's role in TB positivity among presumptive patients attending a taluka hospital in Karnataka, India

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2025-05-14 DOI:10.1016/j.cegh.2025.102059

Ankeeta Menona Jacob , Jeni Jacob , Avinash K. Shetty

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引用次数: 0

Abstract

Background

Tobacco dependence among patients with Tuberculosis (TB)(confirmed through microbiological tests) can have detrimental effects on treatment outcomes and immune responses. The study is aimed at assessing the prevalence of self-reported tobacco use and dependence cases among presumptive and microbiologically tested and confirmed patients with Tuberculosis.

Methods

A cross-sectional study was conducted at the Government Taluk Hospital, Karkala, Karnataka, from November 2022 to December 2022, on 292 people presumed to have TB. Data was collected using a pre-structured questionnaire including key questions from the WHO tobacco questionnaire, Global Adult Tobacco Survey, and Fagerstrom's test for Nicotine dependence on smoked and non-smoked tobacco. Statistical analysis was done using SPSS version 29.0.

Results

Among 292 presumptive TB patients, 63 patients (21.5 %) confirmed tobacco use of which 17(5.8 %) only smoked tobacco, 44(15.1 %) used smokeless tobacco, and 2(0.7 %) used both forms of tobacco. Of the 292 presumptive patients with TB tested, 31(10.6 %) patients were microbiologically confirmed to have TB. Varying degrees of nicotine dependence were noted in 2(100 %) tobacco-smoking patients and 3(66.7 %) smokeless tobacco users; and 1 (100 %) using both had significant nicotine dependence.

Conclusion

Nearly one-fourth of the study population had self-reported tobacco consumption. Significant dependence on tobacco was found among patients where TB was microbiologically confirmed.

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烟草问题：揭示烟草在印度卡纳塔克邦一家塔卢卡医院的推定患者中结核病阳性中的作用

背景：结核病患者（通过微生物试验证实）的烟草依赖可对治疗结果和免疫反应产生不利影响。这项研究的目的是评估自我报告的烟草使用和依赖病例在假定、微生物检测和确诊结核病患者中的流行程度。方法于2022年11月至2022年12月在卡纳塔克邦Karkala的政府Taluk医院对292名推定患有结核病的人进行了横断面研究。数据的收集使用了一份预先结构化的问卷，其中包括来自世界卫生组织烟草问卷、全球成人烟草调查和法格斯特罗姆对吸烟和非吸烟烟草的尼古丁依赖测试的关键问题。采用SPSS 29.0版本进行统计分析。结果在292例推定结核患者中，63例（21.5%）确认使用烟草，其中17例（5.8%）仅吸烟，44例（15.1%）使用无烟烟草，2例（0.7%）同时使用两种烟草。在292名疑似结核病患者中，31名（10.6%）患者被微生物学证实患有结核病。2例（100%）吸烟患者和3例（66.7%）无烟烟草使用者存在不同程度的尼古丁依赖；同时使用两者的1人（100%）有明显的尼古丁依赖。结论近四分之一的研究人群有自我报告的烟草消费。在微生物学证实患有结核病的患者中发现对烟草的严重依赖。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.