| Autor: |
Louwagie GM; Faculty of Health Sciences, School of Health Systems and Public Health, University of Pretoria, Private Bag X 323, Pretoria, 0001, Republic of South Africa, Goedele.louwagie@up.ac.za., Ayo-Yusuf OA |
| Jazyk: |
angličtina |
| Zdroj: |
Journal of behavioral medicine [J Behav Med] 2015 Jun; Vol. 38 (3), pp. 472-82. Date of Electronic Publication: 2015 Feb 06. |
| DOI: |
10.1007/s10865-015-9620-y |
| Abstrakt: |
This study examines predictors of smoking cessation in tuberculosis patients with high HIV co-infection rates in a South African primary care setting. Current smokers were randomly allocated to brief motivational interviewing (n = 205) or receipt of a brief message (n = 204). Multi-level logistic regression was performed to identify predictors of sustained 3- and 6-month abstinence and 7-day point prevalence abstinence (PPA) at 1 month, with the facility as a random effect. The intervention was ineffective among smokers with high nicotine-dependence at 1 month, but was effective for all smokers over longer periods. Higher baseline self-efficacy predicted the 1-month 7-day PPA, but not sustained abstinence. HIV-positive participants' odds of sustained abstinence were about three times higher than those of their HIV-negative counterparts. Results support a more intensive motivational intervention and/or coping skills' training to increase self-efficacy and abstinence rates. Tobacco cessation services can be introduced in tuberculosis services where high HIV co-infection rates occur. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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