Smoking cessation knowledge, attitude and practices among tuberculosis physicians: A qualitative study

Harutyunyan, Arusyak; Abrahamyan, Armine; Grigoryan, Zaruhi; Hayrumyan, Varduhi; Truzyan, Nune; Petrosyan, Varduhi

doi:10.18332/tpc/130475

Cited by 3 publications

(2 citation statements)

References 28 publications

(30 reference statements)

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“…Given the vast impact of cigarette smoking on TB disease, it is not surprising that for many years researchers have been stressing the essential need for smoking cessation strategies to control TB as part of TB control programmes [ 16 , 23 , 27 , 34 , 36 , 39 , 42 , 43 , 44 , 46 , 48 ]. Unfortunately, some studies have indicated that, at least in some areas, physicians’ knowledge, attitude, and practices of smoking cessation were limited [ 49 ]. Clearly in these areas, interventions are needed that target physician knowledge and skills to enable formalising tobacco dependence treatment within TB care.…”

Section: Epidemiology Of Smoking and Tuberculosismentioning

confidence: 99%

Cigarette Smoking as a Risk Factor for Tuberculosis in Adults: Epidemiology and Aspects of Disease Pathogenesis

Feldman,

Theron,

Cholo

et al. 2024

Pathogens

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It has been noted by the World Health Organisation that cases of tuberculosis in 2022 globally numbered 10.6 million, resulting in 1.3 million deaths, such that TB is one of the infectious diseases causing the greatest morbidity and mortality worldwide. Since as early as 1918, there has been an ongoing debate as to the relationship between cigarette smoking and TB. However, numerous epidemiological studies, as well as meta-analyses, have indicated that both active and passive smoking are independent risk factors for TB infection, development of reactivation TB, progression of primary TB, increased severity of cavitary disease, and death from TB, among several other considerations. With this considerable body of evidence confirming the association between smoking and TB, it is not surprising that TB control programmes represent a key potential preventative intervention. In addition to coverage of the epidemiology of TB and its compelling causative link with smoking, the current review is also focused on evidence derived from clinical- and laboratory-based studies of disease pathogenesis, most prominently the protective anti-mycobacterial mechanisms of the alveolar macrophage, the primary intracellular refuge of M. tuberculosis. This section of the review is followed by an overview of the major strategies utilised by the pathogen to subvert these antimicrobial mechanisms in the airway, which are intensified by the suppressive effects of smoke inhalation on alveolar macrophage function. Finally, consideration is given to a somewhat under-explored, pro-infective activity of cigarette smoking, namely augmentation of antibiotic resistance due to direct effects of smoke per se on the pathogen. These include biofilm formation, induction of cellular efflux pumps, which eliminate both smoke-derived toxicants and antibiotics, as well as gene modifications that underpin antibiotic resistance.

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Section: Epidemiology Of Smoking and Tuberculosismentioning

confidence: 99%

Cigarette Smoking as a Risk Factor for Tuberculosis in Adults: Epidemiology and Aspects of Disease Pathogenesis

Feldman,

Theron,

Cholo

et al. 2024

Pathogens

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“…Evidence on factors that influence healthcare professionals’ provision of SCC to Indigenous populations is scarce. However, international evidence reports a range of factors that influence healthcare professionals provision of SCC including lack of knowledge, lack of healthcare-specific smoking treatment policies, 17 perceived role for providing smoking cessation care, 18 lack of training and lack of time. 19 , 20 In Australia, these factors have also been reported to influence low rates of NRT provision (4.7%), 21 including among pregnant women.…”

Section: Introductionmentioning

confidence: 99%

Which Way?Indigenous-led Smoking Cessation Care: Knowledge, Attitudes and Practices of Aboriginal and Torres Strait Islander Health Workers and Practitioners – A National Cross-sectional Survey

Kennedy

Longbottom

Mersha

et al. 2022

Nicotine &Amp; Tobacco Research

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Introduction Tobacco is the leading preventable cause of morbidity and mortality for Aboriginal and Torres Strait Islander people. Accordingly, the provision of culturally safe and effective smoking cessation strategies are crucial. While previous research has suggested Aboriginal Health Workers/Practitioners are well placed to provide smoking cessation care, no research to date has explored the workforce knowledge, attitudes and practices in offering best practice cessation care. Methods A cross-sectional study was conducted among Aboriginal Health Workers/Practitioners from June to September 2021. Descriptive and inferential statistics were conducted to examine participant characteristics, provision of smoking cessation care, and explore the factors associated with smoking cessation care. Results Out of 1052 registered Aboriginal Health Workers/Practitioners, 256 participants completed the full survey (24.3%). Smoking cessation counselling was always provided by 41.9%; provided some of the time by 42.4%, and never provided by 12.9%. Combination NRT and Quitline referral were always offered by 23.1% and 44.9% of participants respectively. Those that received training, felt smoking cessation care was part of their role, and were based in Aboriginal Community Controlled Health Organisation were significantly more likely to offer best practice smoking cessation care. Conclusion Aboriginal Health Workers/Practitioners and Aboriginal Community Controlled Health Organisations play a critical role in delivering high quality, evidence based and culturally safe care to Aboriginal and Torres Strait Islander people. Aboriginal Health Workers/Practitioners are well placed to offer smoking cessation care. Ongoing funding and implementation of a targeted smoking cessation workforce with appropriate training and resources are urgently required. Implications Aboriginal Health Workers/Practitioners are well placed to offer culturally safe, best practice smoking cessation care. However, due to the magnitude and complexity of Aboriginal Health Workers/Practitioners roles, it is challenging for smoking cessation care to be consistently and feasibly integrated into usual care. Acknowledging Australia’s National Preventative Health Strategy target of 27% or less Aboriginal and Torres Strait Islander people smoking by 2030, urgent investment and resourcing must be directed to building a skilled workforce to support quitting and maintaining smokefree behaviours, ensuring equitable access to smoking cessation care for Aboriginal and Torres Strait Islander peoples.

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Assessment of knowledge, attitude and practices of tobacco cessation counselling and nicotine replacement therapy among dental professionals

Shete,

Nerkar Rajbhoj

et al. 2023

Journal of Family Medicine and Primary Care

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Background: Establishment of Tobacco Cessation Centres across all dental institutions has been made mandatory by the Dental Council of India. To make it a success, adequate knowledge and training, positive attitude and practices are expected by the dental health care professionals. Our study aims to assess the knowledge, attitude and practices of dentists towards Tobacco Cessation Counselling (TCC) and Nicotine Replacement Therapy (NRT). Materials and Methods: 200 participants (60 faculty members, 20 postgraduate students and 120 interns) participated in this cross-sectional study. A self-designed questionnaire of 27 questions was used to assess the knowledge, attitude and practices of the participants regarding TCC and NRT. A descriptive analysis of the data was done. Frequency and percentage were calculated for each variable. The data were processed and analysed using SPSS software version 19-SPSS Inc. Chicago, IL, USA. Results: 22% candidates were trained for TCC as opposed to 78% candidates who didn’t have an idea about it. 65% participants knew about various agents which are used for NRT but many did not know how to prescribe them. 83.5% were not willing to spare time for tobacco cessation in their private practice. Only 12% were currently practising TCC or NRT at workplace. Conclusion: Inclusion of TCC in the undergraduate curriculum, training and updating of dental faculty and students regarding TCC and NRT will help in serving the noble cause.

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Smoking cessation knowledge, attitude and practices among tuberculosis physicians: A qualitative study

Cited by 3 publications

References 28 publications

Cigarette Smoking as a Risk Factor for Tuberculosis in Adults: Epidemiology and Aspects of Disease Pathogenesis

Cigarette Smoking as a Risk Factor for Tuberculosis in Adults: Epidemiology and Aspects of Disease Pathogenesis

Which Way?Indigenous-led Smoking Cessation Care: Knowledge, Attitudes and Practices of Aboriginal and Torres Strait Islander Health Workers and Practitioners – A National Cross-sectional Survey

Assessment of knowledge, attitude and practices of tobacco cessation counselling and nicotine replacement therapy among dental professionals

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