基于 ABC 法的结核病患者戒烟干预的效果。

IF 1.3 Q4 RESPIRATORY SYSTEM Public Health Action Pub Date : 2024-06-01 DOI:10.5588/pha.23.0057
A Ohkado, A Querri, J Bermejo, R Bartolome, G Pardilla, D Manese, J Recidoro, L Kawatsu, A M C Garfin, T S Bam
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引用次数: 0

摘要

背景:菲律宾的城市环境:菲律宾城市环境:在菲律宾的城市环境中,评估联盟开发的 ABC 方法作为结核病患者初级医疗保健戒烟干预措施的有效性:设计:我们在菲律宾马尼拉设立了一个干预组,其肺结核患者接受 ABC 方法;同时设立了一个对照组,其肺结核患者仅接受常规健康教育。我们收集了肺结核患者在第 0、2、4、6、8 和 12 个月的吸烟状况和家庭二手烟(SHS)状况数据。我们还收集了肺结核治疗结果数据:肺结核病人(n = 2,174 人)在进行肺结核病登记时就被纳入其中。干预组的吸烟率一直很低(第 6 个月时为 3.9% 对 8.7%)。干预组的吸烟状况和家庭 SHS 状况的几率比明显低于对照组(吸烟状况:P < 0.001,家庭 SHS 状况:P < 0.01)。两组的结核病治疗成功率相似(85.0% vs. 87.3%;P = 0.201):ABC方法成功地降低了菲律宾的吸烟率,保持了较低的国内SHS率和结核病治疗成功率。
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Effectiveness of smoking cessation intervention based on the ABC Approach in patients with TB.

Setting: Urban setting in the Philippines.

Objective: To assess the effectiveness of the ABC Approach developed by The Union as a tobacco-smoking cessation intervention for TB patients at a primary healthcare level in an urban setting in the Philippines.

Design: We set up an intervention group whose patients with TB received the ABC approach and a control group of patients with TB receiving only routine health education in Manila, The Philippines. We collected smoking status and the domestic secondhand-smoking (SHS) status data from patients with TB at months 0, 2, 4, 6, 8, and 12. TB treatment outcome data were also collected.

Results: Patients with TB (n = 2,174) were enrolled upon TB registration. Smoking rates were consistently low in the intervention group (3.9% vs. 8.7% at Month 6). The odds ratios of both tobacco-smoking status and domestic SHS status in the intervention group were significantly lower than those in the control group (tobacco-smoking status: P < 0.001, domestic SHS status: P < 0.01). TB treatment success rates were similar between the groups (85.0% vs. 87.3%; P = 0.201).

Conclusion: The ABC approach successfully reduced tobacco-smoking rates, maintained low domestic SHS rates and TB treatment success rates in the Philippines.

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来源期刊
Public Health Action
Public Health Action RESPIRATORY SYSTEM-
自引率
0.00%
发文量
29
期刊介绍: Launched on 1 May 2011, Public Health Action (PHA) is an official publication of the International Union Against Tuberculosis and Lung Disease (The Union). It is an open access, online journal available world-wide to physicians, health workers, researchers, professors, students and decision-makers, including public health centres, medical, university and pharmaceutical libraries, hospitals, clinics, foundations and institutions. PHA is a peer-reviewed scholarly journal that actively encourages, communicates and reports new knowledge, dialogue and controversy in health systems and services for people in vulnerable and resource-limited communities — all topics that reflect the mission of The Union, Health solutions for the poor.
期刊最新文献
TB burden and diagnostic challenges at Sandaun Provincial Hospital in West Sepik Province of PNG, 2016-2021. TB-related technical enquiries received at the Research Institute of Tuberculosis, Japan, during COVID-19. Continuous quality improvement in a community-wide TB screening and prevention programme in Papua New Guinea. Effects of extrapulmonary TB on patient quality of life and recurrence. Impact of Truenat on TB diagnosis in Nigeria.
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