Identifier to cite or link to this item: http://hdl.handle.net/20.500.13003/10194
Factors associated with smoking among tuberculosis patients in Spain
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ISSN: 1471-2334
WOS ID: 000383654300001
Scopus EID: 2-s2.0-84987739812
PMID: 27629062
Embase PUI: L612132779
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2016-09-14Document type
research articleCitation
Jimenez-Fuentes MA, Rodrigo T, Neus Altet M, Jimenez-Ruiz CA, Casals M, Penas A, et al. Factors associated with smoking among tuberculosis patients in Spain. BMC Infect Dis. 2016 Sep 14;16:486.Abstract
Background: To determine the prevalence of smoking and analyze associated factors in a cohort of patients diagnosed with tuberculosis (TB) in Spain between 2006 and 2013. Methods: Multicenter, cross-sectional, descriptive, observational study using a national database of TB patients, using logistic regression to calculate odds ratios (OR) and confidence intervals (CI). Results: We analyzed 5,846 cases (62 % men, mean age 39 years, 33 % foreigners). 23.4 % were alcohol abuser, 1.3 % were injected drug users (IDU), 4.6 % were co-infected with HIV, and 7.5 % had a history of TB treatment. 6.6 % and 0. 8 % showed resistance to one and multiple drugs, respectively. The predominant clinical presentation was pulmonary (71 %) with a cavitary radiological pattern in 32.8 % of cases. 82 % of cases were confirmed microbiologically, and 54 % were smear-positive microscopy. 2,300 (39.3 %) patients were smokers. The following factors were associated with smoking: male sex (OR = 2.26; CI: 1.97; 2. 60), Spanish origin (OR = 2.79; CI: 2.40-3.24), alcoholism (OR = 2.85; CI: 2.46; 3.31), IDU (OR = 2.78; CI: 1.48; 5.52), homelessness (OR = 1.99; CI: 1.14-3.57), pulmonary TB (OR = 1.61; CI: 1.16; 2.24), cavitary radiological pattern (OR = 1.99; CI: 1.43; 2.79) and a smear-positive microscopy at the time of diagnosis (OR = 1.39; CI: 1.14; 1.17). Conclusions: The prevalence of smoking among TB patients is high. Smokers with TB have a distinct sociodemographic, clinical, radiological and microbiological profile to non-smokers.
Publisher version
https://dx.doi.org/10.1186/s12879-016-1819-1Keywords
TuberculosisSmoking
Predictors
Prevention
MeSH
Aged, 80 and overAged
Young Adult
Spain
Adult
Homeless Persons
Alcoholism
Humans
Smoking
Adolescent
Middle Aged
Cross-Sectional Studies
Male
Drug Users
Emigrants and Immigrants
Female
Coinfection
Odds Ratio
Tuberculosis, Pulmonary
Logistic Models
DeCS
Tuberculosis PulmonarCoinfección
Modelos Logísticos
Oportunidad Relativa
Femenino
Adolescente
Masculino
Fumar
Estudios Transversales
Personas sin Hogar
Humanos
Persona de Mediana Edad
Adulto Joven
Anciano
Anciano de 80 o más Años
Consumidores de Drogas
Alcoholismo
Adulto
Emigrantes e Inmigrantes
España
This item appears in following Docusalut collections
Instituto de Investigación Sanitaria Islas Baleares - IDISBA > Comunicación científicaHospital Universitario Son Llàtzer - HUSLL > Comunicación científica