title: [Ivory Coast physician's knowledge and attitudes about smoking in patients with tuberculosis].
abstract: BACKGROUND
  Smoking promotes, among other health problems, the development of tuberculosis and the discovery of a case of tuberculosis can therefore be an opportunity for tobacco control interventions.
  
  
  METHODS
  We conducted a prospective study evaluating the knowledge of 37 Ivorian physicians (32 men and 5 women with 5 active smokers) on the relationship between smoking and tuberculosis and their attitudes to smoking tuberculous patients between February and August 2012 using an anonymous self-administered questionnaire.
  
  
  RESULTS
  The response rate to the questionnaire was 88.1%. Among them, 70.3% of Ivorian physicians knew that smoking increased the incidence of tuberculosis, 75.7% said that forms of tuberculosis were more severe in smokers and about 27% thought that the cure rate of tuberculosis was lower in smokers. No significant difference was observed according to respondents' smoking status, or gender. Patients' smoking status was always assessed by 64.9% of physicians and by 78.4% in patients with tuberculosis, again not differing by physicians' smoking status or gender. The risks of smoking were always explained to patients with active pulmonary tuberculosis by 43.2% and benefits of stopping smoking ware always described in 35.1%. An intervention for smoking cessation was systematically offered to smokers having tuberculosis by 59.4% of physicians and 8.1% offered medication for smoking cessation.
  
  
  CONCLUSIONS
  These results strongly support the need to reinforce physician behaviors to address smoking in patients with tuberculosis in Ivory Coast.
authors.affiliation: Service de pneumo-phtisiologie, CHU de Treichville, BPV 3 Abidjan, Côte d'Ivoire. Electronic address: ackdaix@yahoo.fr.
authors.forename: A T J
authors.initials: AT
authors.lastname: Daix
authors.affiliation: Service de pneumo-phtisiologie, CHU de Treichville, BPV 3 Abidjan, Côte d'Ivoire.
authors.forename: A S
authors.initials: AS
authors.lastname: Bakayoko-Yéo
authors.affiliation: Service de pneumo-phtisiologie, CHU de Treichville, BPV 3 Abidjan, Côte d'Ivoire.
authors.forename: Z
authors.initials: Z
authors.lastname: Koné
authors.affiliation: Service de pneumo-phtisiologie, CHU de Treichville, BPV 3 Abidjan, Côte d'Ivoire.
authors.forename: K
authors.initials: K
authors.lastname: Samaké
authors.affiliation: Service de pneumo-phtisiologie, CHU de Treichville, BPV 3 Abidjan, Côte d'Ivoire.
authors.forename: G
authors.initials: G
authors.lastname: Coulibaly
authors.affiliation: Service de pneumo-phtisiologie, CHU de Treichville, BPV 3 Abidjan, Côte d'Ivoire.
authors.forename: O A
authors.initials: OA
authors.lastname: Touhon
authors.affiliation: Service de pneumo-phtisiologie, CHU de Treichville, BPV 3 Abidjan, Côte d'Ivoire.
authors.forename: K M S
authors.initials: KM
authors.lastname: Domoua
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D007560:Cote d'Ivoire; D004198:Disease Susceptibility; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006763:Hospitals, Chronic Disease; D006785:Hospitals, University; D006801:Humans; D015994:Incidence; D008297:Male; D008505:Medical Staff, Hospital / Q000523:psychology; D008875:Middle Aged; D010819:Physician's Role; D010820:Physicians / Q000523:psychology*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011446:Prospective Studies; D015272:Pulmonary Medicine; D012907:Smoking / Q000009:adverse effects / Q000523:psychology*; D016540:Smoking Cessation / Q000523:psychology*; D011795:Surveys and Questionnaires; D014376:Tuberculosis / Q000209:etiology / Q000523:psychology*
keywords: Connaissances médicales; Medical knowledge; Physician–patient relationship; Relation médecin–malade; Tabagisme; Tobacco smoking; Tuberculose; Tuberculosis