title: A smoking cessation intervention among tuberculosis patients in rural China.
abstract: OBJECTIVE
  To assess the integration of a smoking cessation intervention into routine tuberculosis (TB) services.
  
  
  METHODS
  Consecutive TB patients registered from 1 March to 31 August 2010 were enrolled in an intervention for self-reported smoking to promote tobacco cessation during treatment for TB. Information on the harmful health effects of tobacco smoke and smoking and TB were provided to TB patients who self-reported as current smokers. Smoking status was reassessed at every follow-up visit during anti-tuberculosis treatment with reinforced health messages and advice to quit.
  
  
  RESULTS
  Of 800 TB patients enrolled, 572 (71.5%) were male and 244 (30.5%) were current smokers. Females were more likely to be non-smokers (100% vs. 35.8%, P < 0.001). Of the 244 current smokers, 144 (59.0%) started smoking at <20 years, 197 (80.7%) consumed ⩾20 cigarettes per day, 211 (86.5%) had perceived smoking dependence and 199 (81.6%) had made no attempt to quit before the diagnosis of TB. Of the 244 current smokers, 234 (95.9%) were willing to quit, and 156 (66.7%) reported abstinence at month 6. Challenges to implementing smoking cessation intervention were identified.
  
  
  CONCLUSIONS
  The majority of current smokers among TB patients were willing to quit and remained abstinent at the end of anti-tuberculosis treatment. This intervention should be scaled up nationwide.
authors.affiliation: International Union Against Tuberculosis and Lung Disease (The Union), Beijing, China.
authors.forename: Y
authors.initials: Y
authors.lastname: Lin
authors.affiliation: China Center of Tuberculosis Control and Prevention, Beijing, China.
authors.forename: L-X
authors.initials: LX
authors.lastname: Wang
authors.affiliation: Jiangxi Provincial Institute of Tuberculosis Control and Prevention, Nanchang, China.
authors.forename: L-X
authors.initials: LX
authors.lastname: Qiu
authors.affiliation: Jiangxi Provincial Institute of Tuberculosis Control and Prevention, Nanchang, China.
authors.forename: Q
authors.initials: Q
authors.lastname: Huang
authors.affiliation: Jiangxi Provincial Institute of Tuberculosis Control and Prevention, Nanchang, China.
authors.forename: Q
authors.initials: Q
authors.lastname: Shu
authors.affiliation: Tobacco Control Office, China Center for Disease Control and Prevention, Beijing, China.
authors.forename: H-X
authors.initials: HX
authors.lastname: Lin
authors.affiliation: Ganzhou Prefecture Centers for Disease Control and Prevention, Ganzhou, Jiangxi Province, China.
authors.forename: X
authors.initials: X
authors.lastname: Meng
authors.affiliation: Ningdu County Tuberculosis Dispensary, Ningdu, Jiangxi Province, China.
authors.forename: X-L
authors.initials: XL
authors.lastname: Zeng
authors.affiliation: Xingguo County Tuberculosis Dispensary, Xingguo, Jiangxi Province, China.
authors.forename: L-X
authors.initials: LX
authors.lastname: Xiao
authors.affiliation: The Union, Singapore.
authors.forename: T S
authors.initials: TS
authors.lastname: Bam
authors.affiliation: The Union, Paris, France ; Division of Pulmonary Medicine, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
authors.forename: C-Y
authors.initials: CY
authors.lastname: Chiang
keywords: China; cessation; smoking; tuberculosis