title: High quit rate among smokers with tuberculosis in a modified smoking cessation programme in Dhaka, Bangladesh.
abstract: METHODS
  BRAC, a non-governmental organisation, implemented a modified smoking cessation programme for tuberculosis (TB) patients based on International Union Against Tuberculosis and Lung Disease (The Union) guidelines in 17 peri-urban centres of Dhaka, Bangladesh.
  
  
  OBJECTIVE
  To determine whether a modified version of The Union's smoking cessation intervention was effective in promoting cessation among TB patients and determinants associated with quitting smoking.
  
  
  METHODS
  Cohort study of routinely collected data.
  
  
  RESULTS
  A total of 3134 TB patients were registered from May 2011 to April 2012. Of these, 615 (20%) were current smokers, with a mean age of 38 years (±13.8). On treatment completion, 562 patients were analysed, with 53 (9%) lost to follow-up or dead, while 82% of smokers had quit. Patients with extra-pulmonary TB were less likely to quit than those with pulmonary TB. Patients with high-intensity dependence were less likely to quit than those with low-intensity dependence.
  
  
  CONCLUSIONS
  This study suggests that a simplified smoking cessation intervention can be effective in promoting smoking cessation among TB patients in Bangladesh. This is encouraging for other low-resource settings; the Bangladesh National Tuberculosis Control Programme should consider nationwide scaling up and integration of this smoking cessation plan.
authors.affiliation: Health, Nutrition and Population Programme, BRAC, Dhaka, Bangladesh.
authors.forename: B N
authors.initials: BN
authors.lastname: Siddiquea
authors.affiliation: Health, Nutrition and Population Programme, BRAC, Dhaka, Bangladesh.
authors.forename: M A
authors.initials: MA
authors.lastname: Islam
authors.affiliation: International Union Against Tuberculosis and Lung Disease (The Union), Jakarta, Indonesia.
authors.forename: T S
authors.initials: TS
authors.lastname: Bam
authors.affiliation: The Union South-East Asia Regional Office, New Delhi, India.
authors.forename: S
authors.initials: S
authors.lastname: Satyanarayana
authors.affiliation: The Union, Paris, France.
authors.forename: D A
authors.initials: DA
authors.lastname: Enarson
authors.affiliation: Operational Research Unit, Médecins Sans Frontières, Operational Centre Brussels, Luxembourg.
authors.forename: A J
authors.initials: AJ
authors.lastname: Reid
authors.affiliation: National Tuberculosis Control Programme, Ministry of Health, Dhaka.
authors.forename: Md A
authors.initials: MA
authors.lastname: Husain
authors.affiliation: BRAC Research and Evaluation Division, Dhaka, Bangladesh.
authors.forename: S M
authors.initials: SM
authors.lastname: Ahmed
authors.affiliation: Health, Nutrition and Population Programme, BRAC, Dhaka, Bangladesh.
authors.forename: S
authors.initials: S
authors.lastname: Ferdous
authors.affiliation: Research Institute of Tuberculosis, Tokyo, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Ishikawa
keywords: Bangladesh; smoking cessation; tuberculosis