Barriers to Smoking Cessation Among Drug-Resistant Tuberculosis Patients in South Africa

Background: Drug-resistant <a title="Learn more about Tuberculosis" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/tuberculosis">tuberculosis</a> (DR-TB) remains a significant cause of <a title="Learn more about Morbidity" href="ht...

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Autores principales:	Zifikile Phindile Shangase, Joyce Mahlako Tsoka-Gwegweni, Catherine O. Egbe
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2017
Materias:	drug-resistant tuberculosis smoking cessation barriers South Africa Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/fd0c170da73b4cfdb48b2a2f00744c5e
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spelling	oai:doaj.org-article:fd0c170da73b4cfdb48b2a2f00744c5e2021-12-02T05:17:15ZBarriers to Smoking Cessation Among Drug-Resistant Tuberculosis Patients in South Africa2214-999610.1016/j.aogh.2017.05.007https://doaj.org/article/fd0c170da73b4cfdb48b2a2f00744c5e2017-06-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/162https://doaj.org/toc/2214-9996Background: Drug-resistant <a title="Learn more about Tuberculosis" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/tuberculosis">tuberculosis</a> (DR-TB) remains a significant cause of <a title="Learn more about Morbidity" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/morbidity">morbidity</a> and mortality. The long-term health effects of smoking and the risk of adverse TB outcomes, including increased periods of infectiousness, have been reported among DR-TB patients in South Africa. Objectives: This study aimed to identify the barriers to smoking cessation among DR-TB inpatients at a hospital in Durban, South Africa. Methods: A <a title="Learn more about Qualitative Design" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/qualitative-design">qualitative design</a> using in-depth interviews with a purposive sample of 20 DR-TB inpatients was employed. The sample included 15 men and 5 women aged 18-70 years who self-identified as smokers. Open-ended questions were used to explore barriers militating against smoking cessation among this sample. Data were analyzed with the aid of the software QSR NVivo10. Findings: Personal and structural-level barriers (factors) to smoking cessation were identified. Personal factors included addiction and non–addiction-related barriers. Addiction-related barriers included smoking history, cravings for a <a title="Learn more about Cigarette Smoking" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/cigarette-smoking">cigarette, smoking</a> as part of a daily routine, and failed quit attempts. Non–addiction-related barriers included lack of knowledge about quit strategies, <a title="Learn more about Psychosocial Stress" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/psychosocial-stress">psychosocial stress</a>, lack of the willpower to quit smoking, and the influence of peers. Structural barriers included ineffective health education programs, lack of extramural activities when on admission in hospital leading to a lot of spare time, lack of smoking cessation interventions, and access to cigarettes within and around the hospital environment. Patients expressed interest in smoking cessation and conveyed their frustration at the lack of appropriate support to do so. Conclusions</h3>The findings reiterate the need for smoking cessation intervention to be incorporated as an integral component of DR-TB management in South Africa. Many patients expressed an interest in pharmacological aids and psychological support to help them to quit smoking. Additionally, offering extramural activities and enforcing smoke-free policies in hospital facilities will help to reduce patients' access to cigarettes while at the hospital.Zifikile Phindile ShangaseJoyce Mahlako Tsoka-GwegweniCatherine O. EgbeUbiquity Pressarticledrug-resistant tuberculosissmoking cessationbarriersSouth AfricaInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 83, Iss 3-4, Pp 501-508 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	drug-resistant tuberculosis smoking cessation barriers South Africa Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	drug-resistant tuberculosis smoking cessation barriers South Africa Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Zifikile Phindile Shangase Joyce Mahlako Tsoka-Gwegweni Catherine O. Egbe Barriers to Smoking Cessation Among Drug-Resistant Tuberculosis Patients in South Africa
description	Background: Drug-resistant <a title="Learn more about Tuberculosis" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/tuberculosis">tuberculosis</a> (DR-TB) remains a significant cause of <a title="Learn more about Morbidity" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/morbidity">morbidity</a> and mortality. The long-term health effects of smoking and the risk of adverse TB outcomes, including increased periods of infectiousness, have been reported among DR-TB patients in South Africa. Objectives: This study aimed to identify the barriers to smoking cessation among DR-TB inpatients at a hospital in Durban, South Africa. Methods: A <a title="Learn more about Qualitative Design" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/qualitative-design">qualitative design</a> using in-depth interviews with a purposive sample of 20 DR-TB inpatients was employed. The sample included 15 men and 5 women aged 18-70 years who self-identified as smokers. Open-ended questions were used to explore barriers militating against smoking cessation among this sample. Data were analyzed with the aid of the software QSR NVivo10. Findings: Personal and structural-level barriers (factors) to smoking cessation were identified. Personal factors included addiction and non–addiction-related barriers. Addiction-related barriers included smoking history, cravings for a <a title="Learn more about Cigarette Smoking" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/cigarette-smoking">cigarette, smoking</a> as part of a daily routine, and failed quit attempts. Non–addiction-related barriers included lack of knowledge about quit strategies, <a title="Learn more about Psychosocial Stress" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/psychosocial-stress">psychosocial stress</a>, lack of the willpower to quit smoking, and the influence of peers. Structural barriers included ineffective health education programs, lack of extramural activities when on admission in hospital leading to a lot of spare time, lack of smoking cessation interventions, and access to cigarettes within and around the hospital environment. Patients expressed interest in smoking cessation and conveyed their frustration at the lack of appropriate support to do so. Conclusions</h3>The findings reiterate the need for smoking cessation intervention to be incorporated as an integral component of DR-TB management in South Africa. Many patients expressed an interest in pharmacological aids and psychological support to help them to quit smoking. Additionally, offering extramural activities and enforcing smoke-free policies in hospital facilities will help to reduce patients' access to cigarettes while at the hospital.
format	article
author	Zifikile Phindile Shangase Joyce Mahlako Tsoka-Gwegweni Catherine O. Egbe
author_facet	Zifikile Phindile Shangase Joyce Mahlako Tsoka-Gwegweni Catherine O. Egbe
author_sort	Zifikile Phindile Shangase
title	Barriers to Smoking Cessation Among Drug-Resistant Tuberculosis Patients in South Africa
title_short	Barriers to Smoking Cessation Among Drug-Resistant Tuberculosis Patients in South Africa
title_full	Barriers to Smoking Cessation Among Drug-Resistant Tuberculosis Patients in South Africa
title_fullStr	Barriers to Smoking Cessation Among Drug-Resistant Tuberculosis Patients in South Africa
title_full_unstemmed	Barriers to Smoking Cessation Among Drug-Resistant Tuberculosis Patients in South Africa
title_sort	barriers to smoking cessation among drug-resistant tuberculosis patients in south africa
publisher	Ubiquity Press
publishDate	2017
url	https://doaj.org/article/fd0c170da73b4cfdb48b2a2f00744c5e
work_keys_str_mv	AT zifikilephindileshangase barrierstosmokingcessationamongdrugresistanttuberculosispatientsinsouthafrica AT joycemahlakotsokagwegweni barrierstosmokingcessationamongdrugresistanttuberculosispatientsinsouthafrica AT catherineoegbe barrierstosmokingcessationamongdrugresistanttuberculosispatientsinsouthafrica
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Barriers to Smoking Cessation Among Drug-Resistant Tuberculosis Patients in South Africa

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