Factors associated with smoking among tuberculosis patients in Spain
Jiménez-Fuentes, María Ángeles (Hospital Universitari Vall d'Hebron)
Rodrigo, Teresa (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Altet Gómez, María Neus (Serveis Clínics (Barcelona))
Jiménez-Ruiz, Carlos A. (Unidad Especializada de Tabaquismo de la Comunidad de Madrid, Madrid, Spain)
Casals, Martí (agencia de salut publica)
Penas, Antón (Hospital Universitario Lucus Augusti (Lugo))
Mir, Isabel (Hospital Universitari Son Llàtzer (Palma de Mallorca, Balears))
Solano Reina, Segismundo (Hospital General Universitario Gregorio Marañón)
Riesco-Miranda, Juan Antonio (Centro de Investigación Biomédica en Red de Enfermedades Respiratorias)
Caylà, Joan A.. (Universitat Autònoma de Barcelona. Departament de Pediatria, Obstetrícia i Ginecologia i Medicina Preventiva i Salut Pública)

Data:	2016
Resum:	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. 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). 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). The prevalence of smoking among TB patients is high. Smokers with TB have a distinct sociodemographic, clinical, radiological and microbiological profile to non-smokers.
Nota:	Altres ajuts: This work was made possible by a grant from the Spanish Society of Pneumology and Thoracic Surgery, SEPAR 2011.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Tuberculosis ; Smoking ; Predictors ; Prevention
Publicat a:	BMC Infectious diseases, Vol. 16 (september 2016) , ISSN 1471-2334

DOI: 10.1186/s12879-016-1819-1
PMID: 27629062

9 p, 502.6 KB

El registre apareix a les col·leccions:
Articles > Articles de recerca
Articles > Articles publicats