Factors associated with smoking among tuberculosis patients in Spain
Por:
Jimenez-Fuentes, MA, Rodrigo, T, Altet, MN, Jimenez-Ruiz, CA, Casals, M, Penas, A, Mir, I, Reina, SS, Riesco-Miranda, JA, Cayla, JA
Publicada:
14 sep 2016
Resumen:
Background: 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.
Methods: 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).
Results: 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).
Conclusions: The prevalence of smoking among TB patients is high. Smokers with TB have a distinct sociodemographic, clinical, radiological and microbiological profile to non-smokers.
Filiaciones:
Jimenez-Fuentes, MA:
Hosp Univ Valle Hebron, Programa Especial Enfermedades Infecciosas, Unidad TB Valle Hebron Drassanes, Av Drassanes 17-21, Barcelona 08001, Spain
Soc Espanola Neumol & Cirugia Torac SEPAR, Programa Integrado Invest TB PII TB, Barcelona, Spain
Unidad Invest TB Barcelona, Barcelona, Spain
Rodrigo, T:
Soc Espanola Neumol & Cirugia Torac SEPAR, Programa Integrado Invest TB PII TB, Barcelona, Spain
Unidad Invest TB Barcelona, Barcelona, Spain
Fdn Respira, SEPAR, Barcelona, Spain
Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Madrid, Spain
Altet, MN:
Soc Espanola Neumol & Cirugia Torac SEPAR, Programa Integrado Invest TB PII TB, Barcelona, Spain
Unidad Invest TB Barcelona, Barcelona, Spain
Serv Clin SA, Barcelona, Spain
Jimenez-Ruiz, CA:
Comunidad Madrid, Unidad Especializada Tabaquismo, Madrid, Spain
Casals, M:
Soc Espanola Neumol & Cirugia Torac SEPAR, Programa Integrado Invest TB PII TB, Barcelona, Spain
Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Madrid, Spain
Agencia Salud Publ Barcelona, Serv Epidemiol, Barcelona, Spain
Penas, A:
Soc Espanola Neumol & Cirugia Torac SEPAR, Programa Integrado Invest TB PII TB, Barcelona, Spain
Hosp Lucus Augusti, Lugo, Spain
Mir, I:
Soc Espanola Neumol & Cirugia Torac SEPAR, Programa Integrado Invest TB PII TB, Barcelona, Spain
Hosp Son Llatzer, Palma De Mallorca, Spain
Reina, SS:
Hosp Gregorio Maranon, Madrid, Spain
Riesco-Miranda, JA:
Complejo Hosp Caceres, Caceres, Spain
Ctr Invest Biomed Red Enfermedades Resp CIBERES, Madrid, Spain
Cayla, JA:
Soc Espanola Neumol & Cirugia Torac SEPAR, Programa Integrado Invest TB PII TB, Barcelona, Spain
Unidad Invest TB Barcelona, Barcelona, Spain
Fdn Respira, SEPAR, Barcelona, Spain
Agencia Salud Publ Barcelona, Serv Epidemiol, Barcelona, Spain
Univ Autonoma Barcelona, Dept Salud Publ, Barcelona, Spain
Gold, Green Published
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