Por favor, use este identificador para citar o enlazar este Item:http://hdl.handle.net/20.500.12105/20286
Título
Factors associated with smoking among tuberculosis patients in Spain
Autor(es)
Fecha de publicación
2016-09-14
Cita
Jimenez-Fuentes MA, Rodrigo T, Neus Altet M, Jimenez-Ruiz CA, Casals M, Penas A, et al. Factors associated with smoking among tuberculosis patients in Spain. BMC Infect Dis. 2016 Sep 14;16:486.
Idioma
Inglés
Tipo de documento
research article
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.
Palabras clave
MESH
Aged, 80 and over | Aged | Young Adult | Spain | Adult | Homeless Persons | Alcoholism | Humans | Smoking | Adolescent | Middle Aged | Cross-Sectional Studies | Male | Drug Users | Emigrants and Immigrants | Female | Coinfection | Odds Ratio | Tuberculosis, Pulmonary | Logistic Models
DECS
Tuberculosis Pulmonar | Coinfección | Modelos Logísticos | Oportunidad Relativa | Femenino | Adolescente | Masculino | Fumar | Estudios Transversales | Personas sin Hogar | Humanos | Persona de Mediana Edad | Adulto Joven | Anciano | Anciano de 80 o más Años | Consumidores de Drogas | Alcoholismo | Adulto | Emigrantes e Inmigrantes | España
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