Abstract
Background: Tuberculosis is among the major causes of illness and death
worldwide especially in Asia. Smoking is associated with recurrent tuberculosis and
its related mortality. Also, it could affect clinical manifestations, bacteriological
conversion and outcome of treatment. This study aimed to evaluate the pattern of
tobacco smoking, history of previous quit attempts and attitude towards quitting in
tuberculosis patients. Materials and Methods: It was a cross-sectional study done
amongst tuberculosis patients presented to DOTS corner of Rajshahi Medical
College Hospital. 315 patients entered the study as "First Come First Serve". Selfreported
questionnaires were designed according to the standard questionnaires of
smoking pattern. Results: Sixty one percent (61%) patients (n=192) were smoker
before the diagnosis of tuberculosis. 51.1% were current smokers at the time of
interview and were continuing smoking after the diagnosis of tuberculosis. Only
10.2% discontinued smoking after diagnosis. 68.2% smokes less than 10 cigarettes
per day. 53.1% was between 31-50 age group. 21-30 is the commonest age group
(62%) to start smoking is and 66.1% smoked less than 10 years before diagnosis. To
reduce stress was the most common cause to continue smoking (48.9%). 71.9%
smokers showed keen interest to stop smoking. Conclusion: Considering the
prevalence of smoking in tuberculosis patients, evaluation of tobacco smoking status
in such patients and motivating them to quit smoking could be considered as
important steps in their treatment process.