Predictors of tobacco smoking abstinence among tuberculosis patients in South Africa

Goedele M.C. Louwagie*, Olalekan A. Ayo-Yusuf

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)


This study examines predictors of smoking cessation in tuberculosis patients with high HIV co-infection rates in a South African primary care setting. Current smokers were randomly allocated to brief motivational interviewing (n = 205) or receipt of a brief message (n = 204). Multi-level logistic regression was performed to identify predictors of sustained 3- and 6-month abstinence and 7-day point prevalence abstinence (PPA) at 1 month, with the facility as a random effect. The intervention was ineffective among smokers with high nicotine-dependence at 1 month, but was effective for all smokers over longer periods. Higher baseline self-efficacy predicted the 1-month 7-day PPA, but not sustained abstinence. HIV-positive participants’ odds of sustained abstinence were about three times higher than those of their HIV-negative counterparts. Results support a more intensive motivational intervention and/or coping skills’ training to increase self-efficacy and abstinence rates. Tobacco cessation services can be introduced in tuberculosis services where high HIV co-infection rates occur.

Original languageEnglish
Pages (from-to)472-482
Number of pages11
JournalJournal of Behavioral Medicine
Issue number3
Publication statusPublished - 1 Jun 2015


  • HIV
  • Quitting
  • Smoking abstinence
  • Smoking cessation
  • Tuberculosis


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