Smoking Behaviors in a Community-Based Cohort of HIV-Infected Indigent Adults

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• 作者：Maya Vijayaraghavan (1)
  Joanne Penko (2)
  Eric Vittinghoff (2) (3)
  David R. Bangsberg (4)
  Christine Miaskowski (5)
  Margot B. Kushel (2) (6)
  
• 关键词：Hardcore smokers ; HIV ; infected persons ; Nicotine dependence ; Smoking cessation
• 刊名：AIDS and Behavior
• 出版年：2014
• 出版时间：March 2014
• 年：2014
• 卷：18
• 期：3
• 页码：535-543
• 全文大小：203 KB
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• 作者单位：Maya Vijayaraghavan (1)
  Joanne Penko (2)
  Eric Vittinghoff (2) (3)
  David R. Bangsberg (4)
  Christine Miaskowski (5)
  Margot B. Kushel (2) (6)
  
  1. Moores UCSD Cancer Center, University of California, San Diego, 3855 Health Science Drive, MC 0901, La Jolla, CA, 92093-0901, USA
  2. University of California, San Francisco, San Francisco, CA, USA
  3. UCSF Department of Epidemiology and Biostatistics, San Francisco, CA, USA
  4. Massachusetts General Hospital Center for Global Health, Ragon Institute of MGH, MIT and Harvard, Harvard Medical School, and Harvard School of Public Health, Boston, MA, USA
  5. Department of Physiological Nursing, UCSF, San Francisco, CA, USA
  6. Division of General Internal Medicine, San Francisco General Hospital, San Francisco, CA, USA
  
• ISSN：1573-3254

文摘

We conducted a longitudinal study of a community-based cohort of HIV-infected indigent adults to examine smoking behaviors and factors associated with quitting. We assessed “hardcore-smoking behaviors associated with a low probability of quitting. Of the 296 participants, 218 were current smokers (73.6?%). The prevalence of “hardcore-smoking was high: 59.6?% smoked ?5 cigarettes per day, and 67.3?% were daily smokers. During the study interval, 20.6?% made at least one quit attempt. Of these, 53.3?% were abstinent at 6?months. The successful quit rate over 2?years was 4.6?%. Illegal substance use (adjusted odds ratio, AOR 0.2, 95?% CI 0.1-.6) and smoking within 30?min of waking (AOR 0.2, 95?% CI 0.1-.7) were associated with lower likelihood of making a quit attempt. Interventions that reduce nicotine dependence prior to smoking cessation and those that are integrated with substance use treatment may be effective for this population.