Title |
The Unique Challenges Facing HIV-Positive Patients Who Smoke Cigarettes: HIV Viremia, Art Adherence, Engagement in HIV care, and Concurrent Substance Use
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Published in |
AIDS and Behavior, April 2014
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DOI | 10.1007/s10461-014-0762-7 |
Pubmed ID | |
Authors |
Conall O’Cleirigh, Sarah E. Valentine, Megan Pinkston, Debra Herman, C. Andres Bedoya, Janna R. Gordon, Steven A. Safren |
Abstract |
Evidence suggests that smoking may have negative associations with HIV health outcomes. The smoking rate in our sample of people living with HIV (N = 333) was triple that of the general population (57 v. 19 %). Regression analyses revealed that (smokers v. non-smokers) reported lower medication adherence (unstandardized beta = 9.01) and were more likely to have a detectable viral load (OR = 2.85, 95 % CI [1.53-5.30]). Smokers attended fewer routine medical visits (β = -0.16) and were more likely to report recent hospitalization (OR = 1.89, 95 % CI [0.99, 3.57]). Smokers ranked "health" as less important to their quality of life (β = -0.13) and were more likely to report problematic alcohol (OR = 2.40, 95 % CI [1.35, 4.30]), cocaine (OR = 2.87, 95 % CI [1.48-5.58]), heroin (OR = 4.75, 95 % CI [1.01, 22.30]), or marijuana use (OR = 3.08, 95 % CI [1.76-5.38]). Findings underscore the need for integrated behavioral smoking cessation interventions and routine tobacco screenings in HIV primary care. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 109 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 19 | 17% |
Student > Ph. D. Student | 17 | 16% |
Researcher | 12 | 11% |
Student > Doctoral Student | 12 | 11% |
Student > Bachelor | 10 | 9% |
Other | 18 | 17% |
Unknown | 21 | 19% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 21 | 19% |
Psychology | 15 | 14% |
Nursing and Health Professions | 13 | 12% |
Social Sciences | 11 | 10% |
Agricultural and Biological Sciences | 5 | 5% |
Other | 19 | 17% |
Unknown | 25 | 23% |