TY - JOUR
T1 - Heart Health and Behavior Change in HIV-Infected Individuals
AU - Abbamonte, John M.
AU - Cristofari, Nicholas V.
AU - Weiss, Stephen M.
AU - Kumar, Mahendra
AU - Jayaweera, Dushyantha T.
AU - Jones, Deborah L.
N1 - Funding Information:
This work was supported by NIH/NIDA under Grant R01DA034589, with additional support from the University of Miami Miller School of Medicine Center for AIDS Research, funded by NIH/NIAID under Grant P30AI073961.
Funding Information:
This work was supported by NIH/NIDA under Grant R01DA034589, with additional support from the University of Miami Miller School of Medicine Center for AIDS Research, funded by NIH/NIAID under Grant P30AI073961.
Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/2
Y1 - 2021/2
N2 - Management of cardiovascular disease risk requires many lifestyle changes involving diet, smoking, and exercise. Individuals with arterial plaque are encouraged to adopt these changes to promote longevity through a variety of interventions. This study examined behavioral changes in response to the standard of care after detection of arterial plaque, specifically among HIV-infected cocaine users. 127 individuals (HIV − COC − n = 43, HIV + COC − n = 19, HIV + COC + n = 35, HIV − COC + n = 30) were followed after a standard of care intervention and assessed 1 and 2 years later on a variety of lifestyle (diet, exercise, smoking) and physiological (blood pressure, body mass index, number of arterial plaques) outcomes. Arterial plaque was found to increase over time (b = 0.003, SE = 0.002, p =.031), and a composite measure of cardiovascular disease risk did not change (b = − 0.004, SE = 0.01, p =.548). Following provision of a standard of care cardiovascular risk reduction intervention, important health behaviors related to CVD risk were resistant to change among both those HIV-infected and uninfected and among cocaine users and non-users.
AB - Management of cardiovascular disease risk requires many lifestyle changes involving diet, smoking, and exercise. Individuals with arterial plaque are encouraged to adopt these changes to promote longevity through a variety of interventions. This study examined behavioral changes in response to the standard of care after detection of arterial plaque, specifically among HIV-infected cocaine users. 127 individuals (HIV − COC − n = 43, HIV + COC − n = 19, HIV + COC + n = 35, HIV − COC + n = 30) were followed after a standard of care intervention and assessed 1 and 2 years later on a variety of lifestyle (diet, exercise, smoking) and physiological (blood pressure, body mass index, number of arterial plaques) outcomes. Arterial plaque was found to increase over time (b = 0.003, SE = 0.002, p =.031), and a composite measure of cardiovascular disease risk did not change (b = − 0.004, SE = 0.01, p =.548). Following provision of a standard of care cardiovascular risk reduction intervention, important health behaviors related to CVD risk were resistant to change among both those HIV-infected and uninfected and among cocaine users and non-users.
KW - Cocaine
KW - HIV
KW - Health behaviors
KW - Heart disease
KW - Smoking
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U2 - 10.1007/s10461-020-03022-w
DO - 10.1007/s10461-020-03022-w
M3 - Article
C2 - 32892296
AN - SCOPUS:85090309964
VL - 25
SP - 615
EP - 622
JO - AIDS and Behavior
JF - AIDS and Behavior
SN - 1090-7165
IS - 2
ER -
