Heart Health and Behavior Change in HIV-Infected Individuals

John M. Abbamonte, Nicholas V. Cristofari, Stephen M. Weiss, Mahendra Kumar, Dushyantha T Jayaweera, Deborah L. Jones

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
JournalAIDS and Behavior
DOIs
StateAccepted/In press - 2020

Keywords

  • Cocaine
  • Health behaviors
  • Heart disease
  • HIV
  • Smoking

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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