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 journalArticlepeer-review

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)
Pages (from-to)615-622
Number of pages8
JournalAIDS and Behavior
Volume25
Issue number2
DOIs
StatePublished - Feb 2021

Keywords

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

ASJC Scopus subject areas

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

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