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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 178-185 |
| Number of pages | 8 |
| Journal | AIDS and Behavior |
| Volume | 19 |
| Issue number | 1 |
| DOIs | |
| State | Published - 2014 |
| Externally published | Yes |
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Keywords
- Adherence
- Engagement in care
- HIV/AIDS
- Smoking
- Substance use
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
- Infectious Diseases
- Social Psychology
Cite this
The Unique Challenges Facing HIV-Positive Patients Who Smoke Cigarettes : HIV Viremia, Art Adherence, Engagement in HIV care, and Concurrent Substance Use. / O’Cleirigh, Conall; Valentine, Sarah E.; Pinkston, Megan; Herman, Debra; Bedoya, C. Andres; Gordon, Janna R.; Safren, Steven.
In: AIDS and Behavior, Vol. 19, No. 1, 2014, p. 178-185.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The Unique Challenges Facing HIV-Positive Patients Who Smoke Cigarettes
T2 - HIV Viremia, Art Adherence, Engagement in HIV care, and Concurrent Substance Use
AU - O’Cleirigh, Conall
AU - Valentine, Sarah E.
AU - Pinkston, Megan
AU - Herman, Debra
AU - Bedoya, C. Andres
AU - Gordon, Janna R.
AU - Safren, Steven
PY - 2014
Y1 - 2014
N2 - 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.
AB - 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.
KW - Adherence
KW - Engagement in care
KW - HIV/AIDS
KW - Smoking
KW - Substance use
UR - http://www.scopus.com/inward/record.url?scp=84928882078&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84928882078&partnerID=8YFLogxK
U2 - 10.1007/s10461-014-0762-7
DO - 10.1007/s10461-014-0762-7
M3 - Article
C2 - 24770984
AN - SCOPUS:84928882078
VL - 19
SP - 178
EP - 185
JO - AIDS and Behavior
JF - AIDS and Behavior
SN - 1090-7165
IS - 1
ER -