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Predictors of smoking cessation among people living with HIV receiving routine clinical care.

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Title: Predictors of smoking cessation among people living with HIV receiving routine clinical care.
Authors: Zyambo, Cosmas M., Burkholder, Greer A., Cropsey, Karen L., Willig, James H., Wilson, Craig M., Gakumo, C. Ann, Westfall, Andrew O., Hendricks, Peter S.
Source: AIDS Care. Nov2019, Vol. 31 Issue 11, p1353-1361. 9p. 2 Charts, 1 Graph.
Subjects: Smoking & psychology, Age distribution, Confidence intervals, HIV infections, Psychology of HIV-positive persons, Longitudinal method, Medicaid, RNA, Smoking cessation, Substance abuse, Retrospective studies, Treatment duration, Alcohol-induced disorders, Descriptive statistics, Disease risk factors
Abstract: People living with HIV (PLWH) have a higher prevalence of smoking and are less likely to quit smoking than the general population. Few studies involving a large sample of PLWH receiving routine care have evaluated factors associated with smoking cessation. This retrospective longitudinal cohort study evaluated factors associated with smoking cessation among PLWH from 2007 to 2018. Of 1,714 PLWH smokers included in the study, 27.6% reported quitting smoking. Suppressed plasma HIV-1 RNA (<200 copies/ml) was significantly associated with an increased likelihood of smoking cessation (HRadjusted = 1.27, 95% CI [1.03, 1.58]); whereas age/10 year increments (HRadjusted = 0.12, 95% CI [0.04, 0.38]), greater length of care at the HIV clinic (HRadjusted = 0.97, 95% CI [0.94, 0.99]), lack of insurance (HRadjusted = 0.77, 95% CI [0.61, 0.99]) or having public insurance (HRadjusted = 0.74, 95% CI [0.55, 0.97)]), current substance use (HRadjusted = 0.66, 95% CI [0.43, 0.97]) and risk of developing alcohol use disorder (HRadjusted = 0.60, 95% CI [0.43, 0.84]) were associated with a reduced likelihood of quitting smoking. These findings underscore the importance of early smoking cessation intervention among PLWH. In addition, targeted smoking cessation intervention strategies are needed for groups at risk for being less likely to quit, including older patients, and those with alcohol and substance use disorders. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Predictors of smoking cessation among people living with HIV receiving routine clinical care.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Zyambo%2C+Cosmas+M%2E%22&quot;&gt;Zyambo, Cosmas M.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Burkholder%2C+Greer+A%2E%22&quot;&gt;Burkholder, Greer A.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Cropsey%2C+Karen+L%2E%22&quot;&gt;Cropsey, Karen L.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Willig%2C+James+H%2E%22&quot;&gt;Willig, James H.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Wilson%2C+Craig+M%2E%22&quot;&gt;Wilson, Craig M.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Gakumo%2C+C%2E+Ann%22&quot;&gt;Gakumo, C. Ann&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Westfall%2C+Andrew+O%2E%22&quot;&gt;Westfall, Andrew O.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Hendricks%2C+Peter+S%2E%22&quot;&gt;Hendricks, Peter S.&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22AIDS+Care%22&quot;&gt;AIDS Care&lt;/searchLink&gt;. Nov2019, Vol. 31 Issue 11, p1353-1361. 9p. 2 Charts, 1 Graph.
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  Data: People living with HIV (PLWH) have a higher prevalence of smoking and are less likely to quit smoking than the general population. Few studies involving a large sample of PLWH receiving routine care have evaluated factors associated with smoking cessation. This retrospective longitudinal cohort study evaluated factors associated with smoking cessation among PLWH from 2007 to 2018. Of 1,714 PLWH smokers included in the study, 27.6% reported quitting smoking. Suppressed plasma HIV-1 RNA (&lt;200 copies/ml) was significantly associated with an increased likelihood of smoking cessation (HRadjusted = 1.27, 95% CI [1.03, 1.58]); whereas age/10 year increments (HRadjusted = 0.12, 95% CI [0.04, 0.38]), greater length of care at the HIV clinic (HRadjusted = 0.97, 95% CI [0.94, 0.99]), lack of insurance (HRadjusted = 0.77, 95% CI [0.61, 0.99]) or having public insurance (HRadjusted = 0.74, 95% CI [0.55, 0.97)]), current substance use (HRadjusted = 0.66, 95% CI [0.43, 0.97]) and risk of developing alcohol use disorder (HRadjusted = 0.60, 95% CI [0.43, 0.84]) were associated with a reduced likelihood of quitting smoking. These findings underscore the importance of early smoking cessation intervention among PLWH. In addition, targeted smoking cessation intervention strategies are needed for groups at risk for being less likely to quit, including older patients, and those with alcohol and substance use disorders. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of AIDS Care is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2019.1619659
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 1353
    Subjects:
      – SubjectFull: Smoking & psychology
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Psychology of HIV-positive persons
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Medicaid
        Type: general
      – SubjectFull: RNA
        Type: general
      – SubjectFull: Smoking cessation
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Treatment duration
        Type: general
      – SubjectFull: Alcohol-induced disorders
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Disease risk factors
        Type: general
    Titles:
      – TitleFull: Predictors of smoking cessation among people living with HIV receiving routine clinical care.
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            NameFull: Cropsey, Karen L.
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            NameFull: Willig, James H.
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            NameFull: Wilson, Craig M.
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            NameFull: Westfall, Andrew O.
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            – D: 01
              M: 11
              Text: Nov2019
              Type: published
              Y: 2019
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