Racial disparities and factors associated with prescription for smoking cessation medications among smokers receiving routine clinical care for HIV.

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Title: Racial disparities and factors associated with prescription for smoking cessation medications among smokers receiving routine clinical care for HIV.
Authors: Zyambo, Cosmas M., Hendricks, Peter S., Cropsey, Karen L., Willig, James H., Wilson, Craig M., Gakumo, C. Ann., Ashutosh, Tamhane, Westfall, Andrew O., Burkholder, Greer A.
Source: AIDS Care. Oct2020, Vol. 32 Issue 10, p1207-1216. 10p. 2 Charts, 1 Graph.
Subjects: Anxiety, Black people, Confidence intervals, Mental depression, Drugs, Health services accessibility, Health status indicators, HIV-positive persons, Evaluation of medical care, Racism, Smoking cessation, White people, Smoking cessation products, Odds ratio
Geographic Terms: United States
Abstract: Factors associated with prescription of smoking cessation medication (SCM), including the impact of race, have not been well described among a large population of people living with HIV (PLWH) engaged in routine clinical care. Our study investigated whether there are racial differences between African-American and White PLWH regarding SCM prescription and sought to identify other factors associated with these prescriptions at a large HIV clinic in the Southeastern United States. Among 1899 smokers, 38.8% of those prescribed SCMs were African-American and 61.2% were White. Factors associated with lower odds of SCM prescription included African-American race (AOR, 0.63 [95% CI: 0.47, 0.84]) or transferring care from another HIV provider during the study period (AOR, 0.63 [95% CI: 0.43, 0.91]). Whereas major depression (AOR, 1.54 [95% CI: 1.10, 2.15]), anxiety symptoms (AOR, 1.43 [95% CI: 1.05, 1.94]), and heavy smoking (>20 cigarettes/day) (OR, 3.50 [95% CI: 2.11, 5.98]) were associated with increased likelihood of SCM prescription. There were racial disparities in the prescription of SCM in African Americans with HIV. These findings underscore the need to increase pharmacotherapy use among African Americans to improve smoking cessation outcomes across racial groups among PLWH. [ABSTRACT FROM AUTHOR]
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  Data: Racial disparities and factors associated with prescription for smoking cessation medications among smokers receiving routine clinical care for HIV.
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  Data: <searchLink fieldCode="AR" term="%22Zyambo%2C+Cosmas+M%2E%22">Zyambo, Cosmas M.</searchLink><br /><searchLink fieldCode="AR" term="%22Hendricks%2C+Peter+S%2E%22">Hendricks, Peter S.</searchLink><br /><searchLink fieldCode="AR" term="%22Cropsey%2C+Karen+L%2E%22">Cropsey, Karen L.</searchLink><br /><searchLink fieldCode="AR" term="%22Willig%2C+James+H%2E%22">Willig, James H.</searchLink><br /><searchLink fieldCode="AR" term="%22Wilson%2C+Craig+M%2E%22">Wilson, Craig M.</searchLink><br /><searchLink fieldCode="AR" term="%22Gakumo%2C+C%2E+Ann%2E%22">Gakumo, C. Ann.</searchLink><br /><searchLink fieldCode="AR" term="%22Ashutosh%2C+Tamhane%22">Ashutosh, Tamhane</searchLink><br /><searchLink fieldCode="AR" term="%22Westfall%2C+Andrew+O%2E%22">Westfall, Andrew O.</searchLink><br /><searchLink fieldCode="AR" term="%22Burkholder%2C+Greer+A%2E%22">Burkholder, Greer A.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Oct2020, Vol. 32 Issue 10, p1207-1216. 10p. 2 Charts, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Black+people%22">Black people</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Drugs%22">Drugs</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Health+status+indicators%22">Health status indicators</searchLink><br /><searchLink fieldCode="DE" term="%22HIV-positive+persons%22">HIV-positive persons</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+medical+care%22">Evaluation of medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Racism%22">Racism</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking+cessation%22">Smoking cessation</searchLink><br /><searchLink fieldCode="DE" term="%22White+people%22">White people</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking+cessation+products%22">Smoking cessation products</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
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  Data: Factors associated with prescription of smoking cessation medication (SCM), including the impact of race, have not been well described among a large population of people living with HIV (PLWH) engaged in routine clinical care. Our study investigated whether there are racial differences between African-American and White PLWH regarding SCM prescription and sought to identify other factors associated with these prescriptions at a large HIV clinic in the Southeastern United States. Among 1899 smokers, 38.8% of those prescribed SCMs were African-American and 61.2% were White. Factors associated with lower odds of SCM prescription included African-American race (AOR, 0.63 [95% CI: 0.47, 0.84]) or transferring care from another HIV provider during the study period (AOR, 0.63 [95% CI: 0.43, 0.91]). Whereas major depression (AOR, 1.54 [95% CI: 1.10, 2.15]), anxiety symptoms (AOR, 1.43 [95% CI: 1.05, 1.94]), and heavy smoking (>20 cigarettes/day) (OR, 3.50 [95% CI: 2.11, 5.98]) were associated with increased likelihood of SCM prescription. There were racial disparities in the prescription of SCM in African Americans with HIV. These findings underscore the need to increase pharmacotherapy use among African Americans to improve smoking cessation outcomes across racial groups among PLWH. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>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.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/09540121.2020.1776821
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      – Code: eng
        Text: English
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        PageCount: 10
        StartPage: 1207
    Subjects:
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Black people
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Drugs
        Type: general
      – SubjectFull: Health services accessibility
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      – SubjectFull: Health status indicators
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      – SubjectFull: HIV-positive persons
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      – SubjectFull: Evaluation of medical care
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      – SubjectFull: Racism
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      – SubjectFull: Smoking cessation
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      – SubjectFull: White people
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      – SubjectFull: Smoking cessation products
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      – SubjectFull: Odds ratio
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      – SubjectFull: United States
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      – TitleFull: Racial disparities and factors associated with prescription for smoking cessation medications among smokers receiving routine clinical care for HIV.
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              Text: Oct2020
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