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. |
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| 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] |
| 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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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 146083257 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Racial disparities and factors associated with prescription for smoking cessation medications among smokers receiving routine clinical care for HIV. – Name: Author Label: Authors Group: Au 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> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Oct2020, Vol. 32 Issue 10, p1207-1216. 10p. 2 Charts, 1 Graph. – Name: Subject Label: Subjects Group: Su 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> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink> – Name: Abstract Label: Abstract Group: Ab 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 Label: Group: Ab 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.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=146083257 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/09540121.2020.1776821 Languages: – Code: eng Text: English PhysicalDescription: Pagination: 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 Type: general – SubjectFull: Health status indicators Type: general – SubjectFull: HIV-positive persons Type: general – SubjectFull: Evaluation of medical care Type: general – SubjectFull: Racism Type: general – SubjectFull: Smoking cessation Type: general – SubjectFull: White people Type: general – SubjectFull: Smoking cessation products Type: general – SubjectFull: Odds ratio Type: general – SubjectFull: United States Type: general Titles: – TitleFull: Racial disparities and factors associated with prescription for smoking cessation medications among smokers receiving routine clinical care for HIV. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Zyambo, Cosmas M. – PersonEntity: Name: NameFull: Hendricks, Peter S. – PersonEntity: Name: NameFull: Cropsey, Karen L. – PersonEntity: Name: NameFull: Willig, James H. – PersonEntity: Name: NameFull: Wilson, Craig M. – PersonEntity: Name: NameFull: Gakumo, C. Ann. – PersonEntity: Name: NameFull: Ashutosh, Tamhane – PersonEntity: Name: NameFull: Westfall, Andrew O. – PersonEntity: Name: NameFull: Burkholder, Greer A. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: Oct2020 Type: published Y: 2020 Identifiers: – Type: issn-print Value: 09540121 Numbering: – Type: volume Value: 32 – Type: issue Value: 10 Titles: – TitleFull: AIDS Care Type: main |
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