A Qualitative Systematic Review of Cigarette Smoking Cessation Interventions for Persons Living with HIV

Mann‐Jackson, Lilli; Choi, David; Sutfin, Erin L.; Song, Eun-Young; Foley, Kristie L.; Wilkin, Aimee M.; Rojas, Nicole F; Oh, Timothy Seijung; Rhodes, Scott D.

doi:10.1007/s13187-019-01525-2

Cited by 15 publications

(10 citation statements)

References 55 publications

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“…An increased awareness of the negative impact of alcohol and smoking on PLWH is needed more generally, highlighted by findings that both PLWH and HIV care providers see alcohol and smoking as a low priority in HIV care [ 39 ]. Smoking has been shown to exert a higher morbidity and mortality in PLWH, with an increased risk of progression to lung cancer and chronic obstructive pulmonary disease [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…Smoking has been shown to exert a higher morbidity and mortality in PLWH, with an increased risk of progression to lung cancer and chronic obstructive pulmonary disease [ 17 ]. Those PLWH who smoke are also less likely to quit smoking than the general population, while a recent review highlights a lack of evidence on the effectiveness of cessation strategies in PLWH populations [ 39 ]. Management of alcohol and recreational drug misuse and smoking in PLWH remains significantly under‐investigated, with a recent systematic review finding no large sustained effect of psychological interventions, and is an area in need of further research [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

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Alcohol, smoking, recreational drug use and association with virological outcomes among people living with HIV: cross‐sectional and longitudinal analyses

et al. 2021

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Objectives: There is increasing evidence to suggest that people living with HIV (PLWH) have significant morbidity from alcohol, recreational drug use and cigarette smoking. Our aim was to report associations of these factors with antiretroviral therapy (ART) non-adherence, viral non-suppression and subsequent viral rebound in PLWH. Methods: The Antiretroviral Sexual Transmission Risk and Attitudes (ASTRA) study recruited PLWH attending eight outpatient clinics in England between February 2011 and December 2012. Data included self-reported excessive drinking (estimated consumption of > 20 units of alcohol/week), alcohol dependency (CAGE score ≥ 2 with current alcohol consumption), recreational drug use (including injection drug use in the past 3 months), and smoking status. Among participants established on ART, cross-sectional associations with ART non-adherence [missing ≥2 consecutive days of ART on ≥2 occasions in the past three months] and viral-non suppression [viral load (VL) > 50 copies/mL] were assessed using logistic regression. In participants from one centre, longitudinal associations with subsequent viral rebound (first VL > 200 copies/mL) in those on ART with VL ≤ 50 copies/mL at baseline were assessed using Cox regression during a 7-year follow-up.Results: Among 3258 PLWH, 2248 (69.0%) were men who have sex with men, 373 (11.4%) were heterosexual men, and 637 (19.6%) were women. A CAGE score ≥ 2 was found in 568 (17.6%) participants, 325 (10.1%) drank > 20 units/week, 1011 (31.5%) currently smoked, 1242 (38.1%) used recreational drugs and 74(2.3%) reported injection drug use. In each case, prevalence was much more common among men than among women. Among 2459 people on ART who started at least 6 months previously, a CAGE score ≥ 2, drinking > 20 units per week, current smoking, injection and non-injection drug use were all associated withThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Alcohol, smoking, recreational drug use and association with virological outcomes among people living with HIV: cross‐sectional and longitudinal analyses

et al. 2021

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“…Besides, AIDS-related deaths are higher in smokers living with HIV than in their non-smoking counterparts, resulting in the difference in life expectancy between these two groups of about 12.3 years [ 16 ]. Given the high prevalence of tobacco smoking and its detrimental health effects on PLWH, promoting smoking cessation is essential to address this modifiable risk factor, especially among populations in low- and middle-income countries (LMICs) where the burden is heavier, and the gaps in the literature on effective interventions to address tobacco smoking among PLWH are greater [ 2 , 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Tobacco Smoking and Cessation Among People Living with HIV: A Systematic Review and Meta-analysis

Hoang,

Nguyen,

Adermark

et al. 2024

AIDS Behav

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Tobacco smoking is highly prevalent among people living with HIV (PLWH), yet there is a lack of data on smoking behaviours and effective treatments in this population. Understanding factors influencing tobacco smoking and cessation is crucial to guide the design of effective interventions. This systematic review and meta-analysis of studies conducted in both high-income (HICs) and low- and middle-income countries (LMICs) synthesised existing evidence on associated factors of smoking and cessation behaviour among PLWH. Male gender, substance use, and loneliness were positively associated with current smoking and negatively associated with smoking abstinence. The association of depression with current smoking and lower abstinence rates were observed only in HICs. The review did not identify randomised controlled trials conducted in LMICs. Findings indicate the need to integrate smoking cessation interventions with mental health and substance use services, provide greater social support, and address other comorbid conditions as part of a comprehensive approach to treating tobacco use in this population. Consistent support from health providers trained to provide advice and treatment options is also an important component of treatment for PLWH engaged in care, especially in LMICs.

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“… 1 Smoking rates are higher among people with HIV/AIDS (PWH), with rates two to three times higher than the general population. 2 Medical advances in HIV treatment have increased life expectancies. 3 Thus, other chronic medical conditions (eg, sequelae from smoking) are now the main causes of death among PWH who adhere to HIV treatment (12.3 years lost to smoking compared to 5.1 years lost due to HIV), emphasizing the importance of smoking cessation in this population.…”

Section: Introductionmentioning

confidence: 99%

“You Almost Feel Out of Touch [For Saying] … ‘Oh, and by the way, Stop Smoking.’” A Qualitative Exploration of Provider Perspectives About Discussing Tobacco and Cannabis Use With 18-24-Year-Old Young Adults With HIV

Hill

Palenski

Crane

et al. 2023

J Int Assoc Provid AIDS Care

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Background: Youth with HIV (YWH) aged 18–24 are overburdened by tobacco, with half also using cannabis recreationally. Increasing tobacco cessation necessitates exploring providers’ approaches to cessation. Methods: Grounded in social cognitive theory, we explored cognitive, socioenvironmental, and behavioral factors impacting providers’ approaches to tobacco use among recreational cannabis users. Virtual interviews were conducted among healthcare providers caring for YWH in Washington (legalized cannabis), Massachusetts (legalized cannabis), and Alabama (cannabis not legal). Interviews were transcribed and analyzed via deductive and exploratory, thematic approaches using NVivo 12 Plus. Results: Twelve providers participated; 80% were subspecialist physicians. All providers ( N = 12) reported discussing tobacco use; none reported discussing tobacco use in conjunction with cannabis use. Identified themes included competing demands including cannabis co-use, prioritization of social determinants of health, and need for youth-tailored tools. Conclusions: YWH disproportionately use tobacco and recreational cannabis. Optimizing clinical visits to identify opportunities to address tobacco is crucial.

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A Qualitative Systematic Review of Cigarette Smoking Cessation Interventions for Persons Living with HIV

Cited by 15 publications

References 55 publications

Alcohol, smoking, recreational drug use and association with virological outcomes among people living with HIV: cross‐sectional and longitudinal analyses

Alcohol, smoking, recreational drug use and association with virological outcomes among people living with HIV: cross‐sectional and longitudinal analyses

Factors Influencing Tobacco Smoking and Cessation Among People Living with HIV: A Systematic Review and Meta-analysis

“You Almost Feel Out of Touch [For Saying] … ‘Oh, and by the way, Stop Smoking.’” A Qualitative Exploration of Provider Perspectives About Discussing Tobacco and Cannabis Use With 18-24-Year-Old Young Adults With HIV

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