Cigarette Smoking and Antiretroviral Therapy (ART) Adherence in a Sample of Heavy Drinking HIV-Infected Men Who Have Sex with Men (MSM)

Cioe, Patricia A.; Gamarel, Kristi E.; Pantalone, David W.; Monti, Peter M.; Mayer, Kenneth H.; Kahler, Christopher W.

doi:10.1007/s10461-016-1496-5

Cited by 20 publications

(22 citation statements)

References 43 publications

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“…While the smoking prevalence was lower than other samples of HIV-positive adults (Cioe et al, 2016; Lifson et al, 2010; O'Cleirigh et al, 2015), these findings are consistent with prior research illustrating that people living with HIV are significantly less likely to quit smoking, despite the availability of pharmacologic and behavioral smoking cessation aids. Prior studies have reported relatively high motivation to quit smoking among people living with HIV and high rates of quit attempts (Benard et al, 2007); however, this readiness may not appear to translate into successful smoking cessation, as demonstrated in this study and others (Mdodo et al, 2015).…”

Section: Discussionsupporting

confidence: 87%

A longitudinal study of persistent smoking among HIV-positive gay and bisexual men in primary relationships

Gamarel

Neilands

Conroy

et al. 2017

Addictive Behaviors

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Introduction We examined the stability of smoking behaviors, and factors associated with persistent smoking in a longitudinal study of HIV-positive gay and bisexual men in primary relationships. Methods A sample of 377 HIV-positive men on antiretroviral therapy and their same-sex partners completed five assessments over two years. Participants completed semi-structured interviews which assessed smoking status, sociodemographic factors, relationship dynamics, and HIV-related disease characteristics. Latent transition analysis estimated the amount of transition in smoking over time. Latent class analysis examined factors associated with smoking status across the study period. Results At baseline, 28.1% (n = 106) of participants reported current smoking. Over 90% of the HIV-positive men remained in the same smoking category over time (68.4% persistent non-smokers; 24.1% persistent smokers). Men whose partners smoked and men with lower income had higher odds of being persistent smokers, whereas older men and men who identified as Latino race/ethnicity had lower odds of being persistent smokers compared to non-smokers. Conclusions Despite efforts to reduce smoking among people living with HIV (PLWH), a substantial subset of men continued to smoke during their two years in the study. Findings suggest that primary partners who also smoke and low income were the strongest predictors of sustained smoking behaviors among HIV-positive men. Additional research is needed to better understand how to increase motivation and support for smoking cessation among PLWH and their primary partners, while attending to how socioeconomic status may inhibit access to and the sustained impact of existing smoking cessation programs.

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Section: Discussionsupporting

confidence: 87%

A longitudinal study of persistent smoking among HIV-positive gay and bisexual men in primary relationships

Gamarel

Neilands

Conroy

et al. 2017

Addictive Behaviors

Self Cite

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“…Prior studies have also demonstrated that PWH with alcohol problems also have a higher prevalence of smoking, marijuana and other drug use, and an increased prevalence of psychiatric symptoms, including depression and anxiety. 1,21,36–38 A study in the Veteran’s Administration Cohort Study (VACS) indicated that alcohol, smoking and depression synergistically contribute to poor health. 39 Here, we also confirmed co-occurrence of these behavioral risk factors, although moderate/severe depression was only associated with hazardous drinking in bi-variate models.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with hazardous alcohol use and motivation to reduce drinking among HIV primary care patients: Baseline findings from the Health & Motivation study

Silverberg

Leyden

Leibowitz

et al. 2018

Addictive Behaviors

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“…Evidence indicate that structural and socioeconomic conditions, as well as psychosocial factors (depression, anxiety), that were associated with smoking behavior are also predictive of suboptimal ART adherence. Prior research indicates that smokers, compared with nonsmokers tended to have multiple and inter-related structural and socioeconomic conditions, as well as psychosocial factors, that were associated with suboptimal ART adherence [ 27 ]. Improved understanding of the ways in which these factors co-occur and affect health-related behaviors may improve the efforts to decrease the burden of tobacco smoking when integrating adherence interventions into clinical settings.…”

Section: Discussionmentioning

confidence: 99%

Global burden of active smoking among people living with HIV on antiretroviral therapy: a systematic review and meta-analysis

Ale¹,

Amahowe²,

Nganda

et al. 2021

Infect Dis Poverty

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Background Although the high burden of both active smoking and human immunodeficiency virus (HIV) is clearly known, the relationship between them is still not well characterized. Therefore, we estimated the global prevalence of active smoking in people living with HIV (PLHIV) on antiretroviral therapy (ART) and investigated the association between exposure to active smoking and risk for suboptimal adherence to ART. Main text: We searched PubMed, Embase, and Web of Science to identify articles published until September 19, 2019. Eligible studies reported the prevalence of active smoking in PLHIV on ART or investigated the association between active smoking and ART adherence; or enough data to compute these estimates. We used a random-effects model to pool data and quantified heterogeneity (I2). The global prevalence of active smoking was 36.1% (95% CI: 33.7–37.2; 329 prevalence data; 462 104 participants) with substantial heterogeneity. The prevalence increased with level of country income; from 10.1% (95% CI: 6.8–14.1) in low-income to 45.2% (95% CI: 42.7–47.7) in high-income countries; P < 0.0001. With regards to the Joint United Nations Programme on HIV/AIDS (UNAIDS) regions, the prevalence was higher in West and Central Europe and North America 45.4% (42.7–48.1) and lowest in the two UNAIDS regions of sub-Saharan Africa: Eastern and Southern Africa 10.7% (95% CI: 7.8–14.0) and West and Central Africa 4.4% (2.9–6.3); P < 0.0001. Globally, we estimated that there were 4 110 669 PLHIV on ART who were active smokers, among which the highest number was from Eastern and Southern Africa (35.9%) followed by Asia and the Pacific (25.9%). Active smoking was significantly associated with suboptimal ART adherence: pooled odds ratio 1.57 (95% CI: 1.37–1.80; I2 = 56.8%; 19 studies; 48 450 participants); even after considering adjusted estimates: 1.67 (95% CI: 1.39–2.01; I2 = 53.0%; 14 studies). Conclusions This study suggests a high prevalence of active smoking in PLHIV on ART and an association between active smoking and ART suboptimal adherence. As such, healthcare providers and policy makers should focus on adopting and implementing tobacco harm reduction strategies in HIV care, especially in sub-Saharan Africa known as epicenter of HIV pandemic with highest number of active tobacco smoking among PLHIV on ART.

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Cigarette Smoking and Antiretroviral Therapy (ART) Adherence in a Sample of Heavy Drinking HIV-Infected Men Who Have Sex with Men (MSM)

Cited by 20 publications

References 43 publications

A longitudinal study of persistent smoking among HIV-positive gay and bisexual men in primary relationships

A longitudinal study of persistent smoking among HIV-positive gay and bisexual men in primary relationships

Factors associated with hazardous alcohol use and motivation to reduce drinking among HIV primary care patients: Baseline findings from the Health & Motivation study

Global burden of active smoking among people living with HIV on antiretroviral therapy: a systematic review and meta-analysis

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