Relationships among Self-Efficacy, Quality of Life, Perceived Vulnerability, and Readiness to Quit Smoking in People Living with HIV

Abstract

Smoking-related diseases (e.g., lung cancer) are the leading cause of mortality in HIV-infected patients. While many PLWH who smoke report a desire to quit, a majority of them have low readiness to quit. This study used logistic and linear regression to examine the relations among two (continuous vs. binary) measures of readiness to quit, smoking cessation self-efficacy (SE), quality of life (QoL), and perceived vulnerability (PV) using baseline data from 100 PLWH who smoke who participated in a clinical trial. Results showed no significant main effects (SE, QoL, and PV) or interaction effects ( SE × QoL and SE × PV ) on a continuous measure of readiness to quit. However, a follow-up analysis revealed that SE had a curvilinear effect on readiness to quit such that self-efficacy was positively associated with readiness to quit except at the highest levels of self-efficacy where readiness to quit declined. Greater SE significantly increased the likelihood of reporting readiness to quit (yes/no) among those with low QoL or high PV. For PLWH who smoke, improving self-efficacy may increase readiness to quit especially among those with lower quality of life. Psychoeducation tailored to PLWH designed to reduce unrealistic invulnerability to smoking-related diseases along with interventions that target self-efficacy may improve readiness to quit.

Lung cancer smokers: quit smoking is a component of treatment

“…Le terapie cognitive e comportamentali vengono condotte in ogni fase del follow-up, aumentano l'efficacia delle medicazioni, rafforzano il senso di autoefficacia del paziente, la compliance terapeutica e consentono un migliore controllo del desiderio (craving) [3,5,[25][26][27]. Il supporto a distanza (consulenza telefonica) rafforza l'astinenza dei pazienti, così come la casa senza fumo [3,5,25,26,28,29].…”

“…Cognitive and behavioral therapies (CBT)Cognitive and behavioral therapies (CBT) are conducted at each step of follow-up, increase the efficacy of médications, reinforce the patient's sense of self-efficacy, therapeutic compliance, enable better control of craving[3,5,[25][26][27]. Long-distance support (telephone counselling) reinforce patients abstinence, as well as smokefree home[3,5,25,26,28,29].…”

Smoking Cessation Management for Lung Cancer Smokers: An Essential Component of Treatment

“…3,5,22 Taking into account specific features that increase the risk of cessation difficulties (economic insecurity, lifestyle: lesbian, gay, bisexual, transgender individuals, use of other drugs, COPD, mental disorders, HIV infection) gives rise to specific interventions. 7,24,25 Electronic-cigarette is safer than combustible cigarette, but long-term toxicity is likely. In lung cancer patients who continue to smoke; it could be, in exclusive use, a temporary alternative way to quit smoking.…”