Understanding the Prevalence of Smoking Among People Living with HIV (PLHIV) in Australia and Factors Associated with Smoking and Quitting

Edwards, Stephanie; Dean, Judith; Power, J. Denise; Baker, Peter; Gartner, Coral

doi:10.1007/s10461-019-02535-3

Cited by 5 publications

(4 citation statements)

References 51 publications

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“…We identified several sociodemographic characteristics that were associated with tobacco use among women and tobacco smoking among men, including age, residence (urban/rural), education level, employment status, and wealth index. Our findings were consistent with previous studies which also demonstrated that those in older age groups [ 25 , 26 , 27 ], with lower levels of education [ 3 , 25 , 28 , 29 , 30 , 31 , 32 ], employment such as household service, manual, or agricultural work [ 3 , 30 , 31 ], or lower wealth [ 3 , 32 ] were more likely to use tobacco. Perhaps paradoxically, we found that tobacco use was more prevalent among residents of rural areas; however, once we controlled for other sociodemographic characteristics in logistic regression models, residents of urban areas were more likely to use or smoke tobacco.…”

Section: Discussionsupporting

confidence: 93%

“…This frequency of healthcare system engagement among PLWH has previously been identified as a potential facilitator of cessation support for PLWH [ 36 ]. Additionally, some previous studies suggest PLWH may be more inclined to quit smoking after receiving their HIV diagnosis, enrolling in an HIV clinic, or initiating ART [ 28 , 37 ]. Kintu et al (2020) recommended gradually integrating NCD care, including tobacco use screening and counseling, into existing HIV services in SSA [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…Second, data gleaned from DHS were cross-sectional in nature and, therefore, causality could not be determined. Third, data were not available for several factors, which may be related to either HIV or tobacco use, including ART [ 28 ], mental health [ 5 , 22 , 25 , 32 ], and substance use [ 5 , 22 , 28 , 30 , 32 ]; thus, we were unable to account for these factors. Additional health indicators, such as domestic violence or maternal health, may also be associated with HIV or tobacco use; the inclusion of these indicators was beyond the scope of the current study but may warrant future exploration.…”

Section: Discussionmentioning

confidence: 99%

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Tobacco Use among HIV-Positive and HIV-Negative Women and Men in Zambia—Demographic and Health Survey, 2018

Kress

Stadnik

Phiri

et al. 2022

IJERPH

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Country-specific estimates of tobacco use among people living with HIV (PLWH) are lacking for much of sub-Saharan Africa. We aim to evaluate the association between the HIV status and tobacco product use status, frequency, and intensity, using nationally representative data from Zambia. We analyzed data from the 2018 Demographic and Health Survey conducted in Zambia among women aged 15–49 years and men aged 15–59 years. We performed logistic regression to assess the associations of HIV status, selected sociodemographic, and other characteristics with indicators of tobacco use (i.e., status, frequency, and intensity). Among women, 14.3% tested positive for HIV and 2.7% reported current smoking or tobacco use; women living with HIV were more likely to report currently smoking or using tobacco than women living without HIV (4.4% vs. 2.4%; aPR: 1.46). Among men, 8.4% tested positive for HIV and 19.5% reported current smoking; men living with HIV were more likely than men living without HIV to report current smoking (27.8% vs. 18.7%; aPR: 1.22). Several sociodemographic characteristics were associated with tobacco use, including age, residence (urban/rural), education level, employment status, and wealth index. The frequency and intensity of smoking among men who currently smoked did not differ by HIV status. Tobacco use was more likely in PLWH than those without HIV in Zambia. Our findings highlight the need to encourage and support tobacco cessation among PLWH, possibly by offering cessation services at existing intersections with health care or integrating cessation support into mHealth and other alternative models of care.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Tobacco Use among HIV-Positive and HIV-Negative Women and Men in Zambia—Demographic and Health Survey, 2018

Kress

Stadnik

Phiri

et al. 2022

IJERPH

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“…To our knowledge, this is also the first longitudinal study to show an association between cannabis use and TSQA in PLWH, in HCV mono-infected persons, and in HIV-HCV co-infected persons. Our results reflect those in other studies on PLWH which found associations between cannabis use and tobacco smoking status (55,56). A lower likelihood of smoking cessation in cannabis users than in non-users has also been documented in the general population, both for nontreatment seeking (57) and treatment-seeking smokers (58).…”

Section: Discussionsupporting

confidence: 90%

HCV Cure and Cannabis Abstinence Facilitate Tobacco Smoking Quit Attempts in HIV-HCV Co-Infected Patients (ANRS CO13 HEPAVIH Cohort Study)

et al. 2021

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Patrick Mercié: data collection and draft reviewing and editing. Fabienne Marcellin: study conception and draft reviewing and editing. Laure Esterle: data collection and draft reviewing and editing. Claudine Duvivier: data collection and draft reviewing and editing. Elina Teicher: data collection and draft reviewing and editing. Morgane Bureau: draft reviewing and editing. Julie Chas: data collection and draft reviewing and editing. Dominique Salmon-Céron: data collection and draft reviewing and editing. Philippe Sogni: data collection and draft reviewing and editing. Maria Patrizia Carrieri: study conception and draft reviewing and editing. Linda Wittkop: data collection, methodological support and draft reviewing and editing.Camelia Protopopescu: study conception, statistical analyses and draft reviewing and editing.

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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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Understanding the Prevalence of Smoking Among People Living with HIV (PLHIV) in Australia and Factors Associated with Smoking and Quitting

Cited by 5 publications

References 51 publications

Tobacco Use among HIV-Positive and HIV-Negative Women and Men in Zambia—Demographic and Health Survey, 2018

Tobacco Use among HIV-Positive and HIV-Negative Women and Men in Zambia—Demographic and Health Survey, 2018

HCV Cure and Cannabis Abstinence Facilitate Tobacco Smoking Quit Attempts in HIV-HCV Co-Infected Patients (ANRS CO13 HEPAVIH Cohort Study)

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

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