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Poly-Tobacco Use Among HIV-Positive Smokers: Implications for Smoking Cessation Efforts
- Source :
- Nicotine & Tobacco Research. 15:2100-2106
- Publication Year :
- 2013
- Publisher :
- Oxford University Press (OUP), 2013.
-
Abstract
- INTRODUCTION Poly-tobacco use is defined as cigarette and other tobacco consumption with either product used daily or nondaily. While concurrent use of different types of tobacco has been documented within the general population, less is known about poly-tobacco use among HIV-positive smokers and its impact on smoking cessation efforts. OBJECTIVE To characterize the profile of poly-tobacco users (PTU) in a sample of HIV-positive smokers participating in a cessation program. METHODS The study sample consisted of 474 HIV-positive smokers enrolled in a 2-group randomized controlled trial of cigarette smoking cessation comparing a cell phone-based intervention to usual care. Prevalence was determined, and risk factors for poly-tobacco use were evaluated using logistic regression. RESULTS In this cohort of HIV-positive cigarette smokers, 21.6% of participants were PTU, with cigars (73.4%) the most common tobacco product consumed. Among PTU, 73.5% used other form(s) of tobacco some days, and 26.5% use them every day. Perceived discrimination and unemployment were significantly associated with poly-tobacco use after adjusting for other demographic, behavioral, and psychosocial factors. Analysis showed that participants in the cell phone group (vs. usual care) were more likely to report 24-hr abstinence, both among monocigarette users (16.6% vs. 6.3%, p < .001) and PTU (18.5% vs. 0%, p < .001). CONCLUSION Poly-tobacco use prevalence among adult HIV-positive smokers was considerably higher than in the general population. Special attention must be placed on concurrent use of cigarettes and cigars among HIV-positive smokers. Because PTU are a unique population less likely to succeed in brief smoking cessation interventions, effective cessation programs are needed.
- Subjects :
- Adult
Male
media_common.quotation_subject
medicine.medical_treatment
Population
HIV Infections
Smoking Prevention
Logistic regression
law.invention
Cohort Studies
Randomized controlled trial
Risk Factors
law
Environmental health
Prevalence
Humans
Medicine
education
Demography
media_common
education.field_of_study
business.industry
Brief Report
Smoking
Public Health, Environmental and Occupational Health
Tobacco Use Disorder
Middle Aged
Abstinence
Texas
Logistic Models
Treatment Outcome
Cohort
Smoking cessation
Female
Smoking Cessation
business
Psychosocial
Cell Phone
Cohort study
Subjects
Details
- ISSN :
- 1469994X and 14622203
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- Nicotine & Tobacco Research
- Accession number :
- edsair.doi.dedup.....ac8c87b3084a36b704811dc769ccfb51