Healthcare provider intervention on smoking and quit attempts among HIV-positive versus HIV-negative MSM smokers in Chengdu, China.
Healthcare provider intervention on smoking and quit attempts among HIV-positive versus HIV-negative MSM smokers in Chengdu, China.
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DOI：
10.1080/09540121.2014.892565
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发表时间：
2014
期刊：
影响因子：
1.7
通讯作者：
Wong FY
中科院分区：
文献类型：
--
作者：
Berg CJ;Nehl EJ;Wang X;Ding Y;He N;Johnson BA;Wong FY
鉴于中国HIV阳性人群中吸烟的影响以及中国男男性行为者（MSM）中高吸烟率和HIV感染率，我们研究了与HIV状况相关的社会人口统计学、吸烟相关、社会心理和物质使用因素；就吸烟问题接受医疗保健提供者的某种干预；并且在过去的一年中，在成都的MSM吸烟者样本中进行了戒烟尝试。2012-2013年，我们对成都市某非政府组织招募的381名MSM吸烟者进行了横断面调查。其中，350人披露了其艾滋病毒状况，344人（188人艾滋病毒阳性，156人艾滋病毒阴性）提供了完整的数据。半数（50.0%）报告一生中至少有一次戒烟尝试；30.5%的人在过去一年中曾尝试戒烟。大多数人（59.4%）报告说，医疗保健提供者以某种方式进行了干预（评估吸烟情况、建议戒烟、提供帮助），最常见的是评估吸烟状况（50.0%）。hiv阳性个体更有可能报告医护人员干预其吸烟（p < 0.001）。那些接受提供者干预的人更有可能尝试戒烟（p = 0.009）和在过去一年中（p < 0.001）。如果医生干预，那些hiv阳性的人更有可能在诊断后尝试戒烟（p = 0.001）。多因素回归表明，hiv阳性（p < 0.001）、吸烟较多（p = 0.02）、饮酒较少（p = 0.03）和抑郁症状较多（p = 0.003）与医护人员干预有显著相关性。多变量回归还发现，医疗保健提供者干预（p = 0.003）、年龄较大（p = 0.01）和较高的自主动机（p = 0.007）与过去一年中试图戒烟有显著相关性。鉴于卫生保健提供者在吸烟方面的干预对男男性行为者戒烟尝试的影响，需要更多的培训和支持，以促进在临床环境中对艾滋病毒阳性和艾滋病毒阴性的男男性行为者吸烟进行持续的干预。
Given the implications for smoking among HIV-positive individuals and high smoking and HIV rates among men who have sex with men (MSM) in China, we examined sociodemographic, smoking-related, psychosocial, and substance use factors in relation to HIV status; receiving some sort of healthcare provider intervention regarding smoking; and having made a quit attempt in the past year in a sample of MSM smokers in Chengdu. We conducted a cross-sectional survey of 381 MSM smokers recruited by a nongovernmental organization in Chengdu in 2012–2013. Of these, 350 disclosed their HIV status and 344 (188 HIV-positive and 156 HIV-negative) provided completed data. Half (50.0%) reported at least one quit attempt in their lifetime; 30.5% reported a quit attempt in the past year. The majority (59.4%) reported that a healthcare provider had intervened in some way (assessed smoking, advised quitting, provided assistance), most commonly by assessing smoking status (50.0%). HIV-positive individuals were more likely to report a healthcare provider intervening on their smoking (p < .001). Those who received provider intervention were more likely to have attempted to quit ever (p = .009) and in the past year (p < .001). Those HIV-positive were more likely to have attempted to quit since diagnosis if a provider had intervened (p = .001). Multivariate regression documented that being HIV-positive (p < .001), greater cigarette consumption (p = .02), less frequent drinking (p = .03), and greater depressive symptoms (p = .003) were significant correlates of healthcare provider intervention. Multivariate regression also found that healthcare provider intervention (p = .003), older age (p = .01), and higher autonomous motivation (p = .007) were significant correlates of attempting to quit in the past year. Given the impact of healthcare provider intervention regarding smoking on quit attempts among MSM, greater training and support is needed to promote consistent intervention on smoking in the clinical setting among HIV-positive and HIV-negative MSM smokers.
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影响因子：
4.4
作者：
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通讯作者：
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