Evaluation of a Smoking Cessation Program for HIV Infected Individuals in an Urban HIV Clinic: Challenges and Lessons Learned
Evaluation of a Smoking Cessation Program for HIV Infected Individuals in an Urban HIV Clinic: Challenges and Lessons Learned
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DOI：
10.1155/2014/237834
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发表时间：
2014-01-01
影响因子：
1.7
通讯作者：
Hodder, Sally L.
中科院分区：
文献类型：
--
作者：
Chew, Debra;Steinberg, Michael B.;Hodder, Sally L.
导论.艾滋病毒感染者的吸烟率和与烟草有关的健康风险很高。很少有研究描述针对这一人群的戒烟计划。新泽西纽瓦克的传染病实践（IDP）为感染艾滋病毒的吸烟者启动了一项戒烟计划（SCP）。我们报告的参与，禁欲率和预测禁欲。方法.这是一项前瞻性队列研究，比较了2011年4月1日至2012年10月31日期间参与者与非SCP吸烟者。干预措施包括一个个性化的咨询会议与药物治疗的报价。以六个月时自我报告的七天点戒烟率作为主要结局指标，进行单变量和多变量分析。结果在1545名IDP患者中，774名（51%）是当前吸烟者，其中123名（16%）参加了SCP。SCP参与者的平均六个月禁欲率为16%。可卡因或海洛因使用史可预测继续吸烟（比值比[OR]调整为0.20，95%置信区间[CI]为0.07-0.55），而处于准备阶段的吸烟者更可能在6个月时戒烟（OR调整为8.26，95% CI为1.02-66.67）。结论.低强度戒烟干预在HIV治疗环境中对少数参与者有效。需要进一步的研究来更好地解决戒烟的障碍，如物质使用。
Introduction. HIV infected persons have high prevalence of smoking and tobacco-associated health risks. Few studies describe smoking cessation programs targeting this population. The Infectious Disease Practice (IDP) in Newark, New Jersey, initiated a smoking cessation program(SCP) for HIV infected smokers. We report participation, abstinence rates, and predictors of abstinence. Methods. This is a prospective cohort study, comparing participants to non-SCP smokers, during April 1, 2011, to October 31, 2012. Intervention included one individualized counseling session with an offer of pharmacotherapy. Univariate and multivariate analyses were performed with self-reported seven-day point prevalence abstinence at six months as primary outcome measure. Results. Among 1545 IDP patients, 774 (51%) were current smokers of whom 123 (16%) participated in the SCP. Mean six-month abstinence rate amongst SCP participants was 16%. A history of cocaine or heroin use was predictive of continued smoking (odds ratio [OR] adjusted 0.20, 95% confidence interval [CI] 0.07-0.55) while smokers in the preparation stage of change were more likely abstinent at six months (OR adjusted 8.26, 95% CI 1.02-66.67). Conclusions. Alow-intensity smoking cessation intervention in an HIV treatment setting is effective in a minority of participants. Further research is needed to better address barriers to smoking cessation such as substance use.