Trends in cigarette smoking among adults with HIV compared with the general adult population, United States-2009-2014
Trends in cigarette smoking among adults with HIV compared with the general adult population, United States-2009-2014
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DOI：
10.1016/j.ypmed.2018.03.007
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发表时间：
2018-06-01
影响因子：
5.1
通讯作者：
Weiser, John
中科院分区：
文献类型：
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作者：
Frazier, Emma L.;Sutton, Madeline Y.;Weiser, John
吸烟增加了艾滋病毒感染者与艾滋病毒有关和非艾滋病毒有关的发病率和死亡率。我们估计了2009年至2014年美国普通人群中艾滋病毒感染者和成年人吸烟的变化，以告知艾滋病毒戒烟计划。在艾滋病毒阳性成年人中，目前吸烟率从2009年的37.6%（置信区间[CI]：34.7-40.6）下降到2014年的33.6%（CI：29.8-37.8）。美国成年人目前的吸烟率从2009年的20.6%（CI：19.9-21.3）下降到2014年的16.8%（CI：16.2-17.4）。与美国普通人群相比，接受护理的艾滋病毒阳性成年人更有可能是目前的吸烟者;他们戒烟的可能性也更小。无论是艾滋病毒阳性的成年人在护理和一般人口，种族/民族，教育水平和贫困水平的亚组的差异。在大多数年份，非西班牙裔黑人，那些低于高中教育，和那些生活在贫困线以下的人更有可能是当前吸烟者，与非西班牙裔白人相比，戒烟的可能性更小，那些高于高中教育的人，和那些生活在贫困线以上的人，分别。为了减少与吸烟有关的疾病和死亡原因，减少与艾滋病毒有关的差异，戒烟干预措施作为艾滋病毒阳性者日常护理的一部分至关重要。护理艾滋病毒阳性吸烟者的临床医生应在常规临床访视期间利用机会讨论和实施戒烟策略。
Smoking increases HIV-related and non-HIV-related morbidity and mortality for persons with HIV infection. We estimated changes in cigarette smoking among adults with HIV and adults in the general U.S. population from 2009 to 2014 to inform HIV smoking cessation programs. Among HIV-positive adults, rates of current smoking declined from 37.6% (confidence interval [CI]: 34.7-40.6) in 2009 to 33.6% (CI: 29.8-37.8) in 2014. Current smoking among U.S. adults declined from 20.6% (CI: 19.9-21.3) in 2009 to 16.8% (CI: 16.2-17.4) in 2014. HIV-positive adults in care were significantly more likely to be current smokers compared with the general U.S. population; they were also less likely to quit smoking. For both HIV-positive adults in care and the general population, disparities were noted by racial/ethnic, educational level, and poverty-level subgroups. For most years, non-Hispanic blacks, those with less than high school education, and those living below poverty level were more likely to be current smokers and less likely to quit smoking compared with non-Hispanic whites, those with greater than high school education, and those living above poverty level, respectively. To decrease smoking-related causes of illness and death and to decrease HIV-related disparities, smoking cessation interventions are vital as part of routine care with HIV-positive persons. Clinicians who care for HIV-positive persons who smoke should utilize opportunities to discuss and implement smoking cessation strategies during routine clinical visits.