Adherence to Tobacco Dependence Treatment Among HIV-Infected Smokers.

Adherence to Tobacco Dependence Treatment Among HIV-Infected Smokers.
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遵守HIV感染的吸烟者中的烟草依赖性治疗。

DOI:
10.1007/s10461-015-1059-1
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发表时间:
2016-03
期刊:
影响因子:
4.4
通讯作者:
Reynolds NR
Reynolds NR
中科院分区:
医学2区
文献类型:
--
作者:
Browning KK;Wewers ME;Ferketich AK;Diaz P;Koletar SL;Reynolds NR

文献摘要

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烟草使用率高和戒烟成功率低仍然是减少艾滋病毒感染者疾病负担的重大问题。本研究的目的是探讨参与者的反应性和烟草依赖治疗的依从性及其对艾滋病毒感染者戒烟的影响。这项非随机研究包括18岁或以上的HIV感染吸烟者,每天至少吸烟5支,并有兴趣在未来30天内戒烟。HIV感染的吸烟者(n = 247)接受了为期12周的烟草依赖治疗干预,包括药物治疗和电话咨询。年龄较小和非白人与药物治疗依从性较低相关。年轻的年龄,非白人种族,增加每月狂饮与较低的坚持电话咨询。参与者的高反应性与药物治疗、咨询和禁欲的依从性相关。有必要制定和测试干预措施,以提高对循证烟草依赖治疗的依从性。
High prevalence of tobacco use and low success in quitting remain significant problems for reducing disease burden among HIV-infected persons. This study’s purpose was to examine participant responsiveness and tobacco dependence treatment adherence and their influences on tobacco abstinence among HIV-infected patients. This non-randomized study included HIV-infected smokers 18 years of age or older, who smoked at least 5 cigarettes per day, and had an interest in quitting smoking in the next 30 days. HIV-infected smokers (n = 247) received a 12-week tobacco dependence treatment intervention that included pharmacotherapy and telephone counseling. Younger age and non-White race were associated with lower adherence to pharmacotherapy. Younger age, non-White race, and increased monthly binge drinking were associated with lower adherence to telephone counseling. High participant responsiveness was associated with adherence to pharmacotherapy, counseling, and abstinence. Development and testing of interventions to improve adherence to evidence-based tobacco dependence treatment is warranted.