Addressing smoking among people living with HIV: a cross-sectional survey of Australian HIV health practitioners' practices and attitudes
Addressing smoking among people living with HIV: a cross-sectional survey of Australian HIV health practitioners' practices and attitudes
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DOI：
10.1080/09540121.2018.1500007
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发表时间：
2019-04-03
影响因子：
1.7
通讯作者：
Gartner, Coral
中科院分区：
文献类型：
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作者：
Bell, Stephanie K.;Mena, Gabriela;Gartner, Coral
艾滋病毒感染者吸烟率很高，吸烟是过早死亡和发病的主要原因。重要的是要了解艾滋病毒医疗服务提供者的做法和态度，以解决吸烟与他们的病人。一项在线调查测量：（i）使用5A框架解决吸烟问题（询问，评估，建议，协助，安排）和（ii）解决戒烟问题的态度和障碍由相关专业机构分发。合格的参与者是为艾滋病毒感染者提供医疗保健的澳大利亚卫生从业人员。在179名受访者中，大多数人表示至少练习了5A中的一项：询问（94%）;评估（78%）;建议（82%）;协助（89%）;和安排（73%）。全面实施5A框架（完成每个A中至少一项活动）不太常见（62%），并且与进行戒烟培训有关（OR 2.1，CI 1.1-3.9），作为一名医生（OR 6.0，CI 3.1-11.6），具有更多的感知知识和资源（OR 1.7，CI 1.3-2.4）和更积极的态度（OR 1.5，CI 1.1-2.0）。提供戒烟援助的常见障碍与知识和资源的可用性有关。可能需要开发和更广泛地传播有效的戒烟培训和资源，以确保医疗保健从业人员有能力完成5A戒烟框架的所有方面，并支持他们的艾滋病毒吸烟患者。
People living with HIV (PLHIV) have high rates of tobacco smoking, and smoking is a leading cause of premature mortality and morbidity. It is important to understand HIV healthcare providers' practices and attitudes towards addressing smoking with their patients. An online survey that measured: (i) use of the 5A framework for addressing smoking (Ask, Assess, Advise, Assist, Arrange) and (ii) attitudes and barriers to addressing smoking cessation was distributed by relevant professional bodies. Eligible participants were Australian health practitioners providing healthcare to PLHIV. Of the 179 respondents, most reported practising at least one of the 5As: Ask (94%); Assess (78%); Advise (82%); Assist (89%); and Arrange (73%). Practising the full 5A framework (completing at least one activity from each A) was less common (62%) and associated with having undertaken smoking cessation training (OR 2.1, CI 1.1-3.9), being a medical practitioner (OR 6.0, CI 3.1-11.6), having greater perceived knowledge and resources (OR 1.7, CI 1.3-2.4) and more positive attitudes (OR 1.5, CI 1.1-2.0). Common barriers to delivering cessation assistance related to knowledge and availability of resources. Development and greater dissemination of effective smoking cessation training and resources may be required to ensure healthcare practitioners have the capacity to complete all aspects of the 5A framework for smoking cessation and support their patients with HIV who smoke.