Smoking behavior in a low-income multiethnic HIV/AIDS population
Smoking behavior in a low-income multiethnic HIV/AIDS population
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DOI：
10.1080/14622200310001656885
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发表时间：
2004-02-01
影响因子：
4.7
通讯作者：
Arduino, RC
中科院分区：
文献类型：
--
作者：
Gritz, ER;Vidrine, DJ;Arduino, RC
本研究的目的是描述吸烟率和吸烟行为在多民族低收入艾滋病毒/艾滋病人群。采用横断面调查设计。研究地点是托马斯街诊所，这是一家艾滋病毒/艾滋病护理机构，为医疗贫困和种族多样化的人群提供服务。通过参与者自我报告评估人口统计学、疾病状态、行为和心理社会变量。调查收集了348名研究参与者。样本的人口统计学组成为78%男性、25%白色、44%黑人和29%西班牙裔。研究参与者的平均年龄为40.2岁（SD=7.8）。样本的艾滋病毒暴露情况多种多样：46%的男性与男性发生性关系，35%的异性性接触，11%的注射吸毒。样本中目前吸烟的患病率为46.9%。在一生吸烟100支或更多香烟的参与者中（62.8%），只有26.6%目前戒烟，低于一般人群的48.8%。多因素Logistic回归分析显示，种族/民族、教育程度、年龄和大量饮酒与吸烟状况显著相关。西班牙裔比白人更不可能吸烟，年轻的参与者比年长的参与者更不可能成为当前吸烟者，酗酒者比那些不酗酒的人更有可能成为当前吸烟者。随着教育水平的提高，吸烟的可能性降低，戒烟的可能性增加。艾滋病毒/艾滋病人群的高吸烟率表明，需要针对这一患者群体的特殊需要进行戒烟干预。
The aim of this study was to describe smoking prevalence and smoking behavior in a multiethnic low-income HIV/AIDS population. A cross-sectional survey design was used. The study site was Thomas Street Clinic, an HIV/AIDS care facility serving a medically indigent and ethnically diverse population. Demographic, disease status, behavioral, and psychosocial variables were assessed by participant self-report. Surveys were collected from 348 study participants. Demographic composition of the sample was 78% male, 25% White, 44% Black, and 29% Hispanic. Study participants had a mean age of 40.2 years (SD=7.8). The HIV exposure profile of the sample was diverse: 46% men who have sex with men, 35% heterosexual contact, and 11% injection drug use. Prevalence of current cigarette smoking in the sample was 46.9%. Among participants with a lifetime history of smoking 100 or more cigarettes (62.8%), only 26.6% were currently abstinent, lower than the 48.8% rate seen in the general population. Multiple logistic regression analysis indicated that race/ethnicity, education level, age, and heavy drinking were significantly associated with smoking status. Hispanics were less likely than Whites were to smoke, younger participants were less likely than older participants were to be current smokers, and heavy drinkers were more likely to be current smokers than were those who were not heavy drinkers. As education level increased, the likelihood of smoking decreased and the likelihood of quitting increased. The high smoking prevalence in this HIV/AIDS population demonstrates the need for smoking cessation interventions targeted to the special needs of this patient group.