The Influence of Social Support on Smoking Cessation Treatment Adherence Among HIV plus Smokers
The Influence of Social Support on Smoking Cessation Treatment Adherence Among HIV plus Smokers
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DOI：
10.1093/ntr/ntv144
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发表时间：
2016-05-01
影响因子：
4.7
通讯作者：
Niaura, Raymond
中科院分区：
文献类型：
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作者：
de Dios, Marcel A.;Stanton, Cassandra A.;Niaura, Raymond
导言：艾滋病毒感染者吸烟率高是一个重大问题。不坚持戒烟药物治疗是成功戒烟的障碍。目前的研究调查的程度，社会支持变量的影响，坚持和case.Methods：参与者是444 HIV+吸烟者提供的数据尼古丁贴片的坚持，社会支持和吸烟。我们进行了路径分析，以估计（1）基线时6个社会支持指标对尼古丁贴片依从性的影响;（2）贴片依从性对6个月随访时7天时点吸烟率的影响;以及（3）社会支持指标通过贴片依从性对6个月随访时7天时点吸烟率的间接影响。如比较拟合指数、近似均方根误差和加权均方根残差（分别为0.94、0.02和0.51）所示，测试模型表现出良好的拟合。路径分析结果表明，更多的社会支持网络接触与尼古丁贴片依从性水平较高相关（β = 0.13，P = 0.02），贴剂粘附性越高，6个月随访时7天时点吸烟率的概率越低（beta = -.47，P < .001）和更多的社会支持网络联系（β =-0.06，P = 0.03）在6个月随访时通过贴剂依从性对7天时点吸烟率有显著的间接影响。研究结果对寻求利用社会支持的有益影响的戒烟干预措施具有影响。这些努力应该考虑到接触频率可能对尼古丁贴片使用和其他治疗相关机制的作用。
Introduction: The high prevalence of smoking among people living with HIV is a significant problem. Nonadherence to smoking cessation pharmacotherapy is a barrier for successfully quitting. The current study investigated the extent to which social support variables impact adherence and cessation.Methods: Participants were 444 HIV+ smokers who provided data on nicotine patch adherence, social support, and smoking. We conducted a path analysis to estimate (1) the effects of six social support indicators at baseline on nicotine patch adherence; (2) the effect of patch adherence on 7-day point prevalence smoking at 6-month follow-up; and (3) the indirect effects of social support indicators on 7-day point prevalence smoking at 6-month follow-up via patch adherence.Results: The tested model demonstrated good fit as indicated by the comparative fit index, root mean square error of approximation, and weighted root mean square residual (0.94, 0.02, and 0.51, respectively). Path analysis results indicated greater social support network contact was associated with higher levels of nicotine patch adherence (beta = .13, P = .02), greater patch adherence was associated with a lower probability of 7-day point prevalence smoking at 6-month follow-up (beta = -.47, P < .001) and greater social support network contact (beta = -.06, P = .03) had a significant indirect effect on 7-day point prevalence smoking at 6-month follow-up via patch adherence.Conclusions: Findings have implications for smoking cessation interventions that seek to capitalize on the beneficial effects of social support. Such efforts should account for the role that frequency of contact may have on nicotine patch use and other treatment-related mechanisms.