Smoking cessation among women with and at risk for HIV: are they quitting?
Smoking cessation among women with and at risk for HIV: are they quitting?
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DOI：
10.1007/s11606-009-1150-2
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发表时间：
2010-01
影响因子：
5.7
通讯作者：
Cohen, Mardge H.
中科院分区：
文献类型：
--
作者：
Goldberg, David;Weber, Kathleen M.;Orsi, Jennifer;Hessol, Nancy A.;D'Souza, Gypsyamber;Watts, D. Heather;Schwartz, Rebecca;Liu, Chenglong;Glesby, Marshall;Burian, Pamela;Cohen, Mardge H.
吸烟是艾滋病毒感染人群中不良健康事件的一个重要危险因素。虽然最近的美国人口调查报告每年持续戒烟率为3.4-8.5%，但缺乏关于感染艾滋病毒的吸烟者戒烟率的前瞻性数据。确定感染艾滋病毒或有感染艾滋病毒风险的妇女的持续戒烟率和戒烟预测因素。前瞻性队列研究。在妇女机构间艾滋病毒研究（WIHS）中，共有747名妇女（537名感染艾滋病毒，210名未感染艾滋病毒）在登记时（1994-1995年）报告吸烟，并在10年后继续进行随访。参与者大多是少数族裔（61%的非西班牙裔黑人和22%的西班牙裔）和低收入者（68%的年收入低于或等于1.2万美元）。主要终点定义为第10年连续戒烟超过12个月。采用多变量logistic回归来确定随后戒烟的独立基线预测因素。共有121名（16%）女性报告在第10年戒烟（年持续戒烟率为1.8%，95% CI为1.6-2.1%）。hiv阳性和hiv阴性妇女的年持续戒烟率均为1.8% （p = 0.82）。在多变量分析中，与黑人女性相比，受教育年限较长的女性（p趋势= 0.02）和西班牙裔女性（OR = 1.87, 95% CI = 1.4-2.9）戒烟的几率明显更高。目前或曾经使用非法药物的妇女戒烟率明显较低（分别为or = 0.42 95% CI = 0.24-0.74和or = 0.65, 95% CI = 0.49-0.86， p趋势= 0.03），基线时报告每天吸烟数量较多的妇女戒烟率明显较低（p趋势< 0.001）。该队列中感染艾滋病毒和高危妇女的戒烟率低于一般人群。鉴于吸烟率高、吸烟造成不良健康事件的风险高、戒烟率低，我们必须加大努力，克服障碍，帮助这些妇女戒烟。
Cigarette smoking is an important risk factor for adverse health events in HIV-infected populations. While recent US population-wide surveys report annual sustained smoking cessation rates of 3.4–8.5%, prospective data are lacking on cessation rates for HIV-infected smokers. To determine the sustained tobacco cessation rate and predictors of cessation among women with or at risk for HIV infection. Prospective cohort study. A total of 747 women (537 HIV-infected and 210 HIV-uninfected) who reported smoking at enrollment (1994–1995) in the Women’s Interagency HIV Study (WIHS) and remained in follow-up after 10 years. The participants were mostly minority (61% non-Hispanic Blacks and 22% Hispanics) and low income (68% with reported annual incomes of less than or equal to $12,000). The primary outcome was defined as greater than 12 months continuous cessation at year 10. Multivariate logistic regression was used to identify independent baseline predictors of subsequent tobacco cessation. A total of 121 (16%) women reported tobacco cessation at year 10 (annual sustained cessation rate of 1.8%, 95% CI 1.6–2.1%). Annual sustained cessation rates were 1.8% among both HIV-positive and HIV-negative women (p = 0.82). In multivariate analysis, the odds of tobacco cessation were significantly higher in women with more years of education (p trend = 0.02) and of Hispanic origin (OR = 1.87, 95% CI = 1.4–2.9) compared to Black women. Cessation was significantly lower in current or former illicit drug users (OR = 0.42 95% CI = 0.24–0.74 and OR = 0.65, 95% CI = 0.49–0.86, respectively, p trend = 0.03) and women reporting a higher number of cigarettes per day at baseline (p trend < 0.001). HIV-infected and at-risk women in this cohort have lower smoking cessation rates than the general population. Given the high prevalence of smoking, the high risk of adverse health events from smoking, and low rates of cessation, it is imperative that we increase efforts and overcome barriers to help these women quit smoking.
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3.8
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