Evaluation of a Smoking Cessation Program for HIV Infected Individuals in an Urban HIV Clinic: Challenges and Lessons Learned
Introduction. HIV infected persons have high prevalence of smoking and tobacco-associated health risks. Few studies describe smoking cessation programs targeting this population. The Infectious Disease Practice (IDP) in Newark, New Jersey, initiated a smoking cessation program (SCP) for HIV infected...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | AIDS Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2014/237834 |
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| _version_ | 1832561847126982656 |
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| author | Debra Chew Michael B. Steinberg Polly Thomas Shobha Swaminathan Sally L. Hodder |
| author_facet | Debra Chew Michael B. Steinberg Polly Thomas Shobha Swaminathan Sally L. Hodder |
| author_sort | Debra Chew |
| collection | DOAJ |
| description | Introduction. HIV infected persons have high prevalence of smoking and tobacco-associated health risks. Few studies describe smoking cessation programs targeting this population. The Infectious Disease Practice (IDP) in Newark, New Jersey, initiated a smoking cessation program (SCP) for HIV infected smokers. We report participation, abstinence rates, and predictors of abstinence. Methods. This is a prospective cohort study, comparing participants to non-SCP smokers, during April 1, 2011, to October 31, 2012. Intervention included one individualized counseling session with an offer of pharmacotherapy. Univariate and multivariate analyses were performed with self-reported seven-day point prevalence abstinence at six months as primary outcome measure. Results. Among 1545 IDP patients, 774 (51%) were current smokers of whom 123 (16%) participated in the SCP. Mean six-month abstinence rate amongst SCP participants was 16%. A history of cocaine or heroin use was predictive of continued smoking (odds ratio [OR] adjusted 0.20, 95% confidence interval [CI] 0.07–0.55) while smokers in the preparation stage of change were more likely abstinent at six months (OR adjusted 8.26, 95% CI 1.02–66.67). Conclusions. A low-intensity smoking cessation intervention in an HIV treatment setting is effective in a minority of participants. Further research is needed to better address barriers to smoking cessation such as substance use. |
| format | Article |
| id | doaj-art-654fcffb50524a74bc3f67b80c7485af |
| institution | Kabale University |
| issn | 2090-1240 2090-1259 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | AIDS Research and Treatment |
| spelling | doaj-art-654fcffb50524a74bc3f67b80c7485af2025-02-03T01:24:05ZengWileyAIDS Research and Treatment2090-12402090-12592014-01-01201410.1155/2014/237834237834Evaluation of a Smoking Cessation Program for HIV Infected Individuals in an Urban HIV Clinic: Challenges and Lessons LearnedDebra Chew0Michael B. Steinberg1Polly Thomas2Shobha Swaminathan3Sally L. Hodder4Department of Medicine, Division of Infectious Diseases, Rutgers New Jersey Medical School, Newark, NJ, USADivision of General Internal Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USADepartment of Preventive Medicine and Community Health, Rutgers New Jersey Medical School, Newark, NJ, USADepartment of Medicine, Division of Infectious Diseases, Rutgers New Jersey Medical School, Newark, NJ, USADepartment of Medicine, Division of Infectious Diseases, Rutgers New Jersey Medical School, Newark, NJ, USAIntroduction. HIV infected persons have high prevalence of smoking and tobacco-associated health risks. Few studies describe smoking cessation programs targeting this population. The Infectious Disease Practice (IDP) in Newark, New Jersey, initiated a smoking cessation program (SCP) for HIV infected smokers. We report participation, abstinence rates, and predictors of abstinence. Methods. This is a prospective cohort study, comparing participants to non-SCP smokers, during April 1, 2011, to October 31, 2012. Intervention included one individualized counseling session with an offer of pharmacotherapy. Univariate and multivariate analyses were performed with self-reported seven-day point prevalence abstinence at six months as primary outcome measure. Results. Among 1545 IDP patients, 774 (51%) were current smokers of whom 123 (16%) participated in the SCP. Mean six-month abstinence rate amongst SCP participants was 16%. A history of cocaine or heroin use was predictive of continued smoking (odds ratio [OR] adjusted 0.20, 95% confidence interval [CI] 0.07–0.55) while smokers in the preparation stage of change were more likely abstinent at six months (OR adjusted 8.26, 95% CI 1.02–66.67). Conclusions. A low-intensity smoking cessation intervention in an HIV treatment setting is effective in a minority of participants. Further research is needed to better address barriers to smoking cessation such as substance use.http://dx.doi.org/10.1155/2014/237834 |
| spellingShingle | Debra Chew Michael B. Steinberg Polly Thomas Shobha Swaminathan Sally L. Hodder Evaluation of a Smoking Cessation Program for HIV Infected Individuals in an Urban HIV Clinic: Challenges and Lessons Learned AIDS Research and Treatment |
| title | Evaluation of a Smoking Cessation Program for HIV Infected Individuals in an Urban HIV Clinic: Challenges and Lessons Learned |
| title_full | Evaluation of a Smoking Cessation Program for HIV Infected Individuals in an Urban HIV Clinic: Challenges and Lessons Learned |
| title_fullStr | Evaluation of a Smoking Cessation Program for HIV Infected Individuals in an Urban HIV Clinic: Challenges and Lessons Learned |
| title_full_unstemmed | Evaluation of a Smoking Cessation Program for HIV Infected Individuals in an Urban HIV Clinic: Challenges and Lessons Learned |
| title_short | Evaluation of a Smoking Cessation Program for HIV Infected Individuals in an Urban HIV Clinic: Challenges and Lessons Learned |
| title_sort | evaluation of a smoking cessation program for hiv infected individuals in an urban hiv clinic challenges and lessons learned |
| url | http://dx.doi.org/10.1155/2014/237834 |
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