Understanding HIV care providers’ support for tobacco cessation among people living with HIV in Western Kenya: a formative qualitative study
Introduction Healthcare providers are required to support people living with HIV (PLHIV) to quit tobacco use for improved health outcomes, but it is unclear to what extent they adhere to these requirements. We examined HIV care providers and PLHIV’s perceptions of support, and barriers, to providing...
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BMJ Publishing Group
2024-04-01
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| Series: | BMJ Public Health |
| Online Access: | https://bmjpublichealth.bmj.com/content/2/1/e000776.full |
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| author | Peter Magati Maya Vijayaraghavan Elizabeth A Bukusi Craig R Cohen Starley B Shade Zachary Arochi Kwena Linet Ongeri Francesca A Odhiambo Cirilus O Ogala Yvonne A Olando Greshon Rota Purba Chatterjee Christine A Osula Jerry J Nutor Stella S Bialous |
| author_facet | Peter Magati Maya Vijayaraghavan Elizabeth A Bukusi Craig R Cohen Starley B Shade Zachary Arochi Kwena Linet Ongeri Francesca A Odhiambo Cirilus O Ogala Yvonne A Olando Greshon Rota Purba Chatterjee Christine A Osula Jerry J Nutor Stella S Bialous |
| author_sort | Peter Magati |
| collection | DOAJ |
| description | Introduction Healthcare providers are required to support people living with HIV (PLHIV) to quit tobacco use for improved health outcomes, but it is unclear to what extent they adhere to these requirements. We examined HIV care providers and PLHIV’s perceptions of support, and barriers, to providing tobacco cessation.Methods This qualitative investigation was part of a larger study seeking to integrate tobacco cessation into HIV care in Western Kenya (NCT05351606). We conducted 22 key informant interviews with HIV care providers and managers and four focus group discussions (n=28) with PLHIV. The interviews and discussions were audio-recorded, and audio files were transcribed and, when necessary, translated into English for coding and analysis.Results PLHIV rarely disclose or are screened for tobacco use unless a complaint or clinical finding prompts a provider. Despite PLHIV wanting to receive support to quit tobacco use, they feared negative reactions from their providers if they disclosed their tobacco use status. Providers cited several system-related barriers to screening for and providing cessation support for PLHIV, including workload pressure, lack of job aids, tobacco use screening not included as a performance indicator and lack of adequate counselling skills to address tobacco use.Conclusions PLHIV are not routinely screened for tobacco use despite their knowledge of the negative impact of tobacco use on overall health outcomes and desire to quit. System-related barriers hinder providers from providing cessation support. Providers should be trained and equipped with additional skills and resources to integrate tobacco cessation support into routine HIV care. |
| format | Article |
| id | doaj-art-8cec46e37e9043c79f9b54e3dfd94fc7 |
| institution | Kabale University |
| issn | 2753-4294 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Public Health |
| spelling | doaj-art-8cec46e37e9043c79f9b54e3dfd94fc72025-01-28T22:40:10ZengBMJ Publishing GroupBMJ Public Health2753-42942024-04-012110.1136/bmjph-2023-000776Understanding HIV care providers’ support for tobacco cessation among people living with HIV in Western Kenya: a formative qualitative studyPeter Magati0Maya Vijayaraghavan1Elizabeth A Bukusi2Craig R Cohen3Starley B Shade4Zachary Arochi Kwena5Linet Ongeri6Francesca A Odhiambo7Cirilus O Ogala8Yvonne A Olando9Greshon Rota10Purba Chatterjee11Christine A Osula12Jerry J Nutor13Stella S Bialous14Economist, Nairobi, KenyaDepartment of Medicine, University of California San Francisco, San Francisco, California, USACenter for Microbiology Research, Kenya Medical Research Institute, Kisumu, KenyaObstetrics, Gynecology and Reproductive Sciences, School of Medicine, University of California San Francisco, San Francisco, California, USADepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, USACenter for Microbiology Research, Kenya Medical Research Institute, Kisumu, KenyaCentre for Clinical Research, Kenya Medical Research Institute, Nairobi, KenyaCenter for Microbiology Research, Kenya Medical Research Institute, Kisumu, KenyaCenter for Microbiology Research, Kenya Medical Research Institute, Kisumu, KenyaNational Authority for the Campaign Against Alcohol and Drug Abuse, Nairobi, KenyaCenter for Microbiology Research, Kenya Medical Research Institute, Kisumu, KenyaDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, San Francisco, California, USACenter for Microbiology Research, Kenya Medical Research Institute, Kisumu, KenyaDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, San Francisco, California, USADepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, San Francisco, California, USAIntroduction Healthcare providers are required to support people living with HIV (PLHIV) to quit tobacco use for improved health outcomes, but it is unclear to what extent they adhere to these requirements. We examined HIV care providers and PLHIV’s perceptions of support, and barriers, to providing tobacco cessation.Methods This qualitative investigation was part of a larger study seeking to integrate tobacco cessation into HIV care in Western Kenya (NCT05351606). We conducted 22 key informant interviews with HIV care providers and managers and four focus group discussions (n=28) with PLHIV. The interviews and discussions were audio-recorded, and audio files were transcribed and, when necessary, translated into English for coding and analysis.Results PLHIV rarely disclose or are screened for tobacco use unless a complaint or clinical finding prompts a provider. Despite PLHIV wanting to receive support to quit tobacco use, they feared negative reactions from their providers if they disclosed their tobacco use status. Providers cited several system-related barriers to screening for and providing cessation support for PLHIV, including workload pressure, lack of job aids, tobacco use screening not included as a performance indicator and lack of adequate counselling skills to address tobacco use.Conclusions PLHIV are not routinely screened for tobacco use despite their knowledge of the negative impact of tobacco use on overall health outcomes and desire to quit. System-related barriers hinder providers from providing cessation support. Providers should be trained and equipped with additional skills and resources to integrate tobacco cessation support into routine HIV care.https://bmjpublichealth.bmj.com/content/2/1/e000776.full |
| spellingShingle | Peter Magati Maya Vijayaraghavan Elizabeth A Bukusi Craig R Cohen Starley B Shade Zachary Arochi Kwena Linet Ongeri Francesca A Odhiambo Cirilus O Ogala Yvonne A Olando Greshon Rota Purba Chatterjee Christine A Osula Jerry J Nutor Stella S Bialous Understanding HIV care providers’ support for tobacco cessation among people living with HIV in Western Kenya: a formative qualitative study BMJ Public Health |
| title | Understanding HIV care providers’ support for tobacco cessation among people living with HIV in Western Kenya: a formative qualitative study |
| title_full | Understanding HIV care providers’ support for tobacco cessation among people living with HIV in Western Kenya: a formative qualitative study |
| title_fullStr | Understanding HIV care providers’ support for tobacco cessation among people living with HIV in Western Kenya: a formative qualitative study |
| title_full_unstemmed | Understanding HIV care providers’ support for tobacco cessation among people living with HIV in Western Kenya: a formative qualitative study |
| title_short | Understanding HIV care providers’ support for tobacco cessation among people living with HIV in Western Kenya: a formative qualitative study |
| title_sort | understanding hiv care providers support for tobacco cessation among people living with hiv in western kenya a formative qualitative study |
| url | https://bmjpublichealth.bmj.com/content/2/1/e000776.full |
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