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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Current cigarette smoking among HIV-positive current and former drug users: associations with individual and social characteristics

TitleCurrent cigarette smoking among HIV-positive current and former drug users: associations with individual and social characteristics
Publication TypeJournal Article
Year of Publication2014
AuthorsPacek, LR, Latkin, C, Crum, RM, Stuart, EA, Knowlton, AR
JournalAIDS Behav
Volume18
Pagination1368-77
Date PublishedJul
ISBN Number1090-7165
Accession Number24287787
Keywords*Smoking Cessation, Adult, Baltimore/epidemiology, depression, Drug Users/*psychology, Female, Health Promotion, HIV Infections/complications/epidemiology/*psychology, Humans, Logistic Models, Male, Medication Adherence/psychology, Middle Aged, Motivation, Risk Factors, Sexual and Reproductive Health, Smoking/*epidemiology/prevention & control, Social Environment, Tobacco Use Cessation Products
Abstract

Cigarette smoking is endemic among HIV-positive populations and is related to substantial morbidity and mortality. Research has largely focused on individual-level characteristics associated with smoking, with less attention to social factors. We aimed to explore individual- and social-level characteristics associated with current cigarette smoking among people living with HIV. Data came from 358 individuals on antiretroviral therapy interviewed in a study on informal HIV caregiving, conducted in Baltimore, MD, USA. Most participants (75 %) were current smokers and 45 % reported current illegal drug use. In adjusted logistic regression analyses, current drug use (aOR 2.90, 95 % CI 1.58-5.30), 12-step program participation (aOR 1.74, 95 % CI 1.02-2.97), and having a main Supporter who is a current smoker (aOR 1.93, 95 % CI 1.12-3.33) were associated with current smoking. Findings suggest the importance of social-level factors in cigarette smoking among HIV seropositive drug users and have implications for developing targeted smoking cessation interventions for smokers living with HIV.

PMCID

Pmc4037399