Current cigarette smoking among HIV-positive current and former drug users: associations with individual and social characteristics
Title | Current cigarette smoking among HIV-positive current and former drug users: associations with individual and social characteristics |
Publication Type | Journal Article |
Year of Publication | 2014 |
Authors | Pacek, LR, Latkin, C, Crum, RM, Stuart, EA, Knowlton, AR |
Journal | AIDS Behav |
Volume | 18 |
Pagination | 1368-77 |
Date Published | Jul |
ISBN Number | 1090-7165 |
Accession Number | 24287787 |
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 |