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Cited by 87Smoking Behavior and CessationHIV/AIDS Research and InterventionsHIV, Drug Use, Sexual Risk

The Unique Challenges Facing HIV-Positive Patients Who Smoke Cigarettes: HIV Viremia, Art Adherence, Engagement in HIV care, and Concurrent Substance Use

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O’Cleirigh, Conall, Valentine, Sarah E., Pinkston, Megan, Herman, Debra, Bedoya, C. Andres, Gordon, Janna R., Safren, Steven A.·2015·AIDS and Behavior
DOI 10.1007/s10461-014-0762-7PMC PMC4415512
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Abstract

Evidence suggests that smoking may have negative associations with HIV health outcomes. The smoking rate in our sample of people living with HIV (N = 333) was triple that of the general population (57 v. 19 %). Regression analyses revealed that (smokers v. non-smokers) reported lower medication adherence (unstandardized beta = 9.01) and were more likely to have a detectable viral load (OR = 2.85, 95 % CI [1.53-5.30]). Smokers attended fewer routine medical visits (β = -0.16) and were more likely to report recent hospitalization (OR = 1.89, 95 % CI [0.99, 3.57]). Smokers ranked "health" as less important to their quality of life (β = -0.13) and were more likely to report problematic alcohol (OR = 2.40, 95 % CI [1.35, 4.30]), cocaine (OR = 2.87, 95 % CI [1.48-5.58]), heroin (OR = 4.75, 95 % CI [1.01, 22.30]), or marijuana use (OR = 3.08, 95 % CI [1.76-5.38]). Findings underscore the need for integrated behavioral smoking cessation interventions and routine tobacco screenings in HIV primary care.

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Authors
O’Cleirigh, C., Valentine, S. E., Pinkston, M., Herman, D., Bedoya, C. A., Gordon, J. R., & Safren, S. A.
Affiliations
  • Harvard University (US)
  • Miriam Hospital (US)
  • Butler Hospital (US)
Corresponding author
O’Cleirigh, Conall
ORCID
Venue
AIDS and Behavior
Publisher
Springer Science and Business Media LLC
Published
2014-04-27
Volume
19
Issue
1
Pages
178-185
ISSN
  • 1090-7165 (ISSN-L)
  • 1573-3254
DOI
10.1007/s10461-014-0762-7
PMC
PMC4415512
OpenAlex
W2111389116
Cited by
87
References
4
Citations by year
2026: 2 · 2025: 4 · 2024: 6 · 2023: 5 · 2022: 9 · 2021: 9 · 2020: 7 · 2019: 11 · 2018: 12 · 2017: 3 · 2016: 10 · 2015: 6 · 2014: 3
FWCI
4.57
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (tdm)
Locations
  • AIDS and Behavior (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (R01MH084757, K24MH094214)
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Keywords
HIV, smoking, tobacco use, HIV viremia, antiretroviral therapy adherence, HIV care engagement, concurrent substance use, alcohol consumption, cocaine use, heroin use, cannabis use, quality of life, smoking cessation interventions, tobacco use screening, HIV primary care
MeSH terms
Cross-Sectional Studies, Depression, Female, Humans, Male, Middle Aged, Referral and Consultation, Risk Factors, Smoking, United States, Viremia, Health Behavior, HIV Infections, Prevalence, Smoking Cessation, Drug Monitoring, Viral Load, Substance-Related Disorders, Medication Adherence

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