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HIV-positive smokers considering quitting: differences by race/ethnicity
Elizabeth E Lloyd-Richardson1, Cassandra A Stanton, George D Papandonatos
1Brown Medical School, The Miriam Hospital, Weight Control and Diabetes Research Center, Providence, RI 02903, USA. erichardson@lifespan.org
American Journal of Health Behavior
|November 21, 2007
Summary
Smoking cessation interventions for people with HIV need tailoring. Lower self-efficacy and higher contemplation predict nicotine dependence, with specific racial/ethnic differences observed in older adults.
Area of Science:
- Public Health
- Addiction Medicine
- HIV/AIDS Research
Background:
- Smoking remains a significant health concern among individuals living with HIV (Human Immunodeficiency Virus).
- Understanding factors influencing nicotine dependence is crucial for developing effective cessation strategies in this population.
Purpose of the Study:
- To characterize smoking behaviors in a multiethnic cohort of HIV-positive individuals.
- To identify key components for a targeted smoking cessation intervention for HIV-positive smokers.
- To examine race and ethnic differences in nicotine dependence.
Main Methods:
- A cross-sectional study involving 444 HIV-positive smokers.
- Analysis of baseline characteristics stratified by race.
- Multivariate linear regression to identify predictors of nicotine dependence, focusing on race/ethnic variations.
Main Results:
- Lower self-efficacy for smoking cessation and higher contemplation of quitting were associated with greater nicotine dependence.
- An interaction between age and race was observed, indicating older Hispanic Americans were less nicotine dependent.
- Race and ethnicity are significant factors in nicotine dependence among HIV-positive individuals.
Conclusions:
- Smoking cessation interventions must be tailored to address the specific needs of HIV-positive racial and ethnic minority groups.
- Intervention content should consider factors like self-efficacy and stage of change.
- Further research into race-specific cessation strategies for HIV-positive populations is warranted.
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