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Adherence to Tobacco Dependence Treatment Among HIV-Infected Smokers
Kristine K Browning1, Mary Ellen Wewers2, Amy K Ferketich3
1College of Nursing, The Ohio State University and The Ohio State University Wexner Medical Center, 370 Newton Hall, 1585 Neil Avenue, Columbus, OH, 34210, USA. browning.99@osu.edu.
Abstract:
High prevalence of tobacco use and low success in quitting remain significant problems for reducing disease burden among HIV-infected persons. This study's purpose was to examine participant responsiveness and tobacco dependence treatment adherence and their influences on tobacco abstinence among HIV-infected patients. This non-randomized study included HIV-infected smokers 18 years of age or older, who smoked at least 5 cigarettes per day, and had an interest in quitting smoking in the next 30 days. HIV-infected smokers (n = 247) received a 12-week tobacco dependence treatment intervention that included pharmacotherapy and telephone counseling. Younger age and non-White race were associated with lower adherence to pharmacotherapy. Younger age, non-White race, and increased monthly binge drinking were associated with lower adherence to telephone counseling. High participant responsiveness was associated with adherence to pharmacotherapy, counseling, and abstinence. Development and testing of interventions to improve adherence to evidence-based tobacco dependence treatment is warranted.
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