Tobacco Smoking, Substance Use, and Mental Health Symptoms in People with HIV in an Urban HIV Clinic.

Abstract:

:The prevalence of tobacco smoking among people with HIV (PWH) ranges from 40% to 70%. Additionally, tobacco smoking is higher among low-income individuals, yet few studies have examined tobacco smoking in low socioeconomic status PWH. Using data from a cohort of PWH receiving care in an urban HIV clinic, we characterized factors associated with current and former smoking and with initiation/re-initiation and cessation of tobacco use. Among a study sample of 1,607 PWH, the prevalence of current smoking was 46.6% among men and 46.0% among women. Current smoking in men and women was associated with Medicaid insurance status, substance use, and panic symptoms. In women, but not men, hazardous alcohol use decreased the likelihood of quitting smoking and increased the risk of initiation/re-initiation. Smoking interventions for low-income, urban PWH may need to be tailored to address mental health and substance use comorbidities.

authors

Miles DRB,Bilal U,Hutton HE,Lau B,Lesko CR,Fojo A,McCaul ME,Keruly J,Moore RD,Chander G

doi

10.1353/hpu.2019.0075

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

1083-1102

issue

3

eissn

1049-2089

issn

1548-6869

pii

S1548686919300142

journal_volume

30

pub_type

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