牙买加西部艾滋病毒感染者吸烟的流行率和预测因素。

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES
D Aguilera, B Rinola, S Tundealao, R Klaff, M Aung, M Johnson-Campbell, D Johnson-Wallace, R Stephenson, P E Jolly, I Tamí-Maury
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引用次数: 0

摘要

通过高度积极的抗逆转录病毒疗法,艾滋病毒感染已成为一种可治疗的慢性疾病。然而,吸烟等可改变的风险因素仍然影响着艾滋病病毒感染者(PWH)的发病率和死亡率。我们评估了牙买加西部艾滋病感染者的吸烟率和相关因素以及戒烟动机。在这项横断面研究中,392 名在牙买加西部医疗机构寻求艾滋病治疗的成年人填写了一份由访谈者主持的调查问卷。参与者目前的吸烟率为 17.4%。目前的吸烟率与男性(OR = 2.99)、非基督徒/非拉斯特法里教徒(OR = 2.34)、与另一名吸烟者一起生活或工作(aOR = 1.86)、中度至重度抑郁(OR = 3.24)、有酗酒问题(OR = 1.84)以及从未被医疗服务提供者询问过是否吸烟(OR = 3.24)有很大关系。在目前吸烟的残疾人中,36.7%对尼古丁有中度至高度依赖。三分之一的吸烟者(33.8%)是在确诊艾滋病病毒后首次开始吸烟的,而66.2%的吸烟者是在确诊前开始吸烟的;88%的吸烟者愿意戒烟。这些研究结果为设计和实施一项全面的戒烟计划提供了基础信息,该计划考虑到了牙买加艾滋病感染者的需求,有可能成为加勒比地区其他艾滋病专业医疗机构的可推广模式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence and predictors of cigarette smoking among people with HIV in Western Jamaica.

With highly active antiretroviral therapy, HIV infection has become a treatable chronic disease. However, modifiable risk factors such as cigarette smoking continue to impact the morbidity and mortality of people with HIV (PWH). We assessed the prevalence and factors associated with cigarette smoking and motivation to quit among PWH in Western Jamaica. A cross-sectional study was conducted in which 392 adults seeking HIV care at health facilities in Western Jamaica completed an interviewer-administered questionnaire. Current smoking prevalence among participants was 17.4%. Current smoking was significantly associated with being male (OR = 2.99), non-Christian/non-Rastafarian (OR = 2.34), living or working with another smoker (aOR =1.86), being moderate to severely depressed (OR = 3.24), having an alcohol drinking problem (OR = 1.84), and never being asked by a healthcare provider if they smoked (OR = 3.24). Among the PWH who currently smoke, 36.7% are moderately to highly dependent on nicotine. One-third of people who smoke (33.8%) started smoking for the first time after HIV diagnosis, while 66.2% initiated smoking before; 88% were willing to quit smoking. These findings provide baseline information for designing and implementing a comprehensive smoking cessation program that considers the needs of PWH in Jamaica, with the potential of becoming a replicable model for other HIV-specialized healthcare settings in the Caribbean.

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CiteScore
3.50
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