Xinyu Huang, Junjie Ren, Liying Zhou, Xu Hui, Liping Guo, Li Xu, Kehu Yang
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The retrieval period was from the inception of databases to November 2023. Network meta-analysis (NMA) was performed using the Stata 18.0 software with 19 studies (3190 subjects), of which 15 reported 7-day point prevalence abstinence and seven of which reported continuous abstinence. The NMA results showed that compared with general advice plus self-help brochure, text messaging (relative risk [RR] = 4.60, 95% confidence interval [CI], 1.12-18.81) and cell phone counseling (RR = 3.29, 95% CI, 1.71-6.32) were the most effective for 7-day point prevalence abstinence among smokers with HIV infection. Moreover, the meta-analysis showed that compared with smoking counseling and self-help brochures, continuous abstinence was statistically significantly enhanced after behavioral interventions (RR = 2.52, 95% CI, 1.51-4.20). 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引用次数: 0
摘要
据估计,艾滋病病毒感染者(PLWH)的吸烟率是普通人群的2-3倍。数据显示,由于社会经济地位较低、曾使用或同时使用非法药物和酒精、年龄较小、教育水平较低以及伴有抑郁症状等因素,吸烟在艾滋病病毒感染者中更为常见。PLWH 中吸烟者罹患某些癌症和感染的风险较高,对抗逆转录病毒疗法的反应也较低。我们在 PubMed、Cochrane 图书馆、EMBASE 和 Web of Science 数据库中检索了针对 HIV 感染者吸烟行为干预的随机对照试验。检索时间为数据库建立之初至 2023 年 11 月。使用Stata 18.0软件对19项研究(3190名受试者)进行了网络荟萃分析(NMA),其中15项研究报告了7天的点戒烟率,7项研究报告了连续戒烟率。NMA 结果显示,与一般建议加自助手册相比,短信(相对风险 [RR] = 4.60,95% 置信区间 [CI],1.12-18.81)和手机咨询(RR = 3.29,95% 置信区间 [CI],1.71-6.32)对感染 HIV 的吸烟者的 7 天点戒烟率最为有效。此外,荟萃分析表明,与吸烟咨询和自助手册相比,行为干预后持续戒烟率在统计学上显著提高(RR = 2.52,95% CI,1.51-4.20)。该研究揭示了极低质量到高质量的证据,证明短信、电话咨询和戒烟网站对感染艾滋病病毒的吸烟者有效。
Behavioral interventions for tobacco use in HIV-infected smokers: systematic review and pairwise, network meta-analysis of randomized trials.
Smoking among persons living with HIV infection (PLWH) is estimated to be 2-3 times greater than that in the general population. Data suggest that cigarette smoking is more common among PLWH because of several factors, including lower socioeconomic status, previous, or concurrent illicit drug and alcohol use, younger age, lower education level, and concomitant depressive symptoms. Cigarette smoking among PLWH has been associated with a higher risk of certain cancers and infections as well as lowered response to antiretroviral therapy. Randomized controlled trials on behavioral interventions for tobacco use among smokers with HIV were searched in the PubMed, Cochrane Library, EMBASE, and Web of Science databases. The retrieval period was from the inception of databases to November 2023. Network meta-analysis (NMA) was performed using the Stata 18.0 software with 19 studies (3190 subjects), of which 15 reported 7-day point prevalence abstinence and seven of which reported continuous abstinence. The NMA results showed that compared with general advice plus self-help brochure, text messaging (relative risk [RR] = 4.60, 95% confidence interval [CI], 1.12-18.81) and cell phone counseling (RR = 3.29, 95% CI, 1.71-6.32) were the most effective for 7-day point prevalence abstinence among smokers with HIV infection. Moreover, the meta-analysis showed that compared with smoking counseling and self-help brochures, continuous abstinence was statistically significantly enhanced after behavioral interventions (RR = 2.52, 95% CI, 1.51-4.20). The study revealed very low-to-high-quality evidence that text messaging, telephone counseling, and smoking cessation websites were effective for smokers with HIV infection.
期刊介绍:
AIDS Reviews publishes papers reporting original scientific, clinical, epidemiologic and social research which contribute to the overall knowledge of the field of the acquired immunodeficiency syndrome and human retrovirology. Currently, the Journal publishes review articles (usually by invitation, but spontaneous submitted articles will also be considered). Manuscripts submitted to AIDS Reviews will be accepted on the understanding that the authors have not submitted the paper to another journal or published the material elsewhere.