“你回到了同样的狗屎:”一项关于女性艾滋病患者戒烟障碍的定性研究:对干预发展的影响。

Faith E Fletcher, Damon J Vidrine, Meredith Buchberg Trejo, Yamile' Molina, Beverly E Sha, Brenikki R Floyd, Noreen Sarhene, Jamesetta Mator, Alicia K Matthews
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引用次数: 0

摘要

虽然感染艾滋病毒的妇女的烟草使用正在减少,但其流行率是一般人群中妇女的两倍多,并且仍然是感染艾滋病毒妇女的重要健康行为。很少有戒烟干预措施专门关注低死亡率人群独特的社会和医疗需求。因此,调查小组让WLWH (N=18)参与定性焦点小组,以:1)了解戒烟的障碍和促进因素;2)告知干预结构和内容优先级。与会者确定了吸烟的主要原因和戒烟障碍,其中包括应对多种生活压力、与艾滋病毒有关的压力、与艾滋病毒有关的耻辱和社会孤立。此外,世卫组织强调了长期戒烟支持、同伴支持、心理健康内容、宗教/灵性和有针对性的风险信息在戒烟干预发展中的重要性。研究结果为未来基于理论的戒烟干预提供了具体的、可操作的策略,并强调了形成性研究对WLWH戒烟干预的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"You Come Back to the Same Ole Shit:" A Qualitative Study of Smoking Cessation Barriers among Women Living with HIV: Implications for Intervention Development.

Although tobacco use among women living with HIV (WLWH) is decreasing, the prevalence is more than double that of women in the general population and remains an important health behavior to target among WLWH. Few smoking cessation interventions specifically focus on the unique social and medical needs of WLWH. Thus, the investigative team engaged WLWH (N=18) in qualitative focus groups to: 1) understand barriers and facilitators to smoking cessation; and 2) inform intervention structure and content priorities. Participants identified salient reasons for smoking and barriers to smoking cessation, which included coping with multiple life stressors, HIV-related stress, HIV-related stigma and social isolation. Further, WLWH highlighted the importance of long-term smoking cessation support, peer support, mental health content, religion/spirituality, and targeted risk messaging in smoking cessation intervention development. Study findings provide concrete, operational strategies for future use in a theory-based smoking cessation intervention, and underscore the importance of formative research to inform smoking cessation interventions for WLWH.

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