Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2013 Dec;15(12):2100-6.
doi: 10.1093/ntr/ntt107. Epub 2013 Aug 1.

Poly-tobacco use among HIV-positive smokers: implications for smoking cessation efforts

Irene Tamí-Maury  1 , Damon J Vidrine, Faith E Fletcher, Heather Danysh, Roberto Arduino, Ellen R Gritz
Affiliations
Randomized Controlled Trial

Poly-tobacco use among HIV-positive smokers: implications for smoking cessation efforts

Irene Tamí-Maury et al. Nicotine Tob Res. 2013 Dec.

Abstract

Introduction: Poly-tobacco use is defined as cigarette and other tobacco consumption with either product used daily or nondaily. While concurrent use of different types of tobacco has been documented within the general population, less is known about poly-tobacco use among HIV-positive smokers and its impact on smoking cessation efforts.

Objective: To characterize the profile of poly-tobacco users (PTU) in a sample of HIV-positive smokers participating in a cessation program.

Methods: The study sample consisted of 474 HIV-positive smokers enrolled in a 2-group randomized controlled trial of cigarette smoking cessation comparing a cell phone-based intervention to usual care. Prevalence was determined, and risk factors for poly-tobacco use were evaluated using logistic regression.

Results: In this cohort of HIV-positive cigarette smokers, 21.6% of participants were PTU, with cigars (73.4%) the most common tobacco product consumed. Among PTU, 73.5% used other form(s) of tobacco some days, and 26.5% use them every day. Perceived discrimination and unemployment were significantly associated with poly-tobacco use after adjusting for other demographic, behavioral, and psychosocial factors. Analysis showed that participants in the cell phone group (vs. usual care) were more likely to report 24-hr abstinence, both among monocigarette users (16.6% vs. 6.3%, p < .001) and PTU (18.5% vs. 0%, p < .001).

Conclusion: Poly-tobacco use prevalence among adult HIV-positive smokers was considerably higher than in the general population. Special attention must be placed on concurrent use of cigarettes and cigars among HIV-positive smokers. Because PTU are a unique population less likely to succeed in brief smoking cessation interventions, effective cessation programs are needed.

PubMed Disclaimer

References

    1. Accortt N. A., Waterbor J. W., Beall C., Howard G. (2002). Chronic disease mortality in a cohort of smokeless tobacco users. American Journal of Epidemiology, 156, 730–737.10.1093/aje/kwf106 - PubMed
    1. American Cancer Society (2012). Cigar smoking Retrieved from http://www.cancer.org/cancer/cancercauses/tobaccocancer/cigarsmoking/cig...
    1. Bombard J. M., Pederson L. L., Nelson D. E., Malarcher A. M. (2007). Are smokers only using cigarettes? Exploring current polytobacco use among an adult population. Addictive Behaviors, 32, 2411–2419.S0306-4603(07)00088-3/ j.addbeh.2007.04.001 - PubMed
    1. Burkhalter J. E., Springer C. M., Chhabra R., Ostroff J. S., Rapkin B. D. (2005). Tobacco use and readiness to quit smoking in low-income HIV-infected persons. Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco, 7, 511–522.QK0307T39793G53J/14622200500186064 - PubMed
    1. Center for Disease Control and Prevention (CDC) (2008). Annual smoking-attributable mortality, years of potential life lost, and productivity losses—United States, 2000–2004. Morbidity and Mortality Weekly Report, 57, 1226–1228 Retrieved from www.cdc.gov/mmwr/ - PubMed

Publication types