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. 2014 Mar;18(3):535-43.
doi: 10.1007/s10461-013-0576-z.

Smoking behaviors in a community-based cohort of HIV-infected indigent adults

Maya Vijayaraghavan  1 , Joanne Penko, Eric Vittinghoff, David R Bangsberg, Christine Miaskowski, Margot B Kushel
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Smoking behaviors in a community-based cohort of HIV-infected indigent adults

Maya Vijayaraghavan et al. AIDS Behav. 2014 Mar.

Abstract

We conducted a longitudinal study of a community-based cohort of HIV-infected indigent adults to examine smoking behaviors and factors associated with quitting. We assessed "hardcore" smoking behaviors associated with a low probability of quitting. Of the 296 participants, 218 were current smokers (73.6 %). The prevalence of "hardcore" smoking was high: 59.6 % smoked ≥15 cigarettes per day, and 67.3 % were daily smokers. During the study interval, 20.6 % made at least one quit attempt. Of these, 53.3 % were abstinent at 6 months. The successful quit rate over 2 years was 4.6 %. Illegal substance use (adjusted odds ratio, AOR 0.2, 95 % CI 0.1-0.6) and smoking within 30 min of waking (AOR 0.2, 95 % CI 0.1-0.7) were associated with lower likelihood of making a quit attempt. Interventions that reduce nicotine dependence prior to smoking cessation and those that are integrated with substance use treatment may be effective for this population.

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