A new smoking cessation 'cascade' among women with or at risk for HIV infection.
AIDS
; 36(1): 107-116, 2022 01 01.
Article
em En
| MEDLINE
| ID: mdl-34586086
ABSTRACT
OBJECTIVES:
The aim of this study was to define a smoking cessation 'cascade' among USA women with and without HIV and examine differences by sociodemographic characteristics.DESIGN:
An observational cohort study using data from smokers participating in the Women's Interagency HIV Study between 2014 and 2019.METHODS:
We followed 1165 women smokers with and without HIV from their first study visit in 2014 or 2015 until an attempt to quit smoking within approximately 3 years of follow-up, initial cessation (i.e. no restarting smoking within approximately 6 months of a quit attempt), and sustained cessation (i.e. no restarting smoking within approximately 12âmonths of a quit attempt). Using the Aalen-Johansen estimator, we estimated the cumulative probability of achieving each step, accounting for the competing risk of death.RESULTS:
Forty-five percent of smokers attempted to quit, 27% achieved initial cessation, and 14% achieved sustained cessation with no differences by HIV status. Women with some post-high school education were more likely to achieve each step than those with less education. Outcomes did not differ by race. Thirty-six percent [95% confidence interval (95% CI) 31-42] of uninsured women attempted to quit compared with 47% (95% CI 44-50) with Medicaid and 49% (95% CI 41-59) with private insurance.CONCLUSION:
To decrease smoking among USA women with and without HIV, targeted, multistage interventions, and increased insurance coverage are needed to address shortfalls along this cascade.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Infecções por HIV
/
Abandono do Hábito de Fumar
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article