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AIDS Care ; 36(10): 1499-1507, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-38749021

RESUMO

With highly active antiretroviral therapy, HIV infection has become a treatable chronic disease. However, modifiable risk factors such as cigarette smoking continue to impact the morbidity and mortality of people with HIV (PWH). We assessed the prevalence and factors associated with cigarette smoking and motivation to quit among PWH in Western Jamaica. A cross-sectional study was conducted in which 392 adults seeking HIV care at health facilities in Western Jamaica completed an interviewer-administered questionnaire. Current smoking prevalence among participants was 17.4%. Current smoking was significantly associated with being male (OR = 2.99), non-Christian/non-Rastafarian (OR = 2.34), living or working with another smoker (aOR =1.86), being moderate to severely depressed (OR = 3.24), having an alcohol drinking problem (OR = 1.84), and never being asked by a healthcare provider if they smoked (OR = 3.24). Among the PWH who currently smoke, 36.7% are moderately to highly dependent on nicotine. One-third of people who smoke (33.8%) started smoking for the first time after HIV diagnosis, while 66.2% initiated smoking before; 88% were willing to quit smoking. These findings provide baseline information for designing and implementing a comprehensive smoking cessation program that considers the needs of PWH in Jamaica, with the potential of becoming a replicable model for other HIV-specialized healthcare settings in the Caribbean.


Assuntos
Fumar Cigarros , Infecções por HIV , Humanos , Jamaica/epidemiologia , Masculino , Feminino , Estudos Transversais , Adulto , Infecções por HIV/epidemiologia , Infecções por HIV/psicologia , Prevalência , Fumar Cigarros/epidemiologia , Fumar Cigarros/psicologia , Fatores de Risco , Pessoa de Meia-Idade , Inquéritos e Questionários , Abandono do Hábito de Fumar/psicologia , Abandono do Hábito de Fumar/estatística & dados numéricos , Motivação , Adulto Jovem , Fumar/epidemiologia , Fumar/psicologia
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