Persistent Disparities in Smoking Rates Among PLWH Compared to the General Population in Philadelphia, 2009–2014.

Despite reductions in smoking rates in the general population, little is known about recent smoking trends among people living with HIV (PLWH). We compared the risk for smoking and temporal trends in smoking among PLWH and the general population in the Philadelphia metropolitan area between 2009 and...

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Publicado en:AIDS & Behavior Vol. 25; no. 1; pp. 148 - 154
Autores principales: Bien-Gund, Cedric H., Choi, Grace H., Mashas, Antonios, Shaw, Pamela A., Miller, Melissa, Gross, Robert, Brady, Kathleen A.
Formato: research tables/charts Journal Article
Publicado: Springer Nature 2021
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Persistent Disparities in Smoking Rates Among PLWH Compared to the General Population in Philadelphia, 2009–2014.
      aug:
        au:
          Bien-Gund, Cedric H.
          Choi, Grace H.
          Mashas, Antonios
          Shaw, Pamela A.
          Miller, Melissa
          Gross, Robert
          Brady, Kathleen A.
        affil: Division of Infectious Diseases, Department of Medicine, University of Pennsylvania Perelman School of Medicine, 3400 Spruce Street, 19104, Philadelphia, PA, USA
      sug:
        subj:
          Smoking Risk Factors
          HIV-Positive Persons Psychosocial Factors
          Smoking Trends
          Smoking Psychosocial Factors
          Healthcare Disparities
          Human
          Pennsylvania
          Urban Areas
          Logistic Regression
          Odds Ratio
          Confidence Intervals
          Prevalence
          Descriptive Statistics
          Smoking Cessation
          Mental Health
          Socioeconomic Factors
      ab: Despite reductions in smoking rates in the general population, little is known about recent smoking trends among people living with HIV (PLWH). We compared the risk for smoking and temporal trends in smoking among PLWH and the general population in the Philadelphia metropolitan area between 2009 and 2014. We used weighted logistic regression to assess the relation between HIV and smoking, and examined temporal smoking trends. The adjusted odds ratio (OR) for smoking comparing PLWH to the general population was 1.80 (95% CI 1.55–2.09) after adjusting for socio-economic, demographic, and mental health diagnosis variables. Smoking prevalence decreased in both the PLWH and general populations during the study period, and we did not observe a significant difference in rates of decline between groups (P = 0.54). Despite overall progress in smoking cessation, a disparity persisted in smoking rates between PLWH and the general population, with and without adjustment for socio-economic, demographic, and mental health variables. Further research is needed to understand the mechanisms linking HIV and tobacco use in order to inform public health efforts to reduce smoking among PLWH.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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