Decreased Awareness of Current Smoking Among Health Care Providers of HIV-positive Compared to HIV-negative Veterans

Crothers, Kristina; Goulet, Joseph L.; Rodriguez‐Barradas, Maria C.; Gibert, Cynthia L.; Butt, Adeel A.; Braithwaite, R. Scott; Peck, Robin; Justice, Amy C.

doi:10.1007/s11606-007-0158-8

Cited by 60 publications

(55 citation statements)

References 30 publications

(29 reference statements)

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“…One study found that, although identification of smokers among caseloads was generally high, HIV treatment providers were more likely to fail to recognize smokers among their cases than were non-HIV providers. 70 Female providers and nurse practitioners/physician's assistants were more likely to correctly identify smokers than were male providers and physicians, respectively. Further, infectious disease providers were more likely to identify smokers than were general medicine providers.…”

Section: Gaps In the Literaturementioning

confidence: 94%

Smoking Cessation for People Living With HIV/AIDS: A Literature Review and Synthesis

Ledgerwood

Yskes

2016

NICTOB

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Introduction: People living with HIV/AIDS (PLWHA) are more likely to smoke cigarettes than are individuals in the general population. The health implications of tobacco use are substantially more dire among PLWHA than among otherwise healthy smokers, including higher rates of various cancers, cardiovascular disease, inflammation, and lung infections. Efficacious behavioral and medication treatments for treating nicotine dependence have rarely been investigated in PLWHA. Methods: We present a review of studies examining the efficacy of smoking cessation interventions. Results and Conclusions:The literature reveals some limited evidence for the efficacy of behavioral interventions. However, the research literature on these interventions is sparse and the efficacy findings are mixed. Studies exploring the use of mobile technologies for reducing treatment barriers are becoming more prevalent. Few published trials have directly examined the efficacy of pharmacological smoking cessation interventions among PLWHA. Specific gaps in the treatment literature are discussed in detail, and a strategy is presented for developing a greater understanding of factors that contribute to the efficacy of smoking cessation among PLWHA. Implications: This paper provides the most comprehensive review to date on smoking cessation intervention research conducted with PLWHA. It also discusses specific gaps in the literature that should be a priority for future research.

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Section: Gaps In the Literaturementioning

confidence: 94%

Smoking Cessation for People Living With HIV/AIDS: A Literature Review and Synthesis

Ledgerwood

Yskes

2016

NICTOB

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“…Recent data have suggested that patients with HIV may be recognizing the potential impact of smoking and other chronic diseases on their health and quality of life more promptly than their providers (60). Earlier data have supported the lack of awareness of patients' smoking status by HIV providers (61). In a recent survey of HIV providers (62), although the great majority of clinicians reported asking their HIV-infected patients about smoking, few providers completely followed evidence-based approaches for supporting smoking cessation among their patients.…”

Section: Consequences and Call To Actionmentioning

confidence: 99%

HIV Infection in the Etiology of Lung Cancer: Confounding, Causality, and Consequences

Kirk

Merlo²

2011

Proceedings of the American Thoracic Society

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“…19,24 Current smoking has been reported in 40% to 70% of HIV-positive patients, two-to three-fold greater than the general population. 4,22,[25][26][27][28][29][30][31] Compared with non-smokers, smokers have a two-fold or greater increased risk of MI 19 and CVD. 24,32 Although two studies have reported decreasing rates of smoking over time, in part suggesting that in an aging cohort, smoking rates are decreasing, 4,5 few data are available on actual rates of smoking as HIV-positive patients age.…”

Section: Traditional Risk Factorsmentioning

confidence: 99%

HIV infection, aging and cardiovascular disease: epidemiology and prevention

Petoumenos

Worm

2011

Sex. Health

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Abstract. In the developed world, HIV infection is now well managed with very effective and less toxic antiretroviral treatment. HIV-positive patients therefore are living longer, but are now faced by challenges associated with aging. Several non-AIDS associated morbidities are increased in this population, including cardiovascular disease (CVD). It is suggested that CVD occurs earlier among HIV-positive patients compared with HIV-negative patients, and at a higher rate. Several factors have been proposed to contribute to this. First, the traditional CVD risk factors are highly prevalent in this population. High rates of smoking, dyslipidaemia and a family history of CVD have been reported. This population is also aging, with estimates of more than 25% of HIV-positive patients in the developed world being over the age of 50. Antiretroviral treatment, both through its effect on lipids and through other, sometimes less well understood, mechanisms, has been linked to increased CVD risk. HIV infection, especially untreated, is a further contributing factor to increased CVD risk in HIV-positive patients. As the HIV-positive population continues to age, the risk of CVD will continue to increase. Guidelines for the management and prevention of CVD risk have been developed, and are largely modelled on those used in the general population. However, the data currently suggest that these interventions, such as the use of lipid-lowering medications and smoking cessation programs, remain quite low. A better understanding the mechanisms of CVD risk in this aging population and further efforts in improving uptake of prevention strategies will remain an important research area.

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Decreased Awareness of Current Smoking Among Health Care Providers of HIV-positive Compared to HIV-negative Veterans

Cited by 60 publications

References 30 publications

Smoking Cessation for People Living With HIV/AIDS: A Literature Review and Synthesis

Smoking Cessation for People Living With HIV/AIDS: A Literature Review and Synthesis

HIV Infection in the Etiology of Lung Cancer: Confounding, Causality, and Consequences

HIV infection, aging and cardiovascular disease: epidemiology and prevention

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