Interventions to reduce harm from continued tobacco use

Lindson, Nicola; Hartmann‐Boyce, Jamie; Fanshawe, Thomas R; Begh, Rachna; Farley, Amanda; Lancaster, Tim

doi:10.1002/14651858.cd005231.pub3

Cited by 140 publications

(101 citation statements)

References 148 publications

(10 reference statements)

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“…Additionally, we were unable to examine differences between non-daily and daily smokers. While evidence suggests that non-daily smokers have increased health risks (Lindson-Hawley et al 2016; Shane, Ling, & Glantz, 2010), non-daily smokers tend to be social or weekend smokers and are less likely to consider themselves “smokers” compared to daily smokers (Shiffman et al 2012). Thus, future studies should include a more extensive measurement of tobacco use behaviors, including couple-level motivators and barriers to smoking cessation.…”

Section: Discussionmentioning

confidence: 99%

A longitudinal study of persistent smoking among HIV-positive gay and bisexual men in primary relationships

Gamarel

Neilands

Conroy

et al. 2017

Addictive Behaviors

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Introduction We examined the stability of smoking behaviors, and factors associated with persistent smoking in a longitudinal study of HIV-positive gay and bisexual men in primary relationships. Methods A sample of 377 HIV-positive men on antiretroviral therapy and their same-sex partners completed five assessments over two years. Participants completed semi-structured interviews which assessed smoking status, sociodemographic factors, relationship dynamics, and HIV-related disease characteristics. Latent transition analysis estimated the amount of transition in smoking over time. Latent class analysis examined factors associated with smoking status across the study period. Results At baseline, 28.1% (n = 106) of participants reported current smoking. Over 90% of the HIV-positive men remained in the same smoking category over time (68.4% persistent non-smokers; 24.1% persistent smokers). Men whose partners smoked and men with lower income had higher odds of being persistent smokers, whereas older men and men who identified as Latino race/ethnicity had lower odds of being persistent smokers compared to non-smokers. Conclusions Despite efforts to reduce smoking among people living with HIV (PLWH), a substantial subset of men continued to smoke during their two years in the study. Findings suggest that primary partners who also smoke and low income were the strongest predictors of sustained smoking behaviors among HIV-positive men. Additional research is needed to better understand how to increase motivation and support for smoking cessation among PLWH and their primary partners, while attending to how socioeconomic status may inhibit access to and the sustained impact of existing smoking cessation programs.

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Section: Discussionmentioning

confidence: 99%

A longitudinal study of persistent smoking among HIV-positive gay and bisexual men in primary relationships

Gamarel

Neilands

Conroy

et al. 2017

Addictive Behaviors

View full text Add to dashboard Cite

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“…For that reason, the 2016 Cochrane review of electronic cigarettes for smoking cessation did not address reduction 17. However, people who want to reduce usually want to quit eventually, and there is evidence from a separate Cochrane review that, in people unmotivated to quit, providing NRT to help people initially reduce their cigarette consumption can lead to increased quit rates in the longer term 21. It therefore follows that nicotine-containing e-cigarettes may also be helpful in promoting reduction and abstinence, but the 2016 Cochrane review of tobacco harm reduction interventions included only one small study of e-cigarettes, meaning there was insufficient direct evidence to conclude this 1921…”

Section: How Well Do They Work For Cutting Down?mentioning

confidence: 99%

Electronic cigarettes for smoking cessation

Hartmann‐Boyce

Begh

Aveyard

2018

BMJ

Self Cite

128

123

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“…NRT was also found to be efective for long-term smoking quit in these users (RR 1.87, 95%CI 1.43-2.44); however, the quality of evidence was assessed to be low. here is insuicient evidence at this time for the application of other methods (pharmacological intervention, electronic cigarettes, snus, nicotine patches and low tar cigarettes) in demonstrating a smoking reduction or complete cessation in smokers unwilling or unable to quit (Lindson-Hawley et al, 2016).…”

Section: 'Smoking Reduction' Vs 'Abrupt Cessation'mentioning

confidence: 97%

Update to evidence-based guide to smoking cessation therapies

2017

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Article:Siddiqui, Faraz orcid.org/0000-0002-2253-3911, Huque, Rumana and Dogar, Omara Fatima orcid.org/0000-0002- 7122-8403 (2017) Despite a general decline in smoking rates in the UK, smoking prevalence remains high among young adults, pregnant women and those from socioeconomically disadvantaged backgrounds. These three groups are also more likely to benefit from targeted smoking cessation interventions. Clinical contact between health professionals and patients who smoke creates an opportunity for offering cessation interventions and to reduce smoking-related harm. This article summarises evidence, based on high-quality systematic reviews, on smoking cessation interventions that could be offered by health professionals coming in to contact with patients who smoke. The evidence presented here suggests that brief advice by a health professional is beneficial in achieving smoking cessation and so is intensive behavioural support alone or in combination with pharmacotherapies (nicotine replacement therapies (NRTs), bupropion and varenicline). Pharmacotherapies are also effective individually in promoting smoking cessation; a combination of NRTs (oral or skin patch) can be particularly helpful in promoting cessation among highly dependent smokers. Pharmacotherapies in combination with behavioural support delivered in health care settings are more effective than when used alone and delivered in community settings, respectively.

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Interventions to reduce harm from continued tobacco use

Abstract: Analysis 1.2. Comparison 1 Nicotine replacement therapy to assist smoking reduction versus placebo, Outcome 2 Cessation at long-term follow-up (subgroups by type of NRT

Cited by 140 publications

References 148 publications

A longitudinal study of persistent smoking among HIV-positive gay and bisexual men in primary relationships

A longitudinal study of persistent smoking among HIV-positive gay and bisexual men in primary relationships

Electronic cigarettes for smoking cessation

Update to evidence-based guide to smoking cessation therapies

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