Perceived risks and benefits of quitting smoking in a sample of adults living with HIV/AIDS

Weinberger, Andrea H.; Seng, Elizabeth K.; Esan, Hannah; Shuter, Jonathan

doi:10.1080/09540121.2017.1382678

Cited by 12 publications

(6 citation statements)

References 16 publications

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“…Individual barriers cited, including nicotine dependence, perceived risk of withdrawal, craving, and smoking for stress management, have been previously reported in the literature (Weinberger, Seng, Esan, & Shuter, 2017). These barriers prevented smokers from achieving abstinence despite knowing that smoking affected their health.…”

Section: Discussionmentioning

confidence: 89%

Perceived barriers to smoking cessation and perceptions of electronic cigarettes among persons living with HIV

et al. 2018

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Smoking is more prevalent in persons living with HIV than the general population and is linked to increased morbidity and mortality. Some have suggested that based on current knowledge of harms and benefits, it may be feasible to advise smokers who are unable or unwilling to quit to switch to electronic cigarettes (ECs) as a less harmful alternative. We conducted 25 qualitative interviews with HIV-positive current or former smokers to explore perceived barriers to smoking cessation and perceptions of ECs. A high level of nicotine dependence, smoking as a form of stress management, motivational factors (including lack of readiness, low self-efficacy, ambivalence toward quitting), and having a social network of smokers were identified as cessation barriers. Low knowledge of ECs and uncertainty about EC safety and efficacy were barriers to EC uptake. However, current smokers indicated a willingness to try ECs. This study provides evidence that HIV-positive smokers face significant individual and environmental barriers to cessation. ECs may have potential as a harm reduction strategy in this population; however, there is a significant need for education regarding use and relative safety.

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Section: Discussionmentioning

confidence: 89%

Perceived barriers to smoking cessation and perceptions of electronic cigarettes among persons living with HIV

et al. 2018

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“…On the other hand, the results of Richmond [19] scale showed that a relatively important proportion present a moderate or high motivation to stop smoking, and this fact could be considered as favorable to intervention. To date, there are numerous studies that have examined attitudes of indi viduals and available interventions to quit smoking [10]. However, obstacles that hinder the implementation of these antismoking strategies exist; it was found that an individu al is more likely to stop smoking if he/she is provided with an appropriate information and tools [9,10].…”

Section: Discussionmentioning

confidence: 99%

“…To date, there are numerous studies that have examined attitudes of indi viduals and available interventions to quit smoking [10]. However, obstacles that hinder the implementation of these antismoking strategies exist; it was found that an individu al is more likely to stop smoking if he/she is provided with an appropriate information and tools [9,10].…”

Section: Discussionmentioning

confidence: 99%

“…Because of these investigations, it seems important to recognize the prevalence of seropositive persons who are smokers, and to incorporate counseling and support pro grams into routine followup visits [9]. In this way, indi viduals can comprehend the risks of smoking in the context of HIV infection as well as to receive appropriate help in case they decide to quit smoking [10]. Finally, as per previous comparative studies, tobacco consumption in HIV popula tion was shown higher than its prevalence in general popu lation, ranging from 32% to 50% [1116].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of tobacco and alcohol consumption and associated factors in adults living with HIV infection

Diaz¹

2021

HIV & AIDS Review

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Introduction: Tobacco and alcohol consumption has a significant negative impact on health of indi viduals living with human immunodeficiency virus (HIV); however, there is little research on using these substances in this specific cohort. The objective of this study was to investigate the prevalence and factors associated with the consumption of tobacco and alcohol in adult population living with HIV as well as the clinicalepidemiological characteristics of the sample. Material and methods:A crosssectional study was carried out with 381 participants diagnosed with HIV, whose information on smoking and alcohol habits, adherence to treatments, sociodemographic data, and lifestyles were collected through both electronic and printed questionnaires. Results:The results showed that half of the individuals were smokers, with significant percentage having a moderate or high motivation to quit smoking. Moreover, it was observed that the participants classified in the group of high alcohol consumption with AUDIT test were less adherent to pharmaco logical treatment. On the other hand, it should be noted that 49.3% of the sample suffered from some pathology, with cardiovascular disease being the most prevalent.Conclusions: Therefore, from a clinical point of view and due to the abovementioned reasons, it seems essential to address the consumption of tobacco and alcohol in individuals living with HIV. Along with proper health education and support offered, it can positively influence their lives in gen eral, and at the same time, provide better HIV control.

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“…Both major depressive disorder (MDD) and bipolar disorder (BD) are highly recurrent disorders that are characterized by increased risk for suicidal behaviours [1-3], lowered healthrelated quality of life (HR-QoL), increased disabilities [4][5][6][7], lowered socio-economic status [8][9][10][11], smoking behaviours [12][13][14], increased incidence of metabolic syndrome [15] and cognitive impairments including semantic memory deficits [16].…”

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confidence: 99%

Early Life Trauma Predicts Affective Phenomenology and the Effects are Partly Mediated by Staging Coupled with Lowered Lipid-Associated Antioxidant Defences

Maes

Congio²,

Brum³

et al. 2018

Preprint

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Background: Early life trauma (ELT) may drive mood disorder phenomenology, neuro-oxidative and neuro-immune pathways and impairments in semantic memory. Nevertheless, there are no data regarding the impact of ELT on affective phenomenology and whether these pathways are mediated by staging or lowered lipid-associated antioxidant defences.Methods: This study examined healthy controls (n=54) and patients with affective disorders including major depression, bipolar disorder and anxiety disorders (n=118). ELT was assessed using the Child Trauma Questionnaire. In addition, we measured affective phenomenology and assayed advanced oxidation protein products; malondialdehyde, paraoxonase 1 (CMPAase) activity, high-sensitivity C-reactive protein (hsCRP), and high-density lipoprotein (HDL) cholesterol.Results: ELT was associated with increased risk for mood and comorbid anxiety disorders and a more severe phenomenology, including staging characteristics (number of mood episodes), severity of depression and anxiety, suicide attempts, suicidal ideation, type of treatments received, disabilities, body mass index, smoking behaviour and hsCRP, as well as lowered healthrelated quality of life, socio-economic status, antioxidant defences and semantic memory. The number of mood episodes and CMPAase/HDL-cholesterol levels could be reliably combined into a new vulnerability staging-biomarker index, which mediates in part the effects of ELT on affective phenomenology, while lowered antioxidant defences are associated with increased oxidative stress. Moreover, the effects of female sex on mood disorders and affective phenomenology are mediated by ELT.Discussion: The cumulative effects of different types of ELT drive many aspects of affective phenomenology either directly or indirectly through effects of staging and/or lipid-associated antioxidant defences. The results show that children, especially girls, with ELT are at great risk to develop mood disorders and more severe phenotypes of affective disorders. 4Both major depressive disorder (MDD) and bipolar disorder (BD) are highly recurrent disorders that are characterized by increased risk for suicidal behaviours [1-3], lowered healthrelated quality of life (HR-QoL), increased disabilities [4][5][6][7], lowered socio-economic status [8][9][10][11], smoking behaviours [12][13][14], increased incidence of metabolic syndrome [15] and cognitive impairments including semantic memory deficits [16].There is also evidence that neuro-immune, neuro-oxidative and neuro-nitrosative pathways play a key role in the pathophysiology of both . Both mood disorders are associated with lowered lipid-associated antioxidant defences, which protect against the detrimental effects of reactive oxygen species (ROS), including lowered lecithin cholesterol acyltransferase (LCAT) and paraoxonase (PON1) activities and lowered high-density lipoprotein (HDL)-cholesterol, vitamin E and coenzyme Q10 levels [21][22][23][24][25][26][27][28][29][30]. These lowered lipid-associated antioxidant defences contribute to incr...

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Perceived risks and benefits of quitting smoking in a sample of adults living with HIV/AIDS

Cited by 12 publications

References 16 publications

Perceived barriers to smoking cessation and perceptions of electronic cigarettes among persons living with HIV

Perceived barriers to smoking cessation and perceptions of electronic cigarettes among persons living with HIV

Prevalence of tobacco and alcohol consumption and associated factors in adults living with HIV infection

Early Life Trauma Predicts Affective Phenomenology and the Effects are Partly Mediated by Staging Coupled with Lowered Lipid-Associated Antioxidant Defences

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