Tobacco use and cessation in the context of ART adherence: Insights from a qualitative study in HIV clinics in Uganda

Thirlway, Frances; Nyamurungi, Kellen Namusisi; Matovu, Joseph K. B.; Miti, A.; Mdege, Noreen Dadirai

doi:10.1016/j.socscimed.2021.113759

Cited by 5 publications

(8 citation statements)

References 58 publications

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“…Based on table 3, the p-value of the farming experience variable (X9) is 0.0000 <0.05 (alpha value), so that the farming experience variable is declared to have a real influence and determine the income level of tobacco farmers. This result is in line with research [44] which states that farmers who have high farming experience are better able to respond to climate change because they are more experienced. Experience provides many lessons, especially for older farmers that it is very important to calculate risk taking because of the limited capital they have [45].…”

Section: Farming Experience (X9)supporting

confidence: 90%

The potential of tobacco in supporting farmers in East Lombok Regency during the Covid-19 Pandemic

Septiadi

Usman

Rosmilawati

et al. 2022

IOP Conf. Ser.: Earth Environ. Sci.

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Tobacco is a leading commodity that has high economic value. The derivative products from tobacco commodities have contributed greatly to state revenues through excise taxes, employment, and sources of farmers’ income. This research aims to; 1) explain the characteristics of tobacco farming; 2) investigate the economic feasibility of tobacco farming; 3) analyze the determinants of tobacco farmers’ income. The research was conducted in Suralaga District, East Lombok Regency. The study was conducted from July 2021 to October 2021. The sampling technique used was purposive sampling. Primary data was collected from 40 tobacco farmers and analyzed by with R/C ratio and multiple linear regression. The results of this study indicate that tobacco farming is declared economically feasible, This result is evidenced by the R/C ratio value is 1.67 > 1. Furthermore, the results of the regression estimation show that determine the income of tobacco farmers are the tobacco production, land area, seed cost, fertilizer cost, pesticide cost, labor costs, and farming experience.

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Section: Farming Experience (X9)supporting

confidence: 90%

The potential of tobacco in supporting farmers in East Lombok Regency during the Covid-19 Pandemic

Septiadi

Usman

Rosmilawati

et al. 2022

IOP Conf. Ser.: Earth Environ. Sci.

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“…This has been explained by gender inequality that can manifest as the greater social power of men and social pressure against women smoking [ 109 ]. Indeed, the qualitative assessment by Thirlway et al [ 110 ] revealed that smoking was widely common and socially accepted among men in Uganda. Smoking-related stigma among women could result in underreporting and create challenges in documenting the true smoking prevalence in this population [ 110 ].…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, the qualitative assessment by Thirlway et al [ 110 ] revealed that smoking was widely common and socially accepted among men in Uganda. Smoking-related stigma among women could result in underreporting and create challenges in documenting the true smoking prevalence in this population [ 110 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, a systematic review has shown some inconsistency regarding the direction of this association [ 111 ]. From the qualitative studies, smoking was mainly described as a strategy for dealing with stress and depression in PLWH, which commonly resulted from several stressors, namely financial pressure, stigma, health concerns, traumatic events, and lack of social support [ 110 , 112 , 113 ]. Most of these stressors were identified as factors associated with smoking and unsuccessful abstinence in the descriptive synthesis, which could imply their interrelations with depression.…”

Section: Discussionmentioning

confidence: 99%

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Factors Influencing Tobacco Smoking and Cessation Among People Living with HIV: A Systematic Review and Meta-analysis

Hoang,

Nguyen,

Adermark

et al. 2024

AIDS Behav

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Tobacco smoking is highly prevalent among people living with HIV (PLWH), yet there is a lack of data on smoking behaviours and effective treatments in this population. Understanding factors influencing tobacco smoking and cessation is crucial to guide the design of effective interventions. This systematic review and meta-analysis of studies conducted in both high-income (HICs) and low- and middle-income countries (LMICs) synthesised existing evidence on associated factors of smoking and cessation behaviour among PLWH. Male gender, substance use, and loneliness were positively associated with current smoking and negatively associated with smoking abstinence. The association of depression with current smoking and lower abstinence rates were observed only in HICs. The review did not identify randomised controlled trials conducted in LMICs. Findings indicate the need to integrate smoking cessation interventions with mental health and substance use services, provide greater social support, and address other comorbid conditions as part of a comprehensive approach to treating tobacco use in this population. Consistent support from health providers trained to provide advice and treatment options is also an important component of treatment for PLWH engaged in care, especially in LMICs.

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“…This study was a cross-sectional, qualitative study in which interviews were conducted with HIV healthcare providers. It was carried out alongside a survey of HIV clinic participants on tobacco use 4 and a qualitative study with PLHIV 16 .…”

Section: Methodsmentioning

confidence: 99%

HIV healthcare providers’ perceptions on smoking behavior among PLHIV and smoking cessation service provision in HIV clinics in Uganda

Namusisi¹,

Thirlway²,

Mdege³

et al. 2021

Tob. Prev. Cessation

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INTRODUCTION Integration of smoking cessation interventions into HIV care can play a crucial role in reducing the growing burden of disease due to smoking among people living with HIV (PLHIV). However, there is a dearth of information on HIV care providers’ perspectives towards integrating smoking cessation interventions into HIV care programs. We explored HIV healthcare providers’ perceptions on the smoking behavior among PLHIV, and the provision of smoking cessation services to PLHIV who smoke within HIV care services in Uganda. METHODS Semi-structured face-to-face qualitative interviews were conducted with 12 HIV care providers between October and November 2019. Data were collected on perceptions on smoking among HIV-positive patients enrolled in HIV care, support provided to PLHIV who smoke to quit and integrating smoking cessation services into HIV care programs. Data were analyzed deductively following a thematic framework approach. RESULTS Findings show that: 1) HIV care providers in HIV clinics had low knowledge on the prevalence and magnitude of smoking among PLHIV who attended the clinics; 2) HIV care providers did not routinely screen HIV-positive patients for smoking and offered sub-optimal smoking cessation services; and 3) HIV care providers had a positive attitude towards integration of tobacco smoking cessation services into HIV care programs but called for support in form of guidelines, capacity building and strengthening of data collection and use as part of the integration process. CONCLUSIONS Our study shows that HIV care providers did not routinely screen for tobacco use among PLHIV and offered suboptimal cessation support to smoking patients, but had a positive attitude towards the integration of tobacco smoking into HIV care programs. These findings suggest a favorable ground for integrating tobacco smoking cessation interventions into HIV care programs.

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Tobacco use and cessation in the context of ART adherence: Insights from a qualitative study in HIV clinics in Uganda

Cited by 5 publications

References 58 publications

The potential of tobacco in supporting farmers in East Lombok Regency during the Covid-19 Pandemic

The potential of tobacco in supporting farmers in East Lombok Regency during the Covid-19 Pandemic

Factors Influencing Tobacco Smoking and Cessation Among People Living with HIV: A Systematic Review and Meta-analysis

HIV healthcare providers’ perceptions on smoking behavior among PLHIV and smoking cessation service provision in HIV clinics in Uganda

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