Interventions to address chronic disease and HIV: Strategies to promote smoking cessation among HIV-infected individuals

Raymond Niaura, Geetanjali Chander, Heidi Hutton, Cassandra Stanton

Research output: Contribution to journalArticle

Abstract

Tobacco use, especially cigarette smoking, is higher than average in persons living with HIV/AIDS (PLWHA). The Public Health Service Clinical Practice Guideline for Treating Tobacco Use and Dependence states that, during every medical encounter, all smokers should be offered smoking cessation counseling, along with approved medications. The Guideline also recognizes PLWHA as a priority population, given the scarcity of research on effective cessation treatments in this group. The scant evidence suggests that conventional treatments, though worthwhile, are not as successful as might be hoped for. The reasons for this are not entirely clear, butmay have to do with the complex array of medical and psychosocial factors that complicate their lives. Clinicians should consider re-treatment strategies for those patients who encounter difficulty when quitting smoking with conventional approaches, switching or augmenting treatments as needed to minimize adverseexperiences, and to maximize tolerability, adherence, and cessation outcomes.

Original languageEnglish (US)
Pages (from-to)375-384
Number of pages10
JournalCurrent HIV/AIDS reports
Volume9
Issue number4
DOIs
StatePublished - Dec 1 2012

Keywords

  • Adaptive treatment strategy
  • Behavioral aspects of HIV/AIDS
  • Bupropion
  • Cigarette smoking
  • HIV/AIDS
  • People living with HIV/AIDS (PLWHA)
  • Smoking cessation
  • Tobacco
  • Treatment
  • Varenicline

ASJC Scopus subject areas

  • Virology
  • Infectious Diseases

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