Prevalence of cigarette smoking and associated factors in a large sample of HIV-positive patients receiving antiretroviral therapy in Vietnam

Nhung Phuong Thi Nguyen, Bach Xuan Tran, Lu Y. Hwang, Christine M. Markham, Michael D. Swartz, Huong Thu Thi Phan, Vuong Minh Nong, Cuong Tat Nguyen, Anh Hue Nguyen, Carl A Latkin, Damon J. Vidrine

Research output: Contribution to journalArticle

Abstract

Background: Cigarette smoking presents a salient risk for HIV-positive populations. This study is among the first to examine smoking prevalence, nicotine dependence, and associated factors in a large sample of HIV-positive patients receiving antiretroviral therapy (ART) in Vietnam. Methods: A cross-sectional study of 1133 HIV-positive people was conducted from January to September 2013 at 8 ART clinics in Hanoi (the capital) and Nam Dinh (a rural area). Smoking history and nicotine dependence (Fagerstrom Test of Nicotine Dependence-FTND) were assessed by participant self-report. Logistic regression and Tobit linear regression were performed to identify factors significantly associated with smoking outcomes. Results: Prevalence of current, former, and never smokers in the sample was 36.1%, 9.5%, and 54.4%, respectively. The current smoking proportion was higher in males (59.7%) than females (2.6%). The mean FTND score was 3.6 (SD = 2.1). Males were more likely to currently smoke than females (OR = 23.4, 95% CI = 11.6- 47.3). Individuals with problem drinking (OR = 1.8, 95% CI = 1.1 - 2.9) and ever drug use (OR = 3.7, 95%CI = 2.5-5.7) were more likely to be current smokers. Older age and currently feeling pain were associated with lower nicotine dependence. Conversely, receiving care in Nam Dinh, greater alcohol consumption, ever drug use, and a longer smoking duration were associated with greater nicotine dependence. Conclusions: Given the high prevalence of smoking among HIV-positive patients, smoking screening and cessation support should be offered at ART clinics in Vietnam. Risk factors (i.e., substance use) linked with smoking behavior should be considered in prevention programs.

Original languageEnglish (US)
Article numbere0118185
JournalPLoS One
Volume10
Issue number2
DOIs
StatePublished - Feb 27 2015

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smoking (habit)
Vietnam
nicotine
Nicotine
Tobacco Products
Tobacco Use Disorder
Smoking
HIV
therapeutics
sampling
Therapeutics
drugs
smoke
drinking
Linear regression
cross-sectional studies
Smoke
rural areas
Pharmaceutical Preparations
Logistics

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

Nguyen, N. P. T., Tran, B. X., Hwang, L. Y., Markham, C. M., Swartz, M. D., Phan, H. T. T., ... Vidrine, D. J. (2015). Prevalence of cigarette smoking and associated factors in a large sample of HIV-positive patients receiving antiretroviral therapy in Vietnam. PLoS One, 10(2), [e0118185]. https://doi.org/10.1371/journal.pone.0118185

Prevalence of cigarette smoking and associated factors in a large sample of HIV-positive patients receiving antiretroviral therapy in Vietnam. / Nguyen, Nhung Phuong Thi; Tran, Bach Xuan; Hwang, Lu Y.; Markham, Christine M.; Swartz, Michael D.; Phan, Huong Thu Thi; Nong, Vuong Minh; Nguyen, Cuong Tat; Nguyen, Anh Hue; Latkin, Carl A; Vidrine, Damon J.

In: PLoS One, Vol. 10, No. 2, e0118185, 27.02.2015.

Research output: Contribution to journalArticle

Nguyen, NPT, Tran, BX, Hwang, LY, Markham, CM, Swartz, MD, Phan, HTT, Nong, VM, Nguyen, CT, Nguyen, AH, Latkin, CA & Vidrine, DJ 2015, 'Prevalence of cigarette smoking and associated factors in a large sample of HIV-positive patients receiving antiretroviral therapy in Vietnam', PLoS One, vol. 10, no. 2, e0118185. https://doi.org/10.1371/journal.pone.0118185
Nguyen, Nhung Phuong Thi ; Tran, Bach Xuan ; Hwang, Lu Y. ; Markham, Christine M. ; Swartz, Michael D. ; Phan, Huong Thu Thi ; Nong, Vuong Minh ; Nguyen, Cuong Tat ; Nguyen, Anh Hue ; Latkin, Carl A ; Vidrine, Damon J. / Prevalence of cigarette smoking and associated factors in a large sample of HIV-positive patients receiving antiretroviral therapy in Vietnam. In: PLoS One. 2015 ; Vol. 10, No. 2.
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abstract = "Background: Cigarette smoking presents a salient risk for HIV-positive populations. This study is among the first to examine smoking prevalence, nicotine dependence, and associated factors in a large sample of HIV-positive patients receiving antiretroviral therapy (ART) in Vietnam. Methods: A cross-sectional study of 1133 HIV-positive people was conducted from January to September 2013 at 8 ART clinics in Hanoi (the capital) and Nam Dinh (a rural area). Smoking history and nicotine dependence (Fagerstrom Test of Nicotine Dependence-FTND) were assessed by participant self-report. Logistic regression and Tobit linear regression were performed to identify factors significantly associated with smoking outcomes. Results: Prevalence of current, former, and never smokers in the sample was 36.1{\%}, 9.5{\%}, and 54.4{\%}, respectively. The current smoking proportion was higher in males (59.7{\%}) than females (2.6{\%}). The mean FTND score was 3.6 (SD = 2.1). Males were more likely to currently smoke than females (OR = 23.4, 95{\%} CI = 11.6- 47.3). Individuals with problem drinking (OR = 1.8, 95{\%} CI = 1.1 - 2.9) and ever drug use (OR = 3.7, 95{\%}CI = 2.5-5.7) were more likely to be current smokers. Older age and currently feeling pain were associated with lower nicotine dependence. Conversely, receiving care in Nam Dinh, greater alcohol consumption, ever drug use, and a longer smoking duration were associated with greater nicotine dependence. Conclusions: Given the high prevalence of smoking among HIV-positive patients, smoking screening and cessation support should be offered at ART clinics in Vietnam. Risk factors (i.e., substance use) linked with smoking behavior should be considered in prevention programs.",
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AU - Hwang, Lu Y.

AU - Markham, Christine M.

AU - Swartz, Michael D.

AU - Phan, Huong Thu Thi

AU - Nong, Vuong Minh

AU - Nguyen, Cuong Tat

AU - Nguyen, Anh Hue

AU - Latkin, Carl A

AU - Vidrine, Damon J.

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N2 - Background: Cigarette smoking presents a salient risk for HIV-positive populations. This study is among the first to examine smoking prevalence, nicotine dependence, and associated factors in a large sample of HIV-positive patients receiving antiretroviral therapy (ART) in Vietnam. Methods: A cross-sectional study of 1133 HIV-positive people was conducted from January to September 2013 at 8 ART clinics in Hanoi (the capital) and Nam Dinh (a rural area). Smoking history and nicotine dependence (Fagerstrom Test of Nicotine Dependence-FTND) were assessed by participant self-report. Logistic regression and Tobit linear regression were performed to identify factors significantly associated with smoking outcomes. Results: Prevalence of current, former, and never smokers in the sample was 36.1%, 9.5%, and 54.4%, respectively. The current smoking proportion was higher in males (59.7%) than females (2.6%). The mean FTND score was 3.6 (SD = 2.1). Males were more likely to currently smoke than females (OR = 23.4, 95% CI = 11.6- 47.3). Individuals with problem drinking (OR = 1.8, 95% CI = 1.1 - 2.9) and ever drug use (OR = 3.7, 95%CI = 2.5-5.7) were more likely to be current smokers. Older age and currently feeling pain were associated with lower nicotine dependence. Conversely, receiving care in Nam Dinh, greater alcohol consumption, ever drug use, and a longer smoking duration were associated with greater nicotine dependence. Conclusions: Given the high prevalence of smoking among HIV-positive patients, smoking screening and cessation support should be offered at ART clinics in Vietnam. Risk factors (i.e., substance use) linked with smoking behavior should be considered in prevention programs.

AB - Background: Cigarette smoking presents a salient risk for HIV-positive populations. This study is among the first to examine smoking prevalence, nicotine dependence, and associated factors in a large sample of HIV-positive patients receiving antiretroviral therapy (ART) in Vietnam. Methods: A cross-sectional study of 1133 HIV-positive people was conducted from January to September 2013 at 8 ART clinics in Hanoi (the capital) and Nam Dinh (a rural area). Smoking history and nicotine dependence (Fagerstrom Test of Nicotine Dependence-FTND) were assessed by participant self-report. Logistic regression and Tobit linear regression were performed to identify factors significantly associated with smoking outcomes. Results: Prevalence of current, former, and never smokers in the sample was 36.1%, 9.5%, and 54.4%, respectively. The current smoking proportion was higher in males (59.7%) than females (2.6%). The mean FTND score was 3.6 (SD = 2.1). Males were more likely to currently smoke than females (OR = 23.4, 95% CI = 11.6- 47.3). Individuals with problem drinking (OR = 1.8, 95% CI = 1.1 - 2.9) and ever drug use (OR = 3.7, 95%CI = 2.5-5.7) were more likely to be current smokers. Older age and currently feeling pain were associated with lower nicotine dependence. Conversely, receiving care in Nam Dinh, greater alcohol consumption, ever drug use, and a longer smoking duration were associated with greater nicotine dependence. Conclusions: Given the high prevalence of smoking among HIV-positive patients, smoking screening and cessation support should be offered at ART clinics in Vietnam. Risk factors (i.e., substance use) linked with smoking behavior should be considered in prevention programs.

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