Smoking cessation among women with and at risk for HIV

Are they quitting?

David Goldberg, Kathleen M. Weber, Jennifer Orsi, Nancy A. Hessol, Gypsyamber D'Souza, D. Heather Watts, Rebecca Schwartz, Chenglong Liu, Marshall Glesby, Pamela Burian, Mardge H. Cohen

Research output: Contribution to journalArticle

Abstract

Background: Cigarette smoking is an important risk factor for adverse health events in HIV-infected populations. While recent US population-wide surveys report annual sustained smoking cessation rates of 3.4-8.5%, prospective data are lacking on cessation rates for HIV-infected smokers. Objective: To determine the sustained tobacco cessation rate and predictors of cessation among women with or at risk for HIV infection. Design: Prospective cohort study. Participants: A total of 747 women (537 HIV-infected and 210 HIV-uninfected) who reported smoking at enrollment (1994-1995) in the Women's Interagency HIV Study (WIHS) and remained in follow-up after 10 years. The participants were mostly minority (61% non-Hispanic Blacks and 22% Hispanics) and low income (68% with reported annual incomes of less than or equal to $12,000). Measurements and main results: The primary outcome was defined as greater than 12 months continuous cessation at year 10. Multivariate logistic regression was used to identify independent baseline predictors of subsequent tobacco cessation. A total of 121 (16%) women reported tobacco cessation at year 10 (annual sustained cessation rate of 1.8%, 95% CI 1.6-2.1%). Annual sustained cessation rates were 1.8% among both HIV-positive and HIV-negative women (p=0.82). In multivariate analysis, the odds of tobacco cessation were significantly higher in women with more years of education (p trend=0.02) and of Hispanic origin (OR=1.87, 95% CI=1.4-2.9) compared to Black women. Cessation was significantly lower in current or former illicit drug users (OR=0.42 95% CI=0.24-0.74 and OR=0.65, 95% CI=0.49-0.86, respectively, p trend=0.03) and women reporting a higher number of cigarettes per day at baseline (p trend

Original languageEnglish (US)
Pages (from-to)39-44
Number of pages6
JournalJournal of General Internal Medicine
Volume25
Issue number1
DOIs
StatePublished - Jan 2010

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Smoking Cessation
HIV
Tobacco Use Cessation
Hispanic Americans
Smoking
Annual Reports
Street Drugs
Drug Users
Tobacco Products
Population
HIV Infections
Cohort Studies
Multivariate Analysis
Logistic Models
Prospective Studies
Education
Health

Keywords

  • Clinical epidemiology
  • HIV/AIDS
  • Smoking cessation
  • Vulnerable populations

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Smoking cessation among women with and at risk for HIV : Are they quitting? / Goldberg, David; Weber, Kathleen M.; Orsi, Jennifer; Hessol, Nancy A.; D'Souza, Gypsyamber; Watts, D. Heather; Schwartz, Rebecca; Liu, Chenglong; Glesby, Marshall; Burian, Pamela; Cohen, Mardge H.

In: Journal of General Internal Medicine, Vol. 25, No. 1, 01.2010, p. 39-44.

Research output: Contribution to journalArticle

Goldberg, D, Weber, KM, Orsi, J, Hessol, NA, D'Souza, G, Watts, DH, Schwartz, R, Liu, C, Glesby, M, Burian, P & Cohen, MH 2010, 'Smoking cessation among women with and at risk for HIV: Are they quitting?', Journal of General Internal Medicine, vol. 25, no. 1, pp. 39-44. https://doi.org/10.1007/s11606-009-1150-2
Goldberg, David ; Weber, Kathleen M. ; Orsi, Jennifer ; Hessol, Nancy A. ; D'Souza, Gypsyamber ; Watts, D. Heather ; Schwartz, Rebecca ; Liu, Chenglong ; Glesby, Marshall ; Burian, Pamela ; Cohen, Mardge H. / Smoking cessation among women with and at risk for HIV : Are they quitting?. In: Journal of General Internal Medicine. 2010 ; Vol. 25, No. 1. pp. 39-44.
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abstract = "Background: Cigarette smoking is an important risk factor for adverse health events in HIV-infected populations. While recent US population-wide surveys report annual sustained smoking cessation rates of 3.4-8.5{\%}, prospective data are lacking on cessation rates for HIV-infected smokers. Objective: To determine the sustained tobacco cessation rate and predictors of cessation among women with or at risk for HIV infection. Design: Prospective cohort study. Participants: A total of 747 women (537 HIV-infected and 210 HIV-uninfected) who reported smoking at enrollment (1994-1995) in the Women's Interagency HIV Study (WIHS) and remained in follow-up after 10 years. The participants were mostly minority (61{\%} non-Hispanic Blacks and 22{\%} Hispanics) and low income (68{\%} with reported annual incomes of less than or equal to $12,000). Measurements and main results: The primary outcome was defined as greater than 12 months continuous cessation at year 10. Multivariate logistic regression was used to identify independent baseline predictors of subsequent tobacco cessation. A total of 121 (16{\%}) women reported tobacco cessation at year 10 (annual sustained cessation rate of 1.8{\%}, 95{\%} CI 1.6-2.1{\%}). Annual sustained cessation rates were 1.8{\%} among both HIV-positive and HIV-negative women (p=0.82). In multivariate analysis, the odds of tobacco cessation were significantly higher in women with more years of education (p trend=0.02) and of Hispanic origin (OR=1.87, 95{\%} CI=1.4-2.9) compared to Black women. Cessation was significantly lower in current or former illicit drug users (OR=0.42 95{\%} CI=0.24-0.74 and OR=0.65, 95{\%} CI=0.49-0.86, respectively, p trend=0.03) and women reporting a higher number of cigarettes per day at baseline (p trend",
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AU - D'Souza, Gypsyamber

AU - Watts, D. Heather

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