Trends and Predictors of Cigarette Smoking Among HIV Seropositive and Seronegative Men: The Multicenter Aids Cohort Study

Wajiha Z. Akhtar-Khaleel, Robert L. Cook, Steven Shoptaw, Pamela Surkan, Ronald Stall, Rebecca J. Beyth, Linda A. Teplin, Michael Plankey

Research output: Contribution to journalArticle

Abstract

We measured the trend of cigarette smoking among HIV-seropositive and seronegative men over time from 1984 to 2012. Additionally, we examined the demographic correlates of smoking and smoking consumption. Six thousand and five hundred and seventy seven men who have sex with men (MSM) from the Multicenter AIDS Cohort Study (MACS) were asked detailed information about their smoking history since their visit. Prevalence of smoking and quantity smoked was calculated yearly from 1984 to 2012. Poisson regression with robust error variance was used to estimate prevalence ratios of smoking in univariate and multivariate models. In 2012, 11.8 and 36.9 % of men who were enrolled in the MACS before 2001 or during or after 2001 smoked cigarettes, respectively. In the multivariate analysis, black, non-Hispanic, lower education, enrollment wave, alcohol use, and marijuana use were positively associated with current smoking in MSM. HIV serostatus was not significant in the multivariate analysis. However, HIV variables, such as detectable viral load, were positively associated. Though cigarette smoking has declined over time, the prevalence still remains high among subgroups. There is still a need for tailored smoking cessation programs to decrease the risk of smoking in HIV-seropositive MSM.

Original languageEnglish (US)
Pages (from-to)622-632
Number of pages11
JournalAIDS and behavior
Volume20
Issue number3
DOIs
StatePublished - Mar 1 2016

Keywords

  • Detection of smoking
  • HIV
  • MSM
  • Smoking
  • Tobacco

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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    Akhtar-Khaleel, W. Z., Cook, R. L., Shoptaw, S., Surkan, P., Stall, R., Beyth, R. J., Teplin, L. A., & Plankey, M. (2016). Trends and Predictors of Cigarette Smoking Among HIV Seropositive and Seronegative Men: The Multicenter Aids Cohort Study. AIDS and behavior, 20(3), 622-632. https://doi.org/10.1007/s10461-015-1099-6