The Authors’ Own Words: We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work.
Contemplation of Smoking Cessation and Quit Attempts in HIV-Infected and Uninfected Veterans
Shahida Shahrir, MPH; Hilary A. Tindle, MD; Kathleen A. McGinnis, DrPH, MS; David A. Fiellin, MD; Joseph Goulet, PhD, MS; Kathleen M. Akgün, MD; Cynthia L. Gibert, MD; Maria C. Rodriguez-Barradas, MD; & Kristina Crothers, MD
Volume 37, 2016 – Issue 2
contemplation of smoking cessation and having made a prior quit attempt in the last year in HIV-infected compared to HIV-uninfected current smokers. While there were not overall major differences by HIV status, unhealthy alcohol use was significantly associated with both decreased likelihood of contemplating cessation and making a prior quit attempt in HIV-infected smokers. Shortness of breath and/or wheezing was associated with an increased likelihood of contemplating smoking cessation, whereas a new diagnosis of chronic pulmonary disease was associated with greater likelihood of having made a prior quit attempt in those with HIV. These findings suggest that smoking cessation rates may be improved by considering combined interventions for smoking cessation and unhealthy alcohol use for HIV-infected patients in future trials. Our results also suggest that HIV-infected patients with respiratory symptoms such as shortness of breath and wheezing, or newly diagnosed with pulmonary disease may represent a more receptive population who could benefit from targeted interventions to improve the likelihood of sustained, successful cessation.
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