title: Smoking, depression, and gender in low-income African Americans with HIV/AIDS.
abstract: Individuals with HIV/AIDS have disproportionately high depression and smoking prevalence rates. Smokers with HIV/AIDS are more susceptible to opportunistic infections, smoking-related illnesses, and mortality. African Americans (AAs) comprise nearly half of newly diagnosed HIV+ cases. We examined the relationship among smoking, depression, and gender in un- or under-insured AA patients (N = 289) at an urban community HIV/AIDS clinic in the southeastern US. Approximately 33% met criteria for a depressive disorder and 37% endorsed current smoking status. Men were more likely than women to be current smokers and depressed participants were more likely to smoke than non-depressed participants. Women had significantly higher rates of depression compared to men. Both depression and male gender independently predicted current smoking status. Depression and smoking are likely to co-occur in HIV/AIDS patients; however, standard smoking cessation interventions often exclude smokers with comorbid psychiatric and/or medical illnesses. Interventions addressing these comorbidities are warranted.
authors: Louisiana State University, Louisiana State University Health Science Center-Earl K. Long Medical Center, USA. dianastew@gmail.com
authors: Diana W
authors: DW
authors: Stewart
authors: Glenn N
authors: GN
authors: Jones
authors: Kyle S
authors: KS
authors: Minor
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D003863:Depression / Q000150:complications / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000523:psychology*; D006801:Humans; D008297:Male; D011203:Poverty / Q000523:psychology*; D015995:Prevalence; D012307:Risk Factors; D012737:Sex Factors; D012907:Smoking / Q000453:epidemiology* / Q000523:psychology; D014481:United States