Utilization of cessation resources among HIV-positive and HIV-negative men who smoke and who have sex with men in Chengdu, China.
BACKGROUND
Given the implications for smoking among individuals living with HIV and the high rates of smoking and HIV among men who have sex with men (MSM) in China, we examined differences in prior use of and future interest in various cessation resources among MSM smokers with or without HIV.


METHODS
We conducted a cross-sectional survey of 381 MSM; HIV status was provided by 350 MSM, and complete data was provided by a total of 344 (188 HIV-positive and 156 HIV-negative) current smokers (past 30 days) recruited by a nongovernmental organization in Chengdu in 2012-2013. Participants reported tobacco and alcohol use; psychosocial factors; past-year quit attempts; health care provider interactions on smoking; and prior use of and interest in cessation resources.


RESULTS
Smokers living with HIV were more likely to have used behavioral interventions (p < .001) and pharmacotherapy (p = .033). Those who were HIV-positive were also more interested in behavioral interventions (p = .002) and pharmacotherapy (p = .008). Correlates of interest in behavioral interventions in the regression model included lower cigarette consumption (p = .011), higher confidence in quitting (p = .035), greater likelihood of attempting to quit in the past year (p = .026), and being HIV-positive (p = .008). Correlates of interest in pharmacotherapy included greater depressive symptoms (p = .047) and being HIV-positive (p = .015).


CONCLUSIONS
Smokers living with HIV were more likely to have ever attempted to quit smoking, to have used cessation resources, and to be interested in using cessation aids. These findings indicate the promise of greater dissemination of cessation resources, particularly if Chinese clinical practices are strengthened to offer cessation support.
Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA; Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA;
Carla J
CJ
Berg
Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA;
Eric J
EJ
Nehl
Chengdu Tongle Health Service and Counseling Center, Chengdu City, Cichuan Province, China;
Xiaodong
X
Wang
Department of Epidemiology, Fudan University School of Public Health, Shanghai, China.
Yingying
Y
Ding
Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA; Department of Epidemiology, Fudan University School of Public Health, Shanghai, China nhe@shmu.edu.cn.
Na
N
He
Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA; Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA;
Frank Y
FY
Wong
D000328:Adult; D002681:China / Q000208:ethnology; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000208:ethnology* / Q000523:psychology; D018451:Homosexuality, Male / Q000208:ethnology* / Q000523:psychology; D006801:Humans; D008297:Male; D012725:Sexual Behavior / Q000208:ethnology* / Q000523:psychology; D012907:Smoking / Q000208:ethnology* / Q000523:psychology / Q000628:therapy*; D016540:Smoking Cessation / Q000208:ethnology* / Q000523:psychology; D014029:Tobacco Use Disorder / Q000208:ethnology / Q000523:psychology / Q000628:therapy; D055815:Young Adult