title: Adherence to Tobacco Dependence Treatment Among HIV-Infected Smokers.
abstract: High prevalence of tobacco use and low success in quitting remain significant problems for reducing disease burden among HIV-infected persons. This study's purpose was to examine participant responsiveness and tobacco dependence treatment adherence and their influences on tobacco abstinence among HIV-infected patients. This non-randomized study included HIV-infected smokers 18 years of age or older, who smoked at least 5 cigarettes per day, and had an interest in quitting smoking in the next 30 days. HIV-infected smokers (n = 247) received a 12-week tobacco dependence treatment intervention that included pharmacotherapy and telephone counseling. Younger age and non-White race were associated with lower adherence to pharmacotherapy. Younger age, non-White race, and increased monthly binge drinking were associated with lower adherence to telephone counseling. High participant responsiveness was associated with adherence to pharmacotherapy, counseling, and abstinence. Development and testing of interventions to improve adherence to evidence-based tobacco dependence treatment is warranted.
authors: College of Nursing, The Ohio State University and The Ohio State University Wexner Medical Center, 370 Newton Hall, 1585 Neil Avenue, Columbus, OH, 34210, USA. browning.99@osu.edu.
authors: Kristine K
authors: KK
authors: Browning
authors: Division of Health Behavior and Promotion, College of Public Health, The Ohio State University, Columbus, OH, USA.
authors: Mary Ellen
authors: ME
authors: Wewers
authors: Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, OH, USA.
authors: Amy K
authors: AK
authors: Ferketich
authors: Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA.
authors: Philip
authors: P
authors: Diaz
authors: Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA.
authors: Susan L
authors: SL
authors: Koletar
authors: School of Nursing, Yale University, New Haven, CT, USA.
authors: Nancy R
authors: NR
authors: Reynolds
mesh_terms: D000328:Adult; D003376:Counseling / Q000379:methods*; D005260:Female; D015658:HIV Infections / Q000150:complications* / Q000523:psychology; D006801:Humans; D008297:Male; D055118:Medication Adherence / Q000523:psychology; D008875:Middle Aged; D018722:Nicotinic Agonists / Q000627:therapeutic use; D010342:Patient Acceptance of Health Care; D016540:Smoking Cessation / Q000379:methods* / Q000706:statistics & numerical data; D017216:Telemedicine / Q000379:methods; D013689:Telephone; D014029:Tobacco Use Disorder / Q000188:drug therapy / Q000628:therapy*; D016896:Treatment Outcome; D000068580:Varenicline / Q000627:therapeutic use; D055815:Young Adult; D016903:Drug Monitoring
chemical_list: D018722:Nicotinic Agonists; D000068580:Varenicline
keywords: Adherence; HIV; Participant responsiveness; Smoking cessation; Tobacco dependence treatment