title: Cigarette smoking among Chinese PLWHA: An exploration of changes in smoking after being tested HIV positive.
abstract: Prevention and cessation of Tobacco use among persons living with HIV/AIDS (PLWHA) represents a significant challenge for HIV/AIDS patient care in China and across the globe. Awareness of HIV-positive status may alter the likelihood for PLWHA smokers to change their smoking habit. In this study, we tested the risk enhancement and risk reduction hypotheses by assessing changes in cigarette smoking behavior among PLWHA after they received the positive results of their HIV tests. Cross-sectional survey data collected from a random sample of 2973 PLWHA in care in Guangxi, China were analyzed. Changes in cigarette smoking after receiving the HIV-positive test results, as well as the current levels of cigarette smoking were measured. Among the total participants, 1529 (51.7%) were self-identified as cigarette smokers, of whom 436 (28.9%) reduced smoking and 286 (19.0%) quit after receiving their HIV-positive test results. Among the quitters, 210 (73.9%) remained abstinent for a median duration of two years. There were also 124 (8.2%) who increased cigarette smoking. Older age, female gender, more education, and receiving antiretroviral therapy were associated with quitting. In conclusion, our study findings support the risk reduction and risk enhancement hypotheses. A large proportion of smoking PLWHA reduced or quit smoking, while a small proportion increased smoking. Findings of this study suggest that the timing when a person receives his or her HIV-positive test result may be an ideal opportunity for care providers to deliver tobacco cessation interventions. Longitudinal studies are indicated to verify the findings of this study and to support smoking cessation intervention among PLWHA in the future.
authors.affiliation: a Department of Epidemiology , University of Florida , Gainesville , FL , USA.
authors.forename: Yuanhui
authors.initials: Y
authors.lastname: Wang
authors.affiliation: a Department of Epidemiology , University of Florida , Gainesville , FL , USA.
authors.forename: Xinguang
authors.initials: X
authors.lastname: Chen
authors.affiliation: b Pediatric Prevention Research Center , Wayne State University , Detroit , MI , USA.
authors.forename: Xiaoming
authors.initials: X
authors.lastname: Li
authors.affiliation: a Department of Epidemiology , University of Florida , Gainesville , FL , USA.
authors.forename: Yan
authors.initials: Y
authors.lastname: Wang
authors.affiliation: b Pediatric Prevention Research Center , Wayne State University , Detroit , MI , USA.
authors.forename: Qiao
authors.initials: Q
authors.lastname: Shan
authors.affiliation: c Guangxi Center for Disease Control and Prevention , Nanning , Guangxi , People's Republic of China.
authors.forename: Yuejiao
authors.initials: Y
authors.lastname: Zhou
authors.affiliation: c Guangxi Center for Disease Control and Prevention , Nanning , Guangxi , People's Republic of China.
authors.forename: Zhiyong
authors.initials: Z
authors.lastname: Shen
mesh_terms: D000293:Adolescent; D000328:Adult; D002681:China / Q000453:epidemiology; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000208:ethnology / Q000523:psychology; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012189:Retrospective Studies; D012907:Smoking / Q000009:adverse effects* / Q000208:ethnology; D016540:Smoking Cessation / Q000208:ethnology / Q000523:psychology; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: China; Cigarette smoking; HIV/AIDS patient care; persons living with HIV/AIDS; tobacco cessation