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Poly-tobacco use among HIV-positive smokers: implications for smoking cessation efforts.
Nicotine Tob Res. 2013 Dec; 15(12):2100-6.NT

Abstract

INTRODUCTION

Poly-tobacco use is defined as cigarette and other tobacco consumption with either product used daily or nondaily. While concurrent use of different types of tobacco has been documented within the general population, less is known about poly-tobacco use among HIV-positive smokers and its impact on smoking cessation efforts.

OBJECTIVE

To characterize the profile of poly-tobacco users (PTU) in a sample of HIV-positive smokers participating in a cessation program.

METHODS

The study sample consisted of 474 HIV-positive smokers enrolled in a 2-group randomized controlled trial of cigarette smoking cessation comparing a cell phone-based intervention to usual care. Prevalence was determined, and risk factors for poly-tobacco use were evaluated using logistic regression.

RESULTS

In this cohort of HIV-positive cigarette smokers, 21.6% of participants were PTU, with cigars (73.4%) the most common tobacco product consumed. Among PTU, 73.5% used other form(s) of tobacco some days, and 26.5% use them every day. Perceived discrimination and unemployment were significantly associated with poly-tobacco use after adjusting for other demographic, behavioral, and psychosocial factors. Analysis showed that participants in the cell phone group (vs. usual care) were more likely to report 24-hr abstinence, both among monocigarette users (16.6% vs. 6.3%, p < .001) and PTU (18.5% vs. 0%, p < .001).

CONCLUSION

Poly-tobacco use prevalence among adult HIV-positive smokers was considerably higher than in the general population. Special attention must be placed on concurrent use of cigarettes and cigars among HIV-positive smokers. Because PTU are a unique population less likely to succeed in brief smoking cessation interventions, effective cessation programs are needed.

Authors+Show Affiliations

Department of Behavioral Science, University of Texas MD Anderson Cancer Center, Houston, TX;No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

23907506

Citation

Tamí-Maury, Irene, et al. "Poly-tobacco Use Among HIV-positive Smokers: Implications for Smoking Cessation Efforts." Nicotine & Tobacco Research : Official Journal of the Society for Research On Nicotine and Tobacco, vol. 15, no. 12, 2013, pp. 2100-6.
Tamí-Maury I, Vidrine DJ, Fletcher FE, et al. Poly-tobacco use among HIV-positive smokers: implications for smoking cessation efforts. Nicotine Tob Res. 2013;15(12):2100-6.
Tamí-Maury, I., Vidrine, D. J., Fletcher, F. E., Danysh, H., Arduino, R., & Gritz, E. R. (2013). Poly-tobacco use among HIV-positive smokers: implications for smoking cessation efforts. Nicotine & Tobacco Research : Official Journal of the Society for Research On Nicotine and Tobacco, 15(12), 2100-6. https://doi.org/10.1093/ntr/ntt107
Tamí-Maury I, et al. Poly-tobacco Use Among HIV-positive Smokers: Implications for Smoking Cessation Efforts. Nicotine Tob Res. 2013;15(12):2100-6. PubMed PMID: 23907506.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Poly-tobacco use among HIV-positive smokers: implications for smoking cessation efforts. AU - Tamí-Maury,Irene, AU - Vidrine,Damon J, AU - Fletcher,Faith E, AU - Danysh,Heather, AU - Arduino,Roberto, AU - Gritz,Ellen R, Y1 - 2013/08/01/ PY - 2013/8/3/entrez PY - 2013/8/3/pubmed PY - 2014/12/17/medline SP - 2100 EP - 6 JF - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco JO - Nicotine Tob Res VL - 15 IS - 12 N2 - INTRODUCTION: Poly-tobacco use is defined as cigarette and other tobacco consumption with either product used daily or nondaily. While concurrent use of different types of tobacco has been documented within the general population, less is known about poly-tobacco use among HIV-positive smokers and its impact on smoking cessation efforts. OBJECTIVE: To characterize the profile of poly-tobacco users (PTU) in a sample of HIV-positive smokers participating in a cessation program. METHODS: The study sample consisted of 474 HIV-positive smokers enrolled in a 2-group randomized controlled trial of cigarette smoking cessation comparing a cell phone-based intervention to usual care. Prevalence was determined, and risk factors for poly-tobacco use were evaluated using logistic regression. RESULTS: In this cohort of HIV-positive cigarette smokers, 21.6% of participants were PTU, with cigars (73.4%) the most common tobacco product consumed. Among PTU, 73.5% used other form(s) of tobacco some days, and 26.5% use them every day. Perceived discrimination and unemployment were significantly associated with poly-tobacco use after adjusting for other demographic, behavioral, and psychosocial factors. Analysis showed that participants in the cell phone group (vs. usual care) were more likely to report 24-hr abstinence, both among monocigarette users (16.6% vs. 6.3%, p < .001) and PTU (18.5% vs. 0%, p < .001). CONCLUSION: Poly-tobacco use prevalence among adult HIV-positive smokers was considerably higher than in the general population. Special attention must be placed on concurrent use of cigarettes and cigars among HIV-positive smokers. Because PTU are a unique population less likely to succeed in brief smoking cessation interventions, effective cessation programs are needed. SN - 1469-994X UR - https://www.unboundmedicine.com/medline/citation/23907506/Poly_tobacco_use_among_HIV_positive_smokers:_implications_for_smoking_cessation_efforts_ L2 - https://academic.oup.com/ntr/article-lookup/doi/10.1093/ntr/ntt107 DB - PRIME DP - Unbound Medicine ER -