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Non-cigarette tobacco and poly-tobacco use among persons living with HIV drawn from a nationally representative sample.
Drug Alcohol Depend. 2016 May 01; 162:251-5.DA

Abstract

INTRODUCTION

Smoking is more prevalent among persons living with HIV (PLWH) than the general population. Little is known about the prevalence of non-cigarette tobacco and poly-tobacco use (PTU; using multiple tobacco products) among this population, which, in the general population is associated with poor health and cessation outcomes. We aimed to characterize the prevalence of cigarette and non-cigarette tobacco use, PTU, and correlates of tobacco use status among a nationally-representative sample of PLWH.

METHODS

Data came from 472 HIV-positive adults from the 2005-2013 National Survey on Drug Use and Health (NSDUH).

RESULTS

The prevalence of PTU overall was 8.7% (95% CI=5.6-13.2), and 16.6% (95% CI=10.2-25.7) among past-year tobacco users. In multinomial logistic regression analyses, participants with a high school education or greater (aRRR=2.03, 95% CI=1.03-4.00) were more likely to be non-tobacco users than single product users. Past year drug users (aRRR=0.35, 95% CI=0.19-0.66) and past month binge drinkers (aRRR=0.24, 95% CI=0.12-0.50) were less likely to be non-tobacco users than single product users. Compared to 18-25 year olds, individuals age 26-34 (aRRR=0.13, 95% CI=0.03-0.65) and 35+ (aRRR=0.24, 95% CI=0.09-0.63), and with lifetime anxiety disorder(s) (aRRR=0.18, 95% CI=0.06-0.57) were less likely to be PTUs as compared to single product users. Individuals who reported liking to test themselves by doing risky things were more likely to be PTUs than single product users (aRRR=2.95, 95% CI=1.27-6.84).

CONCLUSIONS

PTU was slightly higher than in the general population, and should be taken into account when developing cessation interventions tailored to tobacco users living with HIV.

Authors+Show Affiliations

Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, United States. Electronic address: lauren.pacek@duke.edu.Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, United States.Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, United States.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

27049581

Citation

Pacek, Lauren R., et al. "Non-cigarette Tobacco and Poly-tobacco Use Among Persons Living With HIV Drawn From a Nationally Representative Sample." Drug and Alcohol Dependence, vol. 162, 2016, pp. 251-5.
Pacek LR, Sweitzer MM, McClernon FJ. Non-cigarette tobacco and poly-tobacco use among persons living with HIV drawn from a nationally representative sample. Drug Alcohol Depend. 2016;162:251-5.
Pacek, L. R., Sweitzer, M. M., & McClernon, F. J. (2016). Non-cigarette tobacco and poly-tobacco use among persons living with HIV drawn from a nationally representative sample. Drug and Alcohol Dependence, 162, 251-5. https://doi.org/10.1016/j.drugalcdep.2016.03.020
Pacek LR, Sweitzer MM, McClernon FJ. Non-cigarette Tobacco and Poly-tobacco Use Among Persons Living With HIV Drawn From a Nationally Representative Sample. Drug Alcohol Depend. 2016 May 1;162:251-5. PubMed PMID: 27049581.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Non-cigarette tobacco and poly-tobacco use among persons living with HIV drawn from a nationally representative sample. AU - Pacek,Lauren R, AU - Sweitzer,Maggie M, AU - McClernon,F Joseph, Y1 - 2016/03/30/ PY - 2016/01/06/received PY - 2016/03/22/revised PY - 2016/03/24/accepted PY - 2016/4/7/entrez PY - 2016/4/7/pubmed PY - 2016/12/15/medline KW - Comorbidity KW - HIV KW - Poly-tobacco use KW - Smoking KW - Tobacco KW - Vulnerable populations SP - 251 EP - 5 JF - Drug and alcohol dependence JO - Drug Alcohol Depend VL - 162 N2 - INTRODUCTION: Smoking is more prevalent among persons living with HIV (PLWH) than the general population. Little is known about the prevalence of non-cigarette tobacco and poly-tobacco use (PTU; using multiple tobacco products) among this population, which, in the general population is associated with poor health and cessation outcomes. We aimed to characterize the prevalence of cigarette and non-cigarette tobacco use, PTU, and correlates of tobacco use status among a nationally-representative sample of PLWH. METHODS: Data came from 472 HIV-positive adults from the 2005-2013 National Survey on Drug Use and Health (NSDUH). RESULTS: The prevalence of PTU overall was 8.7% (95% CI=5.6-13.2), and 16.6% (95% CI=10.2-25.7) among past-year tobacco users. In multinomial logistic regression analyses, participants with a high school education or greater (aRRR=2.03, 95% CI=1.03-4.00) were more likely to be non-tobacco users than single product users. Past year drug users (aRRR=0.35, 95% CI=0.19-0.66) and past month binge drinkers (aRRR=0.24, 95% CI=0.12-0.50) were less likely to be non-tobacco users than single product users. Compared to 18-25 year olds, individuals age 26-34 (aRRR=0.13, 95% CI=0.03-0.65) and 35+ (aRRR=0.24, 95% CI=0.09-0.63), and with lifetime anxiety disorder(s) (aRRR=0.18, 95% CI=0.06-0.57) were less likely to be PTUs as compared to single product users. Individuals who reported liking to test themselves by doing risky things were more likely to be PTUs than single product users (aRRR=2.95, 95% CI=1.27-6.84). CONCLUSIONS: PTU was slightly higher than in the general population, and should be taken into account when developing cessation interventions tailored to tobacco users living with HIV. SN - 1879-0046 UR - https://www.unboundmedicine.com/medline/citation/27049581/Non_cigarette_tobacco_and_poly_tobacco_use_among_persons_living_with_HIV_drawn_from_a_nationally_representative_sample_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0376-8716(16)30007-2 DB - PRIME DP - Unbound Medicine ER -