TY - JOUR
T1 - Smoking-Cessation Interventions in People Living With HIV Infection
T2 - A Systematic Review
AU - Moscou-Jackson, Gyasi
AU - Commodore-Mensah, Yvonne
AU - Farley, Jason
AU - DiGiacomo, Michelle
N1 - Funding Information:
The authors would like to thank Dr. Marie Nolan at the Johns Hopkins University School of Nursing for her support in developing the topic and production of this manuscript. The authors would also like to thank Stella Seal, an information specialist at the Welch Medical Library, for her assistance with helping develop our literature search strategy. This article was supported by the National Institute Of Nursing Research of the National Institutes of Health under Award Number 5T32NR012704.
PY - 2014/1
Y1 - 2014/1
N2 - Tobacco smoking remains a prevalent behavior in people living with HIV infection (PLWHs) and is associated with impaired immune functioning, increased cardiovascular risk, and decreased response to antiretroviral therapy. This review presents a critique and synthesis of evidence on effective smoking-cessation interventions for PLWHs. A comprehensive search identified nine peer-reviewed intervention studies published between 1989 and 2012. The highest likelihood of smoking cessation (range of odds ratios 4.33-5.6) were in two randomized controlled trial interventions using cell phone technology. Clinically significant reductions in systolic blood pressure, weight gain, and increased CD4+ T-cell count were reported in participants who ceased smoking in three of the nine studies. Overall, multistrategy smoking-cessation interventions, delivered over multiple sessions, were effective. However, the most effective interventions were tailored to the unique individual needs of PLWHs, including assessment of and intervention for polysubstance abuse and mental health issues, as well as the inclusion of access-promoting elements.
AB - Tobacco smoking remains a prevalent behavior in people living with HIV infection (PLWHs) and is associated with impaired immune functioning, increased cardiovascular risk, and decreased response to antiretroviral therapy. This review presents a critique and synthesis of evidence on effective smoking-cessation interventions for PLWHs. A comprehensive search identified nine peer-reviewed intervention studies published between 1989 and 2012. The highest likelihood of smoking cessation (range of odds ratios 4.33-5.6) were in two randomized controlled trial interventions using cell phone technology. Clinically significant reductions in systolic blood pressure, weight gain, and increased CD4+ T-cell count were reported in participants who ceased smoking in three of the nine studies. Overall, multistrategy smoking-cessation interventions, delivered over multiple sessions, were effective. However, the most effective interventions were tailored to the unique individual needs of PLWHs, including assessment of and intervention for polysubstance abuse and mental health issues, as well as the inclusion of access-promoting elements.
KW - AIDS
KW - HIV
KW - Smoking
KW - Smoking cessation intervention
KW - Tobacco
UR - http://www.scopus.com/inward/record.url?scp=84891489823&partnerID=8YFLogxK
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U2 - 10.1016/j.jana.2013.04.005
DO - 10.1016/j.jana.2013.04.005
M3 - Article
C2 - 23876816
AN - SCOPUS:84891489823
SN - 1055-3290
VL - 25
SP - 32
EP - 45
JO - Journal of the Association of Nurses in AIDS Care
JF - Journal of the Association of Nurses in AIDS Care
IS - 1
ER -