Tobacco Smoking, Substance Use, and Mental Health Symptoms in People with HIV in an urban HIV clinic

D. R.Bailey Miles, Usama Bilal, Heidi E. Hutton, Bryan Lau, Catherine R. Lesko, Anthony Fojo, Mary E. McCaul, Jeanne Keruly, Richard D. Moore, Geetanjali Chander

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


The prevalence of tobacco smoking among people with HIV (PWH) ranges from 40% to 70%. Additionally, tobacco smoking is higher among low-income individuals, yet few studies have examined tobacco smoking in low socioeconomic status PWH. Using data from a cohort of PWH receiving care in an urban HIV clinic, we characterized factors associated with current and former smoking and with initiation/ re-initiation and cessation of tobacco use. Among a study sample of 1,607 PWH, the prevalence of current smoking was 46.6% among men and 46.0% among women. Current smoking in men and women was associated with Medicaid insurance status, substance use, and panic symptoms. In women, but not men, hazardous alcohol use decreased the likelihood of quitting smoking and increased the risk of initiation/ re-initiation. Smoking interventions for low-income, urban PWH may need to be tailored to address mental health and substance use co morbidities.

Original languageEnglish (US)
Pages (from-to)1083-1102
Number of pages20
JournalJournal of health care for the poor and underserved
Issue number3
StatePublished - Aug 2019


  • HIV
  • Mental health
  • Substance- related disorders
  • Tobacco smoking
  • Urban health
  • Vulnerable populations

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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