Comparison of prevalence and correlates of smoking between males with and without HIV-infection in Taizhou City

NING Chen-xi; CHEN Xiao-xiao; LIN Hai-jiang; QIAO Xiao-tong; HE Na; DING Ying-ying

doi:10.16462/j.cnki.zhjbkz.2019.12.004

Volume 23 Issue 12

Dec. 2019

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Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2019 > 23(12): 1448-1454

NING Chen-xi, CHEN Xiao-xiao, LIN Hai-jiang, QIAO Xiao-tong, HE Na, DING Ying-ying. Comparison of prevalence and correlates of smoking between males with and without HIV-infection in Taizhou City[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(12): 1448-1454. doi: 10.16462/j.cnki.zhjbkz.2019.12.004

Citation:

NING Chen-xi, CHEN Xiao-xiao, LIN Hai-jiang, QIAO Xiao-tong, HE Na, DING Ying-ying. Comparison of prevalence and correlates of smoking between males with and without HIV-infection in Taizhou City[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(12): 1448-1454. doi: 10.16462/j.cnki.zhjbkz.2019.12.004

Citation:

NING Chen-xi, CHEN Xiao-xiao, LIN Hai-jiang, QIAO Xiao-tong, HE Na, DING Ying-ying. Comparison of prevalence and correlates of smoking between males with and without HIV-infection in Taizhou City[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(12): 1448-1454. doi: 10.16462/j.cnki.zhjbkz.2019.12.004

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Comparison of prevalence and correlates of smoking between males with and without HIV-infection in Taizhou City

doi: 10.16462/j.cnki.zhjbkz.2019.12.004

1.
Department of Epidemiology, School of Public Health, and Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai 200032, China
2.
Taizhou Prefectural Center for Disease Control and Prevention, Taizhou 318000, China

Funds:

China National Science and Technology Major Projects on Infectious Diseases 2018ZX10721102-004

National Natural Science Foundation of China 81872671

More Information

Corresponding author: DING Ying-ying, E-mail: dingyy@fudan.edu.cn
Received Date: 2019-03-01
Rev Recd Date: 2019-06-17
Publish Date: 2019-12-10

Abstract

Abstract

Objective To analyze and compare the prevalence and correlates of smoking among HIV-infected and HIV-uninfected men in Taizhou City, and to provide this for the development and implementation of tobacco control measures for HIV-infected population. Methods We used baseline data from the ongoing prospective cohort study of Comparative HIV and Aging Research in Taizhou(CHART), China. 3 785 men were included in analysis. We collected basic characteristics, smoking behaviors, and so on. All analysis were performed using SAS 9.3. Results Compared to HIV-uninfected men, the prevalence of current smoking was lower(33.9%, 95% CI: 31.4%-36.5% versus 44.6%, 95%CI: 44.3%-48.3%) but prevalence of previous smoking was higher(14.1%, 95% CI: 12.3%-16.1% versus 12.5%, 95% CI: 11.2%-13.9%; χ²=56.81, P < 0.001). Among male HIV-positive people, the rate of smoking cessation after infection was 23.7%. Multivariate multinomial Logistic regression analysis showed that compared to HIV-uninfected men, in addition to occupation, body mass index and regular exercise that were associated with current smoking, older age(40-50years, OR=1.87, 95%CI: 1.28-2.74, P=0.001; ≥ 50 years, OR=2.30, 95% CI: 1.56-3.39, P < 0.001) and homosexual transmission(OR=0.45, 95% CI: 0.35-0.59, P < 0.001) were also associated with current smoking among HIV-infected men. Conclusions Cigarette smoking remains highly prevalent among HIV-infected men in Taizhou City, but with low self-reported smoking cessation rate even after knowing their HIV-positive status. Targeted measures can be taken to control tobacco by strengthening the awareness of HIV-positive persons to quit smoking and combining the factors affecting current smoking among HIV-infected population.
- Males,
- HIV-infected individuals,
- Smoking

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References(20)

References

[1]	Pacek LR, Crum RM. A review of the literature concerning HIV and cigarette smoking: morbidity and mortality, associations with individual-and social-level characteristics, and smoking cessation efforts[J]. Addict Res Theory, 2015, 23(1): 10-23. DOI: 10.3109/16066359.2014.920013.
[2]	Liang H, Chang L, Chen R, et al. Independent and combined effects of chronic HIV-infection and tobacco smoking on brain microstructure[J]. J Neuroimmune Pharmacol, 2018, 13(4): 509-522. DOI: 10.1007/s11481-018-9810-9.
[3]	Lifson AR, Neuhaus J, Arribas JR, et al. Smoking-related health risks among persons with HIV in the strategies for management of antiretroviral therapy clinical trial[J]. Am J Public Health, 2010, 100(10): 1896-1903. DOI: 10.2105/AJPH.2009.188664.
[4]	Petoumenos K, Worm S, Reiss P, et al. Rates of cardiovascular disease following smoking cessation in patients with HIV infection: Results from the D: A: D study(*)[J]. HIV Med, 2011, 12(7): 412-421. DOI: 10.1111/j.1468-1293.2010.00901.x.
[5]	Lewden C, Salmon D, Morlat P, et al. Causes of death among human immunodeficiency virus(HIV)-infected adults in the era of potent antiretroviral therapy: emerging role of hepatitis and cancers, persistent role of AIDS[J]. Int J Epidemiol, 2005, 34(1): 121-130. DOI: 10.1093/ije/dyh307.
[6]	Reddy KP, Kong CY, Hyle EP, et al. Lung cancer mortality associated with smoking and smoking cessation among people living with HIV in the United States[J]. JAMA Intern Med, 2017, 177(11): 1613-1621. DOI: 10.1001/jamainternmed.2017.4349.
[7]	杨练, 黄云霞, 孙群, 等. 归因于吸烟的疾病间接经济负担测算研究: 基于全收入法[J]. 中国卫生经济, 2015, 34(12): 79-81. DOI: 10.7664/CHE20151224. Yang L, Huang YX, Sun Q, et al. Study on Estimating the indirect economic burden of tobacco-attribution: based on full income approach[J]. Chinese Health Economics, 2015, 34(12): 79-81. DOI: 10.7664/CHE20151224.
[8]	Altekruse SF, Shiels MS, Modur SP, et al. Cancer burden attributable to cigarette smoking among HIV-infected people in North America[J]. AIDS, 2018, 32(4): 513-521. DOI: 10.1097/QAD.0000000000001721.
[9]	Luo X, Duan S, Duan Q, et al. Tobacco use among HIV-infected individuals in a rural community in Yunnan Province, China[J]. Drug Alcohol Depend, 2014, 134: 144-150. DOI: 10.1016/j.drugalcdep.2013.09.023.
[10]	Qiao XT, Chen XX, Lin H J, et al. Sex differences in neurocognitive screening among adults living with HIV in China[J]. J Neurovirol, 2019. DOI:10.1007/s13365-019-00727-0. (inpress)
[11]	乔晓彤, 陈潇潇, 林海江, 等. 男性HIV阳性者与HIV阴性对照者饮酒现状及其影响因素[J]. 中华流行病学杂志, 2019, 40(5): 493-498. DOI: 10.3760/cma.j.issn.0254-6450.2019.05.001. Qiao XT, Chen XX, Lin HJ, et al. Prevalence of alcohol use and related factors in HIV positive and HIV negative males[J]. Chin J Epidemiol, 2019, 40(5): 493-498. DOI: 10.3760/cma.j.issn.0254-6450.2019.05.001.
[12]	肖瑛琦, 刘娅, 郑思琳, 等. 体质指数、腰围、腰臀比与社区中老年居民高血压关系研究[J]. 中华流行病学杂志, 2016, 37(9): 1223-1227. DOI: 10.3760/cma.j.issn.0254-6450.2016.09.008. Xiao YQ, Liu Y, Zheng SL, et al. Relationship between hypertension and body mass index, waist circumference and waist-hip ratio in middle-aged and elderly residents[J]. Chin J Epidemiol, 2016, 37(9): 1223-1227. DOI: 10.3760/cma.j.issn.0254-6450.2016.09.008.
[13]	杨功焕, 马杰民, 刘娜, 等. 中国人群2002年吸烟和被动吸烟的现状调查[J]. 中华流行病学杂志, 2005, 26(2): 77-83. DOI: 10.3760/j.issn:0254-6450.2005.02.001. Yang GH, Ma JM, Liu N, et al. Smoking and passive smoking in Chinese[J]. Chin J Epidemiol, 2005, 26(2): 77-83. DOI: 10.3760/j.issn:0254-6450.2005.02.001.
[14]	Mdodo R, Frazier EL, Dube SR, et al. Cigarette smoking prevalence among adults with HIV compared with the general adult population in the United States: cross-sectional surveys[J]. Ann Intern Med, 2015, 162(5): 335-344. DOI: 10.7326/M14-0954.
[15]	Elf JL, Variava E, Chon S, et al. Prevalence and correlates of smoking among people living with HIV in south Africa[J]. Nicotine Tob Res, 2018, 20(9): 1124-1131. DOI: 10.1093/ntr/ntx145.
[16]	Yang T, Barnett R, Jiang S, et al. Gender balance and its impact on male and female smoking rates in Chinese cities[J]. Soc Sci Med, 2016, 154: 9-17. DOI: 10.1016/j.socscimed.2016.02.035.
[17]	Tesoriero JM, Gieryic SM, Carrascal A, et al. Smoking among HIV positive New Yorkers: prevalence, frequency, and opportunities for cessation[J]. AIDS Behav, 2010, 14(4): 824-835. DOI: 10.1007/s10461-008-9449-2.
[18]	Regan S, Meigs JB, Grinspoon SK, et al. Determinants of smoking and quitting in HIV-infected individuals[J]. PLoS One, 2016, 11(4): e153103. DOI: 10.1371/journal.pone.0153103.
[19]	Nguyen NP, Tran BX, Hwang LY, et al. Prevalence of cigarette smoking and associated factors in a large sample of HIV-positive patients receiving antiretroviral therapy in Vietnam[J]. PLoS One, 2015, 10(2): e118185. DOI: 10.1371/journal.pone.0118185.
[20]	Shirley DK, Kesari RK, Glesby MJ. Factors associated with smoking in HIV-infected patients and potential barriers to cessation[J]. AIDS Patient Care STDS, 2013, 27(11): 604-612. DOI: 10.1089/apc.2013.0128.