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Smoking Among HIV Positive New Yorkers: Prevalence, Frequency, and Opportunities for Cessation

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Abstract

Tobacco use presents unique health risks for persons living with HIV/AIDS (PLWHA). There is an urgent need to characterize tobacco use among PLWHA, and to assess the capacity of HIV/AIDS service providers to deliver smoking cessation interventions. Questionnaires were administered to PLWHA in care in New York State (n = 1,094) and to State-funded HIV/AIDS service providers (n = 173) from 2005 to 2007. Current PLWHA smoking prevalence was 59%, three times the general population rate. Over 50% of current smokers were moderately or highly dependent on nicotine. Three-quarters of smokers indicated an interest in quitting, and 64% reported a least one quit attempt during the past year. Less than half of HIV/AIDS service providers reported always assessing tobacco use status, history, dependence, or interest in quitting at intake. Medical care providers were more likely to conduct assessments and provide services. Although 94% of providers indicated a willingness to incorporate tobacco cessation services, 65% perceived client resistance as a barrier to services. HIV/AIDS service providers are inadequately addressing the high smoking rate among PLWHA, despite being uniquely suited to do so. Efforts are needed to educate providers about the need for, and interest in, tobacco cessation.

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Acknowledgements

We are indebted to the over 1,000 PLWHA who volunteered their time to take part in our survey. Their candid responses have ensured a better understanding of the role that tobacco use plays in the lives of HIV-infected persons in New York State. We are also indebted to their service providers, for granting us access and for supporting our efforts. This support was instrumental in achieving a high response rate and generalizable results. We are grateful to the AIDS Institute-funded providers who agreed to partake in the provider survey portion of our research. We look forward to working with these providers to enhance smoking cessation opportunities for their clients. Finally, we thank Sharon Winters for her help with the literature review and for her careful proofreading of earlier drafts of this manuscript.

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  1. Office of Program Evaluation and Research AIDS Institute, New York State Department of Health, 150 Broadway, Suite 516 Menands, NY, 12204, USA

    James M. Tesoriero & Susan M. Gieryic

  2. Division of HIV Health Care AIDS Institute, New York State Department of Health, Empire State Plaza, Corning Tower, Room 421, Albany, NY, 12237, USA

    Alvaro Carrascal

  3. Office of the Medical Director AIDS Institute, New York State Department of Health, Central NY Regional Office, 217 S. Salina Street, Syracuse, NY, 13202, USA

    Howard E. Lavigne

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  1. James M. Tesoriero
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Correspondence to James M. Tesoriero.

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Tesoriero, J.M., Gieryic, S.M., Carrascal, A. et al. Smoking Among HIV Positive New Yorkers: Prevalence, Frequency, and Opportunities for Cessation. AIDS Behav 14, 824–835 (2010). https://doi.org/10.1007/s10461-008-9449-2

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