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感染艾滋病毒的吸烟者对烟草依赖治疗的依从性。

Adherence to Tobacco Dependence Treatment Among HIV-Infected Smokers.

作者信息

Browning Kristine K, Wewers Mary Ellen, Ferketich Amy K, Diaz Philip, Koletar Susan L, Reynolds Nancy R

机构信息

College of Nursing, The Ohio State University and The Ohio State University Wexner Medical Center, 370 Newton Hall, 1585 Neil Avenue, Columbus, OH, 34210, USA.

Division of Health Behavior and Promotion, College of Public Health, The Ohio State University, Columbus, OH, USA.

出版信息

AIDS Behav. 2016 Mar;20(3):608-21. doi: 10.1007/s10461-015-1059-1.

Abstract

High prevalence of tobacco use and low success in quitting remain significant problems for reducing disease burden among HIV-infected persons. This study's purpose was to examine participant responsiveness and tobacco dependence treatment adherence and their influences on tobacco abstinence among HIV-infected patients. This non-randomized study included HIV-infected smokers 18 years of age or older, who smoked at least 5 cigarettes per day, and had an interest in quitting smoking in the next 30 days. HIV-infected smokers (n = 247) received a 12-week tobacco dependence treatment intervention that included pharmacotherapy and telephone counseling. Younger age and non-White race were associated with lower adherence to pharmacotherapy. Younger age, non-White race, and increased monthly binge drinking were associated with lower adherence to telephone counseling. High participant responsiveness was associated with adherence to pharmacotherapy, counseling, and abstinence. Development and testing of interventions to improve adherence to evidence-based tobacco dependence treatment is warranted.

摘要

烟草使用率高以及戒烟成功率低仍然是减轻艾滋病毒感染者疾病负担的重大问题。本研究的目的是检验参与者的反应性和烟草依赖治疗依从性及其对艾滋病毒感染患者戒烟的影响。这项非随机研究纳入了18岁及以上的艾滋病毒感染吸烟者,他们每天至少吸5支烟,并且在未来30天内有戒烟意愿。247名艾滋病毒感染吸烟者接受了为期12周的烟草依赖治疗干预,包括药物治疗和电话咨询。年龄较小和非白人种族与药物治疗依从性较低有关。年龄较小、非白人种族以及每月暴饮次数增加与电话咨询依从性较低有关。参与者的高反应性与药物治疗、咨询和戒烟依从性有关。有必要开发和测试旨在提高循证烟草依赖治疗依从性的干预措施。

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