Brath Helmut, Grabovac Igor, Schalk Horst, Degen Olaf, Dorner Thomas E
Health Centre South, Vienna, Austria.
Institute of Occupational Medicine, University Clinic for Internal Medicine II, Medical University of Vienna, Vienna, Austria.
PLoS One. 2016 Feb 26;11(2):e0150553. doi: 10.1371/journal.pone.0150553. eCollection 2016.
We aimed to investigate the prevalence and correlates of smoking in people living with HIV (PLWHIV) in Germany and Austria and their readiness to quit. A total of 447 consecutive patients with confirmed positive HIV status who were treated in different outpatient HIV centres in Austria and Germany were included. Nicotine dependence and stages of change were assessed by standardized questionnaires, and this was confirmed by measuring exhaled carbon monoxide. Prevalence of smoking was 49.4%. According to a multivariate logistic regression analysis, higher age (for each year of life OR = 0.96; 95% CI 0.92-1.00) and tertiary education level (OR = 0.43; 95% CI 0.15-0.79) were associated with a lower chance, and occasional (OR = 3.75; 95% CI 1.74-8.07) and daily smoking of the partner (OR 8.78; 95% CI 4.49-17.17) were significantly associated with a higher chance of smoking. Moderate (OR = 3.41; 95% CI = 1.30-9.05) and higher nicotine dependency level (OR = 3.40; 95% CI 1.46-7.94), were significantly associated with higher chance, and older age (for each year of life OR = 0.95; 95% CI = 0.91-0.99), with lower chance for readiness to quit smoking. Those results may be used to address preventive measures to quit smoking aimed at PLWHIV and the importance of addressing smoking habits.
我们旨在调查德国和奥地利的艾滋病病毒感染者（PLWHIV）的吸烟率及其相关因素，以及他们的戒烟意愿。纳入了在奥地利和德国不同门诊艾滋病中心接受治疗的447例连续确诊为HIV阳性的患者。通过标准化问卷评估尼古丁依赖和改变阶段，并通过测量呼出一氧化碳进行确认。吸烟率为49.4%。根据多因素逻辑回归分析，年龄较大（每增加一岁，OR = 0.96；95%CI 0.92 - 1.00）和受过高等教育（OR = 0.43；95%CI 0.15 - 0.79）与吸烟几率较低相关，而伴侣偶尔吸烟（OR = 3.75；95%CI 1.74 - 8.07）和每天吸烟（OR = 8.78；95%CI 4.49 - 17.17）与吸烟几率较高显著相关。中度（OR = 3.41；95%CI = 1.30 - 9.05）和较高的尼古丁依赖水平（OR = 3.40；95%CI 1.46 - 7.94）与较高的吸烟几率显著相关，而年龄较大（每增加一岁，OR = 0.95；95%CI = 0.91 - 0.99）与较低的戒烟意愿相关。这些结果可用于针对PLWHIV制定戒烟预防措施，并强调解决吸烟习惯的重要性。
