Pacek Lauren R, Crum Rosa M
Johns Hopkins Bloomberg School of Medicine, Department of Psychiatry and Behavioral Sciences, Baltimore, Maryland.
Johns Hopkins Bloomberg School of Public Health, Department of Mental Health, Baltimore, Maryland.
Addict Res Theory. 2015 Feb;23(1):10-23. doi: 10.3109/16066359.2014.920013. Epub 2014 May 19.
Cigarette smoking is endemic among many populations, but is especially prevalent among people living with HIV, and is consequently associated with a variety of types of morbidity as well as mortality. Despite this knowledge, relatively little research has been conducted among smokers living with HIV. Extant research has focused on examining individual-level characteristics associated with smoking behaviors, to the neglect of examining social-level factors. This manuscript represents a critical literature review of the intersecting research fields of HIV and cigarette smoking. Topics considered within this review include: morbidity, mortality, as well as treatment and medication adherence outcomes; individual- and social-level characteristics associated with various smoking behaviors; evidence-based smoking cessation interventions; and findings from cessation interventions among smokers living with HIV. Additionally, gaps in the existing literature, as well as directions for future research were identified and discussed.
吸烟在许多人群中普遍存在,在艾滋病毒感染者中尤为常见,因此与多种疾病和死亡率相关。尽管有这些认识,但针对艾滋病毒感染者吸烟者的研究相对较少。现有研究主要集中在考察与吸烟行为相关的个体层面特征,而忽视了对社会层面因素的研究。本手稿对艾滋病毒与吸烟这两个交叉研究领域进行了重要的文献综述。本综述所考虑的主题包括:发病率、死亡率以及治疗和药物依从性结果;与各种吸烟行为相关的个体和社会层面特征;基于证据的戒烟干预措施;以及艾滋病毒感染者吸烟者戒烟干预的研究结果。此外,还识别并讨论了现有文献中的空白以及未来研究的方向。