Mbaye Fatimata Binetou Rassoule, Toure Nafissatou Oumar, Gueye Ndeye Fatou Ngom, Kane Malick, Ndiaye Kiné, Kane Yacine Dia, Kombila Ulrich Davy, Ndour Cheikh Tiidiane, Thiam Khady, Cisse Maïmouna Fafa, Ndiaye El Hadji Mamadou
Service de Pneumologie, Centre Hospitalier National Universitaire de FANN (CHNUF), Dakar, Sénégal.
Centre de Traitement Ambulatoire, Centre Hospitalier National Universitaire de FANN (CHNUF), Dakar, Sénégal.
Pan Afr Med J. 2019 Sep 20;34:42. doi: 10.11604/pamj.2019.34.42.14526. eCollection 2019.
PLHA who smoke have twice the never-smoker mortality rate and have an increased risk of developing non-AIDS diseases. The prevalence of tobacco smoking is higher among PLHA than in the general population. The purpose of this study was to assess the prevalence of smoking among PLHA, to describe the clinical and spirometric features of smokers and ex-smokers and to assess their knowledge and attitudes toward smoking.
We conducted a cross-sectional, descriptive and analytical study among PLHA followed up in the Outpatient Department of the National University Hospital Center of Fann from 15 July to 15 December 2015.
Three hundred (300) PLHA were included in the study. Sex ratio was 0.8. Out of the study population, 15% were smokers and 23.7% were ex-smokers. The average age of patients was 44.38±9.55 years. The quasi-totality of the smokers (91.1%) had already started smoking before the detection of the serological status and 35.6% of them had increased tobacco use after. Respiratory symptoms among smokers were dominated by respiratory distress (64.4%). Smokers who underwent spirometry had obstructive ventilatory impairment not improved by beta-2-mimetic agents (67%) and restrictive disease (28.1%). Out of ex-smokers, 40.8% reported that their serological status was the reason for smoking cessation.
eople may begin or increase smoking after knowledge of serological status. In PLHA, smoking causes cardiovascular and respiratory diseases as well as complications.
吸烟的艾滋病病毒感染者的死亡率是从不吸烟者的两倍，且患非艾滋病相关疾病的风险增加。艾滋病病毒感染者中吸烟的患病率高于普通人群。本研究的目的是评估艾滋病病毒感染者中的吸烟患病率，描述吸烟者和戒烟者的临床及肺功能特征，并评估他们对吸烟的认知和态度。
我们于2015年7月15日至12月15日在法恩国立大学医院中心门诊部对艾滋病病毒感染者进行了一项横断面、描述性和分析性研究。
300名艾滋病病毒感染者纳入研究。男女比例为0.8。在研究人群中，15%为吸烟者，23.7%为戒烟者。患者的平均年龄为44.38±9.55岁。几乎所有吸烟者（91.1%）在血清学状态检测之前就已开始吸烟，其中35.6%在之后增加了烟草使用量。吸烟者的呼吸道症状以呼吸窘迫为主（64.4%）。接受肺功能检查的吸烟者存在β-2-激动剂不能改善的阻塞性通气功能障碍（67%）和限制性疾病（28.1%）。在戒烟者中，40.8%报告称他们的血清学状态是戒烟的原因。
人们在知晓血清学状态后可能开始吸烟或增加吸烟量。在艾滋病病毒感染者中，吸烟会导致心血管和呼吸系统疾病以及并发症。
