Scarinci Isabel C, Ribeiro Marcos, Gibson Elena, Hansen Barbara, Kienen Nadia
Isabel C. Scarinci, PhD, MPH, is a Professor, Preventive Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA. Marcos Ribeiro, MD, is an Associate Professor, Department of Medicine, Universidade Estadual de Londrina, Londrina, Paraná, Brazil. Elena Gibson, MD, MPH, was a medical student at the University of Alabama at Birmingham at the time of the study, Birmingham, Alabama, USA. Barbara Hansen, PhD, is a Research Scientist, Preventive Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA. Nadia Kienen, PhD, is an Associate Professor, Department of Psychology, Universidade Estadual de Londrina, Londrina, Paraná, Brazil.
J Assoc Nurses AIDS Care. 2021;32(2):e3-e13. doi: 10.1097/JNC.0000000000000181.
With regard to tobacco cessation, persons living with HIV (PLWH) are an underserved population, given the high prevalence of use and lack of evidence-based cessation programs tailored to this population. This study examined barriers and facilitators to tobacco use and cessation among PLWH in southern Brazil. We interviewed a total of 36 PLWH: 26 current smokers, of whom eight had a previous diagnosis of pulmonary TB, and 10 former smokers. Motivations for smoking included anxiety relief, social influence, and habitual behaviors. Motivations to quit included bad smell/taste and consequences/symptoms. Barriers to cessation included cost of pharmacological aids, distance to treatment, and reluctance to seek tobacco cessation services at the public primary care clinics due to confidentiality concerns. Participants favored individual or group interventions, no-cost pharmacologic aids, and assured confidentiality. There are specific contextual factors associated with tobacco cessation among PLWH in Brazil, which have important clinical, research, and policy implications.
关于戒烟，鉴于艾滋病毒感染者（PLWH）中吸烟率高且缺乏针对该人群的循证戒烟项目，他们是未得到充分服务的人群。本研究调查了巴西南部艾滋病毒感染者吸烟和戒烟的障碍及促进因素。我们共采访了36名艾滋病毒感染者：26名当前吸烟者，其中8人曾被诊断患有肺结核，以及10名既往吸烟者。吸烟动机包括缓解焦虑、社会影响和习惯行为。戒烟动机包括难闻的气味/味道以及后果/症状。戒烟障碍包括药物辅助工具的费用、就医距离以及由于担心隐私而不愿在公共初级保健诊所寻求戒烟服务。参与者倾向于个人或团体干预、免费药物辅助工具以及确保隐私。巴西艾滋病毒感染者的戒烟存在特定的背景因素，这具有重要的临床、研究和政策意义。
