Fletcher Faith E, Vidrine Damon J, Trejo Meredith Buchberg, Molina Yamile', Sha Beverly E, Floyd Brenikki R, Sarhene Noreen, Mator Jamesetta, Matthews Alicia K
University of Alabama at Birmingham School of Public Health.
University of Oklahoma Health Sciences Center.
J Health Dispar Res Pract. 2019 Summer;12(2):106-122.
Although tobacco use among women living with HIV (WLWH) is decreasing, the prevalence is more than double that of women in the general population and remains an important health behavior to target among WLWH. Few smoking cessation interventions specifically focus on the unique social and medical needs of WLWH. Thus, the investigative team engaged WLWH (N=18) in qualitative focus groups to: 1) understand barriers and facilitators to smoking cessation; and 2) inform intervention structure and content priorities. Participants identified salient reasons for smoking and barriers to smoking cessation, which included coping with multiple life stressors, HIV-related stress, HIV-related stigma and social isolation. Further, WLWH highlighted the importance of long-term smoking cessation support, peer support, mental health content, religion/spirituality, and targeted risk messaging in smoking cessation intervention development. Study findings provide concrete, operational strategies for future use in a theory-based smoking cessation intervention, and underscore the importance of formative research to inform smoking cessation interventions for WLWH.
尽管感染艾滋病毒的女性（WLWH）的烟草使用率正在下降，但其患病率仍比普通女性高出一倍多，仍然是WLWH群体中一个需要关注的重要健康行为。很少有戒烟干预措施专门针对WLWH群体独特的社会和医疗需求。因此，研究团队组织了18名WLWH参与定性焦点小组，以：1）了解戒烟的障碍和促进因素；2）为干预结构和内容重点提供信息。参与者确定了吸烟的显著原因和戒烟的障碍，包括应对多种生活压力源、与艾滋病毒相关的压力、与艾滋病毒相关的耻辱感和社会隔离。此外，WLWH强调了长期戒烟支持、同伴支持、心理健康内容、宗教/精神信仰以及针对性风险信息在戒烟干预措施制定中的重要性。研究结果为未来基于理论的戒烟干预措施提供了具体的操作策略，并强调了形成性研究对为WLWH制定戒烟干预措施的重要性。
