Major Infectious Diseases Management Department, Public Health Clinical Center of Chengdu, Chengdu, 610066, China.
School of Marxism, Tsinghua University, Beijing, 100084, China.
Sci Rep. 2022 Nov 19;12(1):19925. doi: 10.1038/s41598-022-24291-6.
Although the smoking rate of human immunodeficiency virus (HIV), hepatitis B virus (HBV) or hepatitis C virus (HCV) infected people was much higher than that of the general population, smoking cessation interventions have long been ineffective. We aimed to examine the estimates of prevalence, time-trend, and association of smoking among people living with HIV, HBV, or HCV. This cohort was composed of 32,115 individuals from the NHANES database (1999-2018) and they were collected in the US. The time trend analysis of smoking and quitting rates was conducted using different years of survey follow-up and different infected groups. Multivariable logistic regression analysis was used to identify the risk factors related to smoking behavior of these infected people. Compared to non-infected smokers, infected smokers were more likely to be older (aged 30-39, OR = 9.92, CI 6.07-16.21; aged 40-49,OR = 3.51, CI 2.49-4.94), males (1.99, 1.54-2.55), lower education and economic level (1.78, 1.39-2.29; 2.05, 1.59-2.65), unemployed (1.63, 1.21-2.20), suffering depression (1.35, 1.05-1.72), and drug users (7.65, 5.04-11.59). Taken together, our study showed that these complex psychosocial characteristics and unhealthy behavioral factors might be major independent risk factors for increasing smoking rate and decreasing smoking cessation rate among these infected people.
尽管人类免疫缺陷病毒（HIV）、乙型肝炎病毒（HBV）或丙型肝炎病毒（HCV）感染者的吸烟率远高于一般人群，但戒烟干预措施一直收效甚微。我们旨在研究 HIV、HBV 或 HCV 感染者吸烟的流行率、时间趋势和相关性的估计值。该队列由 NHANES 数据库中的 32115 名个体组成（1999-2018 年），并在美国进行了收集。使用不同年份的调查随访和不同感染组进行了吸烟和戒烟率的时间趋势分析。使用多变量逻辑回归分析确定了与这些感染者吸烟行为相关的风险因素。与未感染的吸烟者相比，感染的吸烟者更有可能年龄较大（30-39 岁，OR=9.92，95%CI：6.07-16.21；40-49 岁，OR=3.51，95%CI：2.49-4.94），男性（1.99，1.54-2.55），受教育程度和经济水平较低（1.78，1.39-2.29；2.05，1.59-2.65），失业（1.63，1.21-2.20），患有抑郁症（1.35，1.05-1.72），以及药物使用者（7.65，5.04-11.59）。综上所述，我们的研究表明，这些复杂的社会心理特征和不健康的行为因素可能是导致这些感染者吸烟率增加和戒烟率降低的主要独立风险因素。
