Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
The Graduate Center, City University of New York, New York, New York.
J Stud Alcohol Drugs. 2023 Sep;84(5):772-780. doi: 10.15288/jsad.22-00318. Epub 2023 May 18.
These analyses investigate how dependence may be related to cessation method choice and how this relationship may vary by subpopulation among people with HIV (PWH) who smoke cigarettes.
PWH who smoke ( = 71) were recruited from clinics in Boston, MA. The Fagerström Test for Nicotine Dependence (FTND) and Smoking History Questionnaire (SHQ) were completed to assess for cigarette dependence, past-week cigarettes per day (CPD), and past cessation method use. Logistic regression examined the association between dependence and previous cessation methods for the whole sample, and moderation analyses assessed this relationship by age and race.
Higher FTND was associated with less use of behavioral modification methods (odds ratio [OR] = 0.658, 95% CI [0.435, 0.994], = .047). Higher past-week CPD was associated with use of the American Cancer Society/American Lung Association (ACS/ALA) programs (OR = 1.159, 95% CI [1.011, 1.328], = .035) and telephone counselling (OR = 1.142, 95% CI [1.006, 1.295], = .040]). Older participants with more past-week CPD were more likely to have used the ACS/ALA programs (B = 0.0169, 95% CI [0.0008, 0.0331], = .0401), and White participants with more past-week CPD were less likely to have tried to quit "cold turkey" ( = 0.1676, 95% CI [0.0027, 0.3326], = .0464).
These preliminary results suggest that there is likely not a "one-size-fits-all" approach to cessation for PWH who smoke, especially within subpopulations (i.e., age and race). Implications include ensuring access to multiple cessation methods, identifying methods that could be culturally appropriate outside of the clinical intervention setting, and providing education and support on cessation methods offered.
这些分析研究了依赖可能与戒烟方法选择有关，以及在感染 HIV 的吸烟者（PWH）亚群中这种关系可能如何变化。
从马萨诸塞州波士顿的诊所招募了吸烟的 PWH（n=71）。完成尼古丁依赖 Fagerström 测试（FTND）和吸烟史问卷（SHQ），以评估香烟依赖、过去一周每天的香烟数（CPD）和过去戒烟方法的使用情况。逻辑回归检查了整个样本中依赖与以前戒烟方法之间的关联，并且通过年龄和种族进行了调节分析。
FTND 得分越高，使用行为修正方法的可能性越低（比值比[OR] = 0.658，95%CI [0.435，0.994]， =.047）。过去一周 CPD 越高，使用美国癌症协会/美国肺脏协会（ACS/ALA）计划的可能性越大（OR = 1.159，95%CI [1.011，1.328]， =.035）和电话咨询（OR = 1.142，95%CI [1.006，1.295]， =.040）。过去一周 CPD 较高的老年参与者更有可能使用 ACS/ALA 计划（B = 0.0169，95%CI [0.0008，0.0331]， =.0401），而过去一周 CPD 较高的白人参与者尝试“突然完全戒烟”的可能性较低（ = 0.1676，95%CI [0.0027，0.3326]， =.0464）。
这些初步结果表明，对于吸烟的 PWH，可能没有一种“一刀切”的戒烟方法，特别是在亚群中（即年龄和种族）。这意味着需要确保获得多种戒烟方法，确定在临床干预环境之外可能具有文化适宜性的方法，并提供有关所提供的戒烟方法的教育和支持。
