吸烟的 HIV 感染者中心血管疾病、肺部疾病、癌症和精神健康合并症的流行情况及其相关因素。
Prevalence and Correlates of Cardiovascular, Pulmonary, Cancer, and Mental Health Comorbidities Among Adults With HIV Who Smoke.
机构信息
Jessica L. Elf, PhD, MPH, is an Assistant Professor, Colorado State University, Fort Collins, Colorado, USA. Kimberly Horn, EdD, is a Research Professor, Virginia Tech, Roanoke, Virginia, USA. Lorien Abroms, ScD, MA, is a Professor, George Washington University, Washington, District of Columbia, USA. Cassandra A. Stanton, PhD, is a Senior Epidemiologist, Westat, Rockville, Maryland, USA. Amy M. Cohn, PhD, is an Associate Professor, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA. Freya Spielberg, MD, MPH, is an Associate Professor, University of Texas at Austin, Austin, Texas, USA. Tiffany Gray, DrPh, MPH, is Adjunct Faculty at George Washington University, Washington, District of Columbia, USA and Public Health Analyst at the D.C. Department of Health, Washington, District of Columbia, USA. Emily Harvey, MPH, is a Manager of Primary Research, Bain & Company, New York, New York, USA. Charles Debnam, BA, is Deputy Chief Executive Officer, Community Wellness Alliance, Washington, District of Columbia, USA. Lexi Kierstead, MPH, is a Research Associate, Truth Initiative, Washington, District of Columbia, USA. Matthew E. Levy, PhD, is a Research Scientist, George Washington University, Washington, District of Columbia, USA. Amanda Castel, MD, MPH, is a Professor, George Washington University, Washington, District of Columbia, USA. Anne Monroe, MD, MSPH, is an Associate Professor, George Washington University, Washington, District of Columbia, USA. Raymond Niaura, PhD, is a Professor, New York University, New York, New York, USA.
出版信息
J Assoc Nurses AIDS Care. 2023;34(4):363-375. doi: 10.1097/JNC.0000000000000416.
Using data from the D.C. Cohort Longitudinal HIV Study, we examined (a) diagnosed mental health and (b) cardiovascular, pulmonary, or cancer (CPC) comorbidity among adults with HIV who smoked. Among 8,581 adults, 4,273 (50%) smoked; 49% of smokers had mental health, and 13% of smokers had a CPC comorbidity. Among smokers, non-Hispanic Black participants had a lower risk for mental health (prevalence ratio [PR]: 0.69; 95% confidence interval [CI] [0.62-0.76]) but a higher risk for CPC (PR: 1.17; 95% CI [0.84-1.62]) comorbidity. Male participants had a lower risk for mental health (PR: 0.88; 95% CI [0.81-0.94]) and CPC (PR: 0.68; 95% CI [0.57-0.81]) comorbidity. All metrics of socioeconomic status were associated with a mental health comorbidity, but only housing status was associated with a CPC comorbidity. We did not find any association with substance use. Gender, socioeconomic factors, and race/ethnicity should inform clinical care and the development of smoking cessation strategies for this population.
利用来自华盛顿特区队列纵向 HIV 研究的数据，我们检查了吸烟的 HIV 感染者中（a）已确诊的心理健康和（b）心血管、肺部或癌症（CPC）合并症。在 8581 名成年人中，有 4273 人（50%）吸烟；50%的吸烟者有心理健康问题，13%的吸烟者有 CPC 合并症。在吸烟者中，非西班牙裔黑人参与者的心理健康风险较低（流行率比 [PR]：0.69；95%置信区间 [CI] [0.62-0.76]），但 CPC（PR：1.17；95% CI [0.84-1.62]）合并症的风险较高。男性参与者的心理健康（PR：0.88；95% CI [0.81-0.94]）和 CPC（PR：0.68；95% CI [0.57-0.81]）合并症的风险较低。所有社会经济地位指标都与心理健康合并症相关，但只有住房状况与 CPC 合并症相关。我们没有发现任何与物质使用有关的关联。性别、社会经济因素和种族/民族应该为该人群的临床护理和戒烟策略的制定提供信息。
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