Park Boyoung, Jang Yoonyoung, Kim Taehwa, Choi Yunsu, Ahn Kyoung Hwan, Kim Jung Ho, Seong Hye, Choi Jun Yong, Kim Hyo Youl, Song Joon Young, Kim Shin-Woo, Choi Hee Jung, Park Dae Won, Yoon Young Kyung, Kim Sang Il
Department of Preventive Medicine, Hanyang University College of Medicine, Seoul, Korea.
Institute of Bioscience and Biotechnology, Hanyang University, Seoul, Korea.
Epidemiol Health. 2024;46:e2024097. doi: 10.4178/epih.e2024097. Epub 2024 Dec 16.
This study compared the current smoking prevalence among adults with human immunodeficiency virus (HIV) infection to that of the general Korean population and analyzed changes in smoking prevalence and cessation rates from 2009 to 2020.
The study included a total of 10,980 adults with HIV infection who underwent a health screening examination (National Health Insurance Service-National Health Information Database; NHIS-NHID), 1,230 individuals with HIV infection who participated in the Korea HIV/AIDS Cohort (KoCosHIV), and 76,783 participants from the Korea National Health and Nutrition Examination Survey (KNHANES). We estimated the current smoking prevalence and the quit ratio, defined as the ratio of former smokers to ever-smokers.
In the NHIS-NHID and KoCosHIV studies, the prevalence of current and former smoking among adults with HIV was 44.2% (95% confidence interval [CI], 43.2 to 45.1) and 15.6% (95% CI, 14.9 to 16.3), and 47.7% (95% CI, 43.7 to 51.8) and 16.9% (95% CI, 11.8 to 22.0), respectively. In the KNHANES, these rates were 22.5% and 18.1%, respectively. The standardized prevalence ratio of current smoking among adults with HIV was 1.76 in the NHIS-NHID and 1.97 in the KoCosHIV. Furthermore, the likelihood of quitting smoking was lower among adults with HIV than in the general population (NHIS-NHID: 26.1%; 95% CI, 25.0 to 27.1; KoCosHIV: 26.2%; 95% CI, 20.2 to 32.1; KNHANES: 44.6%; 95% CI, 44.5 to 44.6). Among HIV-positive adults, there was a 1.53% decline in the current smoking rate and a 2.86% increase in the quit ratio.
Adults with HIV were more likely to smoke and less likely to quit smoking than the general adult population. Tobacco screening and cessation strategies should specifically target this population.
本研究比较了成人人类免疫缺陷病毒（HIV）感染者与韩国普通人群目前的吸烟流行率，并分析了2009年至2020年吸烟流行率和戒烟率的变化。
该研究共纳入10980名接受健康筛查检查的成人HIV感染者（国家健康保险服务 - 国家健康信息数据库；NHIS - NHID）、1230名参与韩国HIV / AIDS队列研究（KoCosHIV）的HIV感染者以及76783名韩国国家健康与营养检查调查（KNHANES）的参与者。我们估计了目前的吸烟流行率和戒烟率，戒烟率定义为既往吸烟者与曾经吸烟者的比例。
在NHIS - NHID和KoCosHIV研究中，成人HIV感染者中目前吸烟和既往吸烟的流行率分别为44.2%（95%置信区间[CI]，43.2至45.1）和15.6%（95%CI，14.9至16.3），以及47.7%（95%CI，43.7至51.8）和16.9%（95%CI，11.8至22.0）。在KNHANES中，这些比率分别为22.5%和18.1%。在NHIS - NHID中，成人HIV感染者目前吸烟的标准化流行率为1.76，在KoCosHIV中为1.97。此外，HIV感染者戒烟的可能性低于普通人群（NHIS - NHID：26.1%；95%CI，25.0至27.1；KoCosHIV：26.2%；95%CI，20.2至32.1；KNHANES：44.6%；95%CI，44.5至44.6）。在HIV阳性成人中，目前吸烟率下降了1.53%，戒烟率上升了2.86%。
与普通成年人群相比，HIV感染者吸烟的可能性更高，戒烟的可能性更低。烟草筛查和戒烟策略应专门针对这一人群。
