Did You Know? Smoking Cessation Could Improve HIV Outcomes For Sexual Minority Men With HIV

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Cigarette smoking is particularly harmful for sexual minority men living with HIV. A newly published study examined the benefits of quitting by examining relationships between smoking and sustained HIV RNA suppression, recent CD4 count, ART medication adherence, and engagement in HIV medical care. Sexual minority men (n = 346), former or current smokers, received HIV care at a community health center. Most patients were Caucasian (87%), 148 (46%) had incomes below the poverty level and 80% had sustained HIV RNA suppression. Compared to current smokers, former smokers had increased odds of sustaining HIV RNA suppression, of reporting > 90% treatment adherence, and were less likely to miss appointments. Heavier smokers and patients who smoked the longest had reduced odds of sustaining HIV RNA suppression. The researchers concluded that smoking assessment, treatment, and referral could augment HIV outcomes for sexual minority men with HIV.
 
Source: King et al. (2018). Treatment Outcomes Associated with Quitting Cigarettes Among Sexual Minority Men Living with HIV: Antiretroviral Adherence, Engagement in Care, and Sustained HIV RNA Suppression. AIDS and Behavior, Apr 21. doi: 10.1007/s10461-018-2116-3. [Epub ahead of print]
 
 

 

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That Tobacco Cessation Programs May Want To Target Low SES Sexual Minorities Within A Context Of Co-Occurring Substance And Alcohol Use?

Cigarette smoking is substantially more prevalent and rates of smoking cessation are lower in low-SES adults. Financial strain may be one explanation for this. A newly published study assessed the link between financial strain, quit attempts, and successful smoking cessation among adult smokers in the U.S. Data from the Population Assessment of Tobacco and Health Study (2013-2015) were analyzed.

Findings included:

  • Smokers with financial strain made more quit attempts than smokers without financial strain, but financial strain was not associated with abstinence at follow-up.
  • Low income was associated with less abstinence at follow-up.
  • Smokers with baseline financial strain who quit at follow-up had lower odds of financial strain at follow-up.

The researchers concluded that financially strained smokers made slightly more quit attempts than non-strained smokers but were no more likely to successfully quit.

Source: Kalkhoran et al. (2018). Financial Strain, Quit Attempts, and Smoking Abstinence Among U.S. Adult Smokers. American Journal of Preventive Medicine, Apr 5. pii: S0749-3797(18)30068-0. doi: 10.1016/j.amepre.2018.01.036. [Epub ahead of print]

Read the abstract at: https://www.ncbi.nlm.nih.gov/pubmed/29628382

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