Current HIV/AIDS Reports

, Volume 9, Issue 4, pp 375–384

Interventions to Address Chronic Disease and HIV: Strategies to Promote Smoking Cessation Among HIV-infected Individuals

  • Raymond Niaura
  • Geetanjali Chander
  • Heidi Hutton
  • Cassandra Stanton
Behavioral Aspects of HIV Management (RJ DiClemente and JL Brown, Section Editors)

DOI: 10.1007/s11904-012-0138-4

Cite this article as:
Niaura, R., Chander, G., Hutton, H. et al. Curr HIV/AIDS Rep (2012) 9: 375. doi:10.1007/s11904-012-0138-4

Abstract

Tobacco use, especially cigarette smoking, is higher than average in persons living with HIV/AIDS (PLWHA). The Public Health Service Clinical Practice Guideline for Treating Tobacco Use and Dependence states that, during every medical encounter, all smokers should be offered smoking cessation counseling, along with approved medications. The Guideline also recognizes PLWHA as a priority population, given the scarcity of research on effective cessation treatments in this group. The scant evidence suggests that conventional treatments, though worthwhile, are not as successful as might be hoped for. The reasons for this are not entirely clear, but may have to do with the complex array of medical and psychosocial factors that complicate their lives. Clinicians should consider re-treatment strategies for those patients who encounter difficulty when quitting smoking with conventional approaches, switching or augmenting treatments as needed to minimize adverse experiences, and to maximize tolerability, adherence, and cessation outcomes.

Keywords

Tobacco Cigarette smoking Smoking cessation HIV/AIDS Treatment Adaptive treatment strategy Bupropion Varenicline People living with HIV/AIDS (PLWHA) Behavioral aspects of HIV/AIDS 

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Raymond Niaura
    • 1
  • Geetanjali Chander
    • 3
  • Heidi Hutton
    • 3
  • Cassandra Stanton
    • 2
  1. 1.Schroeder Institute for Tobacco Research and Policy Studies, LegacyWashingtonUSA
  2. 2.Lombardi Comprehensive Cancer CenterGeorgetown University Medical CenterWashingtonUSA
  3. 3.Johns Hopkins Medical InstitutionsJohns Hopkins UniversityBaltimoreUSA

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