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Understanding the Prevalence of Smoking Among People Living with HIV (PLHIV) in Australia and Factors Associated with Smoking and Quitting

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Abstract

Understanding contributors to smoking and quitting cigarettes is important to developing effective cessation programs and addressing smoking related morbidity and mortality among people living with HIV (PLHIV). Using data from a large cross-sectional study of Australian PLHIV we provide a smoking prevalence estimate and explore the relationship between socio-demographic variables and smoking status. We also explore the relationship between HIV diagnosis and antiretroviral therapy (ART) initiation and quitting smoking. Of the 1011 respondents included in the analysis, 30.6% were current smokers. The strongest predictor of smoking was regular cannabis use (AOR 6.2, 95% CI 3.6–10.8) while the strongest predictor of being a past smoker was receiving ART (AOR 2.4, 95% CI 1.2–4.7). Quitting also increased around the time of diagnosis and ART initiation, highlighting the potential for these events to be optimal times to address smoking among PLHIV.

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Acknowledgements

For each HIV Futures study, approximately 1000 people living with HIV have taken time to complete the survey. We thank these people for their interest and willingness to participate in this project. There are many community organisations that have provided ongoing support to the HIV Futures project including the following peak organisations and their members: the National Association of People with HIV Australia (NAPWHA), the Australian Federation of AIDS Organisations (AFAO) and the Australasian Society for HIV Medicine (ASHM). This project is funded by the Australian Department of Health. Many researchers from the Australian Research Centre in Sex, Health and Society at La Trobe University have worked on this project since 1997. In particular, we acknowledge Jeffery Grierson, Rachel Thorpe, Rachel Koelmeyer, Marian Pitts, Douglas Ezzy, Richard de Visser, Michael Bartos, Doreen Rosenthal and Karalyn McDonald. Stephanie Edwards is the recipient of a University of Queensland Research Scholarship.

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  1. School of Public Health, The University of Queensland, Cnr Wyndham Street and Herston Road, Herston, Brisbane, QLD, 4006, Australia

    Stephanie K. Edwards, Judith Dean, Peter Baker & Coral Gartner

  2. Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Australia

    Jennifer Power

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Edwards, S.K., Dean, J., Power, J. et al. Understanding the Prevalence of Smoking Among People Living with HIV (PLHIV) in Australia and Factors Associated with Smoking and Quitting. AIDS Behav 24, 1056–1063 (2020). https://doi.org/10.1007/s10461-019-02535-3

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