AIDS and Behavior

, Volume 20, Issue 3, pp 622–632 | Cite as

Trends and Predictors of Cigarette Smoking Among HIV Seropositive and Seronegative Men: The Multicenter Aids Cohort Study

  • Wajiha Z. Akhtar-Khaleel
  • Robert L. Cook
  • Steven Shoptaw
  • Pamela Surkan
  • Ronald Stall
  • Rebecca J. Beyth
  • Linda A. Teplin
  • Michael Plankey
Original Paper

Abstract

We measured the trend of cigarette smoking among HIV-seropositive and seronegative men over time from 1984 to 2012. Additionally, we examined the demographic correlates of smoking and smoking consumption. Six thousand and five hundred and seventy seven men who have sex with men (MSM) from the Multicenter AIDS Cohort Study (MACS) were asked detailed information about their smoking history since their visit. Prevalence of smoking and quantity smoked was calculated yearly from 1984 to 2012. Poisson regression with robust error variance was used to estimate prevalence ratios of smoking in univariate and multivariate models. In 2012, 11.8 and 36.9 % of men who were enrolled in the MACS before 2001 or during or after 2001 smoked cigarettes, respectively. In the multivariate analysis, black, non-Hispanic, lower education, enrollment wave, alcohol use, and marijuana use were positively associated with current smoking in MSM. HIV serostatus was not significant in the multivariate analysis. However, HIV variables, such as detectable viral load, were positively associated. Though cigarette smoking has declined over time, the prevalence still remains high among subgroups. There is still a need for tailored smoking cessation programs to decrease the risk of smoking in HIV-seropositive MSM.

Keywords

Smoking Tobacco Detection of smoking HIV MSM 

Resumen

Un análisis de hombres VIH-sero-positivo y -sero-negativo con fechas de nacimiento entre 1984 y 2012. Inclusivo, estudiamos la demografía relacionada entre fumando cigarrillos y la frecuencia de fumar cigarrillos. Se hizo entrevistas detalladas a 6.577 hombres del estudio Multicenter AIDS Cohort (MACS) que han tenido relaciones sexuales con otros hombres, sobre su frecuencia de fumar cigarrillos desde su última cita. Se calculó anual la frecuencia y cantidad de fumar desde el 1984 a 2012. Se usó la regresión de Poisson con un error de discrepancia conservativo para estimar la proporción de frecuencia de fumar en modelos univariante y multivariante. En 2012, de los hombres que estuvieron matriculados en el estudio de MACS antes del 2001 un 11,8 % fumaban cigarrillos y de los que matricularon en el 2001 o luego un 36,9 %. En el análisis multivariante, personas: africano-americano, anglo, baja nivel de educación, fecha de matriculación al MACS, uso del alcohol y mariguana muestrearon una correlación positiva dentro los hombres fumadores que han tenido relaciones sexuales con otros hombres. VIH-sero-estatus no estuvo significante en el análisis multivariante. Pero, los variables de VIH, como el carga viral, eran asociado positivamente. Aunque el consumo de cigarrillos ha bajado con tiempo, la presencia sigue predominante entre los grupos mencionados. Hay falta de programación que les pueda ayudar en eliminar el uso de cigarrillos para reducir el daño de salud entre hombres VIH-sero-positivo que mantienen relaciones sexuales con otros hombres.

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Wajiha Z. Akhtar-Khaleel
    • 1
    • 8
  • Robert L. Cook
    • 1
  • Steven Shoptaw
    • 2
  • Pamela Surkan
    • 3
  • Ronald Stall
    • 4
  • Rebecca J. Beyth
    • 1
    • 5
  • Linda A. Teplin
    • 6
  • Michael Plankey
    • 7
  1. 1.Department of Epidemiology, College of Public Health and Health Professions and College of MedicineUniversity of FloridaGainesvilleUSA
  2. 2.David Geffen School of Medicine, Departments of Family Medicine and PsychiatryUniversity of California, Los AngelesLos AngelesUSA
  3. 3.Department of International HealthJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  4. 4.Department of Behavioral and Community Health Sciences, Graduate School of Public HealthUniversity of PittsburghPittsburghUSA
  5. 5.Malcom Randall VA Medical CenterGainesvilleUSA
  6. 6.Department of Psychiatry and Behavioral Sciences, Feinberg School of MedicineNorthwestern UniversityChicagoUSA
  7. 7.Division of Infectious Diseases, Department of MedicineGeorgetown University Medical CenterWashingtonUSA
  8. 8.Department of HealthHIV/AIDS, Hepatitis, STD, and TB AdministrationWashingtonUSA

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