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A Qualitative Systematic Review of Cigarette Smoking Cessation Interventions for Persons Living with HIV

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Abstract

Persons living with HIV (PLWH) have disproportionately high rates of both cigarette smoking and tobacco-induced negative health outcomes. The goal of this qualitative systematic review was to identify gaps in the existing literature and future directions for smoking cessation support for PLWH. Three online databases were searched from their inception through December 31, 2017, using designated search terms. Peer-reviewed English-language articles that documented an intervention designed to increase smoking cessation among PLWH were reviewed. Data were abstracted using a standardized form to document study and intervention characteristics and results. Thirty-two articles, describing 28 unique intervention studies, met inclusion criteria. Interventions consisted primarily of combinations of counseling, pharmacotherapy, and the use of information and communications technology; few interventions were implemented at the clinic level. Thirteen interventions resulted in significant improvements in cessation-related outcomes. Information and communications technology and clinic-level interventions had the greatest potential for increasing smoking cessation among PLWH. Efficacious interventions designed for PLWH in the US South, and for groups of PLWH facing additional health disparities (e.g., communities of color and sexual and gender minorities), are needed. There is also a need for more rigorous research designs to test the efficacy of interventions designed to increase cessation-related outcomes among PLWH.

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Notes

  1. Latinx is a gender-neutral term used in lieu of Latina and Latino.

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Funding

This review was supported by the National Center for Advancing Translational Sciences (UL1TR001420).

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Authors and Affiliations

  1. Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, 27157, USA

    Lilli Mann-Jackson, Erin L. Sutfin, Eunyoung Y. Song, Kristie L. Foley, Aimee M. Wilkin, Caryn G. Morse, Nicole F. Rojas, Timothy S. Oh & Scott D. Rhodes

  2. Wake Forest Clinical and Translational Science Institute Program in Community Engagement, Medical Center Boulevard, Winston-Salem, NC, 27157, USA

    Lilli Mann-Jackson & Scott D. Rhodes

  3. Stanford University, 401 Quarry Road, Palo Alto, CA, 94304, USA

    David Choi

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Mann-Jackson, L., Choi, D., Sutfin, E.L. et al. A Qualitative Systematic Review of Cigarette Smoking Cessation Interventions for Persons Living with HIV. J Canc Educ 34, 1045–1058 (2019). https://doi.org/10.1007/s13187-019-01525-2

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