Smoking-Cessation Interventions in People Living With HIV Infection: A Systematic Review

Moscou-Jackson, G; Commodore-Mensah, Y; Farley, J; DiGiacomo, M

Smoking-Cessation Interventions in People Living With HIV Infection: A Systematic Review

Moscou-Jackson, G Commodore-Mensah, Y Farley, J

DiGiacomo, M

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Publication Type:: Journal Article
Citation:: Journal of the Association of Nurses in AIDS Care, 2014, 25 (1), pp. 32 - 45
Issue Date:: 2014-01-01

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Field	Value	Language
dc.contributor.author	Moscou-Jackson, G	en_US
dc.contributor.author	Commodore-Mensah, Y	en_US
dc.contributor.author	Farley, J https://orcid.org/0000-0002-6896-0134	en_US
dc.contributor.author	DiGiacomo, M https://orcid.org/0000-0001-5484-8224	en_US
dc.date.available	2013-04-15	en_US
dc.date.issued	2014-01-01	en_US
dc.identifier.citation	Journal of the Association of Nurses in AIDS Care, 2014, 25 (1), pp. 32 - 45	en_US
dc.identifier.issn	1055-3290	en_US
dc.identifier.uri	http://hdl.handle.net/10453/37097
dc.identifier.uri	http://hdl.handle.net/10453/34208
dc.identifier.uri	http://hdl.handle.net/10453/37098
dc.description.abstract	Tobacco smoking remains a prevalent behavior in people living with HIV infection (PLWHs) and is associated with impaired immune functioning, increased cardiovascular risk, and decreased response to antiretroviral therapy. This review presents a critique and synthesis of evidence on effective smoking-cessation interventions for PLWHs. A comprehensive search identified nine peer-reviewed intervention studies published between 1989 and 2012. The highest likelihood of smoking cessation (range of odds ratios 4.33-5.6) were in two randomized controlled trial interventions using cell phone technology. Clinically significant reductions in systolic blood pressure, weight gain, and increased CD4+ T-cell count were reported in participants who ceased smoking in three of the nine studies. Overall, multistrategy smoking-cessation interventions, delivered over multiple sessions, were effective. However, the most effective interventions were tailored to the unique individual needs of PLWHs, including assessment of and intervention for polysubstance abuse and mental health issues, as well as the inclusion of access-promoting elements. © 2014 Association of Nurses in AIDS Care.	en_US
dc.relation.ispartof	Journal of the Association of Nurses in AIDS Care	en_US
dc.relation.isbasedon	10.1016/j.jana.2013.04.005	en_US
dc.subject.classification	Public Health	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	HIV Infections	en_US
dc.subject.mesh	Risk Factors	en_US
dc.subject.mesh	Smoking	en_US
dc.subject.mesh	Tobacco Use Cessation	en_US
dc.subject.mesh	Health Promotion	en_US
dc.title	Smoking-Cessation Interventions in People Living With HIV Infection: A Systematic Review	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	25	en_US
utslib.for	111708 Health and Community Services	en_US
utslib.for	111004 Clinical Nursing: Tertiary (Rehabilitative)	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	/University of Technology Sydney/Faculty of Law
utslib.copyright.status	open_access
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	25	en_US

Abstract:

Tobacco smoking remains a prevalent behavior in people living with HIV infection (PLWHs) and is associated with impaired immune functioning, increased cardiovascular risk, and decreased response to antiretroviral therapy. This review presents a critique and synthesis of evidence on effective smoking-cessation interventions for PLWHs. A comprehensive search identified nine peer-reviewed intervention studies published between 1989 and 2012. The highest likelihood of smoking cessation (range of odds ratios 4.33-5.6) were in two randomized controlled trial interventions using cell phone technology. Clinically significant reductions in systolic blood pressure, weight gain, and increased CD4+ T-cell count were reported in participants who ceased smoking in three of the nine studies. Overall, multistrategy smoking-cessation interventions, delivered over multiple sessions, were effective. However, the most effective interventions were tailored to the unique individual needs of PLWHs, including assessment of and intervention for polysubstance abuse and mental health issues, as well as the inclusion of access-promoting elements. © 2014 Association of Nurses in AIDS Care.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/34208