Jennifer O Lam1, Tory Levine-Hall2, Nicole Hood2, Stacey E Alexeeff2, Michael A Horberg3, Kelly C Young-Wolff4, Stacy A Sterling4, Andrew Williams5, Constance Weisner4, Derek D Satre4, Michael J Silverberg2. 1. Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA, 94612, USA. Electronic address: Jennifer.O.Lam@kp.org. 2. Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA, 94612, USA. 3. Mid-Atlantic Permanente Research Institute, Kaiser Permanente Mid-Atlantic States, 2101 East Jefferson Street, 3 East, Rockville, MD, 20852, USA. 4. Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA, 94612, USA; Department of Psychiatry, Weill Institute for Neurosciences, University of California, San Francisco, 401 Parnassus Avenue, San Francisco, CA, 94143, USA. 5. Tufts Medical Center, 800 Washington Street, Boston, MA, 02111, USA.
Abstract
BACKGROUND: Persons with HIV (PWH) are more likely to smoke and are more susceptible to the harmful effects of smoking than persons without HIV. We examined smoking patterns and use of cessation treatment among PWH and persons without HIV in a U.S. integrated health system. METHODS: We identified adults (≥18 years) with HIV and demographically-matched persons without HIV between July 2013 and December 2017. Smoking status and cessation treatment were ascertained from health records. We calculated age-standardized annual prevalence of smoking and evaluated trends using Cochran-Armitage tests and Poisson regression. Factors associated with cessation treatment during the study period, and smoking in the last year of the study, were evaluated by HIV status using multivariable Poisson models. RESULTS: The study included 11,235 PWH and 227,320 persons without HIV. Smoking prevalence was higher among PWH across all years but declined for both groups (from 16.6% to 14.6% in PWH and 11.6% to 10.5% in persons without HIV). Among smokers, PWH were more likely to initiate cessation treatment compared to persons without HIV (17.9% vs. 13.3%, covariate-adjusted prevalence ratio of 1.31, 95% CI = 1.15-1.50), with few differences in cessation treatment across subgroups of PWH. In 2017, smoking prevalence remained higher in PWH, especially among those who were younger or who had diagnoses of depression or substance use disorder. CONCLUSION: In a setting with access to cessation resources, smoking prevalence decreased both in PWH and persons without HIV. PWH had greater uptake of cessation treatment, which is encouraging for smoking reduction and improved health.
BACKGROUND: Persons with HIV (PWH) are more likely to smoke and are more susceptible to the harmful effects of smoking than persons without HIV. We examined smoking patterns and use of cessation treatment among PWH and persons without HIV in a U.S. integrated health system. METHODS: We identified adults (≥18 years) with HIV and demographically-matched persons without HIV between July 2013 and December 2017. Smoking status and cessation treatment were ascertained from health records. We calculated age-standardized annual prevalence of smoking and evaluated trends using Cochran-Armitage tests and Poisson regression. Factors associated with cessation treatment during the study period, and smoking in the last year of the study, were evaluated by HIV status using multivariable Poisson models. RESULTS: The study included 11,235 PWH and 227,320 persons without HIV. Smoking prevalence was higher among PWH across all years but declined for both groups (from 16.6% to 14.6% in PWH and 11.6% to 10.5% in persons without HIV). Among smokers, PWH were more likely to initiate cessation treatment compared to persons without HIV (17.9% vs. 13.3%, covariate-adjusted prevalence ratio of 1.31, 95% CI = 1.15-1.50), with few differences in cessation treatment across subgroups of PWH. In 2017, smoking prevalence remained higher in PWH, especially among those who were younger or who had diagnoses of depression or substance use disorder. CONCLUSION: In a setting with access to cessation resources, smoking prevalence decreased both in PWH and persons without HIV. PWH had greater uptake of cessation treatment, which is encouraging for smoking reduction and improved health.
Authors: Lesley S Park; Raúl U Hernández-Ramírez; Michael J Silverberg; Kristina Crothers; Robert Dubrow Journal: AIDS Date: 2016-01 Impact factor: 4.177
Authors: John P Pierce; Yuyan Shi; Erik M Hendrickson; Martha M White; Madison L Noble; Sheila Kealey; David R Strong; Dennis R Trinidad; Anne M Hartman; Karen Messer Journal: Tob Control Date: 2017-11-27 Impact factor: 7.552
Authors: Kristi E Gamarel; Larry Brown; Christopher W Kahler; M Isabel Fernandez; Douglas Bruce; Sharon Nichols Journal: Drug Alcohol Depend Date: 2016-10-11 Impact factor: 4.492
Authors: Julia L Marcus; Chun R Chao; Wendy A Leyden; Lanfang Xu; Daniel B Klein; Michael A Horberg; William J Towner; Charles P Quesenberry; Donald I Abrams; Stephen K Van Den Eeden; Michael J Silverberg Journal: J Acquir Immune Defic Syndr Date: 2014-08-15 Impact factor: 3.731
Authors: Timothy B Depp; Kathleen A McGinnis; Kevin Kraemer; Kathleen M Akgün; E Jennifer Edelman; David A Fiellin; Adeel A Butt; Stephen Crystal; Adam J Gordon; Matthew Freiberg; Cynthia L Gibert; David Rimland; Kendall J Bryant; Kristina Crothers Journal: AIDS Date: 2016-01-28 Impact factor: 4.177
Authors: Nikolas A Johs; Kunling Wu; Katherine Tassiopoulos; Susan L Koletar; Robert C Kalayjian; Ronald J Ellis; Babafemi Taiwo; Frank J Palella; Kristine M Erlandson Journal: Clin Infect Dis Date: 2017-07-01 Impact factor: 9.079
Authors: Jennifer O Lam; Catherine Lee; Paola Gilsanz; Craig E Hou; Wendy A Leyden; Derek D Satre; Jason A Flamm; William J Towner; Michael A Horberg; Michael J Silverberg Journal: AIDS Date: 2022-03-01 Impact factor: 4.177
Authors: Yun Lu; Felicia W Chi; Sujaya Parthasarathy; Vanessa A Palzes; Andrea H Kline-Simon; Verena E Metz; Constance Weisner; Derek D Satre; Cynthia I Campbell; Joseph Elson; Thekla B Ross; Sameer V Awsare; Stacy A Sterling Journal: Alcohol Clin Exp Res Date: 2021-09-05 Impact factor: 3.928
Authors: Derek D Satre; Tory Levine-Hall; Stacy A Sterling; Kelly C Young-Wolff; Jennifer O Lam; Stacey Alexeeff; J Carlo Hojilla; Andrew Williams; Amy C Justice; Jonathan Sterne; Matthias Cavassini; Kendall J Bryant; Emily C Williams; Michael A Horberg; Paul Volberding; Constance Weisner; Michael J Silverberg Journal: Drug Alcohol Depend Date: 2021-01-08 Impact factor: 4.492
Authors: Alexandra N Lea; Andrea Altschuler; Amy S Leibowitz; Tory Levine-Hall; Jennifer McNeely; Michael J Silverberg; Derek D Satre Journal: Addict Sci Clin Pract Date: 2022-02-09
Authors: Vanessa A Palzes; Sujaya Parthasarathy; Felicia W Chi; Andrea H Kline-Simon; Yun Lu; Constance Weisner; Thekla B Ross; Joseph Elson; Stacy A Sterling Journal: Alcohol Clin Exp Res Date: 2020-11-05 Impact factor: 3.455