Journal
AIDS
Volume 36, Issue 1, Pages 107-116Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/QAD.0000000000003089
Keywords
epidemiology; HIV; smoking cessation; tobacco use; women's health
Categories
Funding
- Atlanta CRS [U01-HL146241]
- Baltimore CRS [U01-HL146201]
- Bronx CRS [U01-HL146204]
- Brooklyn CRS [U01-HL146202]
- Data Analysis and Coordination Center [U01-HL146193]
- Chicago-Cook County CRS [U01-HL146245]
- Chicago-Northwestern CRS [U01-HL146240]
- Northern California CRS [U01-HL146242]
- Los Angeles CRS [U01-HL146333]
- Metropolitan Washington CRS [U01-HL146205]
- Miami CRS [U01-HL146203]
- Pittsburgh CRS [U01-HL146208]
- UAB-MS CRS [U01-HL146192]
- UNC CRS [U01-HL146194]
- National Heart, Lung, and Blood Institute (NHLBI)
- Eunice Kennedy Shriver National Institute Of Child Health & Human Development (NICHD)
- National Institute On Aging (NIA), National Institute Of Dental & Craniofacial Research (NIDCR)
- National Institute Of Allergy And Infectious Diseases (NIAID)
- National Institute Of Neurological Disorders And Stroke (NINDS)
- National Institute Of Mental Health (NIMH)
- National Institute On Drug Abuse (NIDA)
- National Institute of Nursing Research (NINR)
- National Cancer Institute (NCI)
- National Institute on Alcohol Abuse and Alcoholism (NIAAA)
- National Institute on Deafness and Other Communication Disorders (NIDCD)
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
- National Institute on Minority Health and Health Disparities (NIMHD)
- UCSF CTSA [UL1-TR000004]
- JHU ICTR [UL1-TR003098]
- UCLA CTSI [UL1-TR001881]
- Atlanta CFAR [P30AI-050409]
- Miami CFAR [P30-AI-073961]
- UNC CFAR [P30-AI-050410]
- UAB CFAR [P30-AI027767]
- Miami CHARM [P30-MH-116867]
Ask authors/readers for more resources
This study followed 1165 women smokers with and without HIV to examine the smoking cessation 'cascade' in the USA. Results showed that 45% attempted to quit smoking, 27% achieved initial cessation, and 14% achieved sustained cessation. Women with higher education were more likely to achieve each step, while outcomes did not differ by race.
Objectives: The aim of this study was to define a smoking cessation 'cascade' among USA women with and without HIV and examine differences by sociodemographic characteristics. Design: An observational cohort study using data from smokers participating in the Women's Interagency HIV Study between 2014 and 2019. Methods: We followed 1165 women smokers with and without HIV from their first study visit in 2014 or 2015 until an attempt to quit smoking within approximately 3 years of follow-up, initial cessation (i.e. no restarting smoking within approximately 6 months of a quit attempt), and sustained cessation (i.e. no restarting smoking within approximately 12 months of a quit attempt). Using the Aalen-Johansen estimator, we estimated the cumulative probability of achieving each step, accounting for the competing risk of death. Results: Forty-five percent of smokers attempted to quit, 27% achieved initial cessation, and 14% achieved sustained cessation with no differences by HIV status. Women with some post-high school education were more likely to achieve each step than those with less education. Outcomes did not differ by race. Thirty-six percent [95% confidence interval (95% CI): 31-42] of uninsured women attempted to quit compared with 47% (95% CI: 44-50) with Medicaid and 49% (95% CI: 41-59) with private insurance. Conclusion: To decrease smoking among USA women with and without HIV, targeted, multistage interventions, and increased insurance coverage are needed to address shortfalls along this cascade.
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