期刊
JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE
卷 25, 期 1, 页码 32-45出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1016/j.jana.2013.04.005
关键词
AIDS; HIV; smoking; smoking cessation intervention; tobacco
类别
资金
- National Institute Of Nursing Research of the National Institutes of Health [5T32NR012704]
Tobacco smoking remains a prevalent behavior in people living with HIVinfection (PLWHs) and is associated with impaired immune functioning, increased cardiovascular risk, and decreased response to antire-troviral 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. Copyright (C) 2014 Association of Nurses in AIDS Care
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