Smoking Habits in Human Immunodeficiency Virus-Infected People from Italy: A Cross-Sectional Analysis of the STOPSHIV Cohort
| Autor: | Nicola Squillace, Marta Guastavigna, Paolo Maggi, Elena Ricci, Elisabetta Schiaroli, Giuseppe Vittorio De Socio, Francesca Vichi, Barbara Menzaghi, Antonio Di Biagio, Paolo Bonfanti, Giancarlo Orofino, Daniela Francisci, Giordano Madeddu, Carmen Rita Santoro, Marco Dell'Omo |
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| Přispěvatelé: | De Socio, G, Maggi, P, Ricci, E, Orofino, G, Squillace, N, Menzaghi, B, Madeddu, G, Di Biagio, A, Francisci, D, Bonfanti, P, Vichi, F, Schiaroli, E, Santoro, C, Guastavigna, M, Dell'Omo, M |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male 0301 basic medicine Cross-sectional study medicine.medical_treatment Immunology Ethnic group Alcohol abuse HIV Infections Comorbidity tobacco smoking Cohort Studies 03 medical and health sciences 0302 clinical medicine Risk Factors cardiovascular disease Virology Environmental health Prevalence Humans Medicine 030212 general & internal medicine nicotine dependence Fagerström HIV business.industry Tobacco Use Disorder Hepatitis C Middle Aged medicine.disease Cross-Sectional Studies Logistic Models 030104 developmental biology Infectious Diseases Italy Cardiovascular Diseases Multivariate Analysis Cohort Smoking cessation Female business Cohort study |
| Popis: | In a nationwide Italian sample of people living with HIV (PLWH), the prevalence of smoking, nicotine dependence, propensity to stop smoking, and cardiovascular profile were investigated. The nicotine dependence by Fagerström test and the propensity to stop according to the stages of change were evaluated. Associations between smoking habits and patients' characteristics were analyzed using an unconditional logistic regression model. Among 1,087 PLWH (age 47.9 ± 10.8 years, men 73.5%), the prevalence of current smokers was 51.6%. The median of Fagerström test was 4 (interquartile range 2-6); 60.1% of the smokers were in precontemplation, 17.6% in contemplation, 18.7% in preparation, and 3.6% in action. In a logistic multivariate model, current smoking was associated with male sex, being divorced/widowed, Caucasian ethnicity, dyslipidemia, atherosclerotic cardiovascular disease risk, psychiatric comorbidity, hepatitis C virus infection, and alcohol abuse. Low high-density lipoprotein cholesterol level was associated with high nicotine dependence. More than 50% of PLWH were current smokers, one-third of them showed a high or very high degree of dependence. Our findings draw attention to the need of smoking cessation strategies for PLWH. |
| Databáze: | OpenAIRE |
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