Prevalence and Correlates of Cardiovascular, Pulmonary, Cancer, and Mental Health Comorbidities Among Adults With HIV Who Smoke.

IF 1.6 4区医学 Q2 NURSING Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2023-07-01 DOI:10.1097/JNC.0000000000000416

Jessica L Elf, Kimberly Horn, Lorien Abroms, Cassandra A Stanton, Amy M Cohn, Freya Spielberg, Tiffany Gray, Emily Harvey, Charles Debnam, Lexi Kierstead, Matthew E Levy, Amanda Castel, Anne Monroe, Raymond Niaura

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Abstract

Abstract: Using data from the D.C. Cohort Longitudinal HIV Study, we examined (a) diagnosed mental health and (b) cardiovascular, pulmonary, or cancer (CPC) comorbidity among adults with HIV who smoked. Among 8,581 adults, 4,273 (50%) smoked; 49% of smokers had mental health, and 13% of smokers had a CPC comorbidity. Among smokers, non-Hispanic Black participants had a lower risk for mental health (prevalence ratio [PR]: 0.69; 95% confidence interval [CI] [0.62-0.76]) but a higher risk for CPC (PR: 1.17; 95% CI [0.84-1.62]) comorbidity. Male participants had a lower risk for mental health (PR: 0.88; 95% CI [0.81-0.94]) and CPC (PR: 0.68; 95% CI [0.57-0.81]) comorbidity. All metrics of socioeconomic status were associated with a mental health comorbidity, but only housing status was associated with a CPC comorbidity. We did not find any association with substance use. Gender, socioeconomic factors, and race/ethnicity should inform clinical care and the development of smoking cessation strategies for this population.

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吸烟的 HIV 感染者中心血管、肺部、癌症和精神健康合并症的患病率及相关因素。

摘要：我们利用华盛顿特区队列纵向艾滋病研究（D.C. Cohort Longitudinal HIV Study）的数据，对吸烟的成年艾滋病感染者的（a）确诊精神健康状况和（b）心血管、肺部或癌症（CPC）合并症进行了研究。在 8,581 名成人中，4,273 人（50%）吸烟；49% 的吸烟者有心理健康问题，13% 的吸烟者有 CPC 合并症。在吸烟者中，非西班牙裔黑人参与者的精神健康风险较低（患病率比 [PR]：0.69；95% 置信区间 [CI]：[0.62-0.76]），但合并 CPC 的风险较高（患病率比 [PR]：1.17；95% 置信区间 [CI]：[0.84-1.62]）。男性参与者的心理健康（PR：0.88；95% CI [0.81-0.94]）和 CPC（PR：0.68；95% CI [0.57-0.81]）合并症风险较低。社会经济地位的所有指标都与精神健康合并症相关，但只有住房状况与 CPC 合并症相关。我们没有发现任何与药物使用相关的因素。性别、社会经济因素和种族/人种应作为临床护理和为该人群制定戒烟策略的依据。

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来源期刊

Janac-Journal of the Association of Nurses in Aids Care 医学-护理

CiteScore

2.90

自引率

10.00%

发文量

120

期刊介绍： The Journal of the Association of Nurses in AIDS Care (JANAC) is a peer-reviewed, international nursing journal that covers the full spectrum of the global HIV epidemic, focusing on prevention, evidence-based care management, interprofessional clinical care, research, advocacy, policy, education, social determinants of health, epidemiology, and program development. JANAC functions according to the highest standards of ethical publishing practices and offers innovative publication options, including Open Access and prepublication article posting, where the journal can post articles before they are published with an issue.