Race/ethnicity-based discrimination, depressive symptoms, and smoking-related variables among people with HIV participating in a randomized clinical trial for cigarette smoking cessation.

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-12-01 Epub Date: 2024-07-04 DOI:10.1080/09540121.2024.2373403
Silvana Agterberg, Jonathan Shuter, Cassandra A Stanton, Elizabeth K Seng, Andrea H Weinberger
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Abstract

People with HIV smoke cigarettes at a high prevalence, and it is important to identify modifiable variables related to smoking in this population. Race/ethnicity-based discrimination is common among people with HIV from minoritized racial and ethnic groups and results in significant adverse effects. The goal of this study was to examine the relationship between race/ethnicity-based discrimination, depression, and smoking-related variables among people with HIV who smoke. This was a secondary analysis of data from a prospective, randomized controlled smoking cessation trial for people with HIV. Participants were recruited from three HIV clinical care sites and randomly assigned to an HIV-tailored group therapy intervention or a control condition. Participants completed measures of demographics, smoking-related variables, race/ethnicity-based discrimination, and depressive symptoms at baseline and were followed up 3- and 6-months after study completion. Depressive symptoms had an indirect effect on the relationship between race/ethnicity-based discrimination and self-efficacy to quit smoking at 3-month follow-up. Depressive symptoms mediated the relationship between race/ethnicity-based discrimination and both nicotine dependence and self-efficacy to quit smoking at 6-month follow-up. Findings highlight the importance of considering race/ethnicity-based discrimination and depressive symptoms in the development and implementation of smoking cessation treatment interventions for people with HIV.

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参与戒烟随机临床试验的 HIV 感染者中基于种族/民族的歧视、抑郁症状和吸烟相关变量。
艾滋病病毒感染者吸烟的比例很高,因此确定与该人群吸烟有关的可变因素非常重要。基于种族/民族的歧视在来自少数种族和民族群体的艾滋病病毒感染者中很常见,并造成了严重的不良影响。本研究旨在探讨吸烟的艾滋病病毒感染者中基于种族/民族的歧视、抑郁和吸烟相关变量之间的关系。这是对一项针对艾滋病病毒感染者的前瞻性随机对照戒烟试验数据的二次分析。试验从三个艾滋病临床治疗机构招募参与者,并随机分配他们接受艾滋病定制小组治疗干预或对照组治疗。参与者在基线完成了人口统计学、吸烟相关变量、种族/民族歧视和抑郁症状的测量,并在研究完成后接受了 3 个月和 6 个月的随访。在3个月的随访中,抑郁症状间接影响了种族/族裔歧视与戒烟自我效能之间的关系。在6个月的随访中,抑郁症状对种族/民族歧视与尼古丁依赖和戒烟自我效能之间的关系起中介作用。研究结果强调了在制定和实施针对艾滋病病毒感染者的戒烟治疗干预措施时考虑种族/民族歧视和抑郁症状的重要性。
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来源期刊
CiteScore
3.50
自引率
0.00%
发文量
172
期刊最新文献
Self-efficacy and consistent condom use by people living with HIV and seroconcordant and serodiscordant sexual partners in the Ceará, Brazil. Use of machine learning approaches to predict transition of retention in care among people living with HIV in South Carolina: a real-world data study. Utility of the Alcohol Use Disorder Inventory Test in determining caseness for alcohol use disorder among persons receiving antiretroviral therapy. Race/ethnicity-based discrimination, depressive symptoms, and smoking-related variables among people with HIV participating in a randomized clinical trial for cigarette smoking cessation. HIV and hepatitis C virus-related misinformation may contribute to rising rates of infection and suboptimal clinical outcomes among persons with substance use.
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