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Tobacco Smoking, Substance Use, and Mental Health Symptoms in People with HIV in an Urban HIV Clinic
Journal article   Open access   Peer reviewed

Tobacco Smoking, Substance Use, and Mental Health Symptoms in People with HIV in an Urban HIV Clinic

D. R. Bailey Miles, Usama Bilal, Heidi E. Hutton, Bryan Lau, Catherine R. Lesko, Anthony Fojo, Mary E. McCaul, Jeanne Keruly, Richard D. Moore and Geetanjali Chander
Journal of health care for the poor and underserved, v 30(3), pp 1083-1102
01 Aug 2019
PMID: 31422990
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://europepmc.org/articles/pmc7304241View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Health Care Sciences & Services Health Policy & Services Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology
The prevalence of tobacco smoking among people with HIV (PWH) ranges from 40% to 70%. Additionally, tobacco smoking is higher among low-income individuals, yet few studies have examined tobacco smoking in low socioeconomic status PWH. Using data from a cohort of PWH receiving care in an urban HIV clinic, we characterized factors associated with current and former smoking and with initiation/re-initiation and cessation of tobacco use. Among a study sample of 1,607 PWH, the prevalence of current smoking was 46.6% among men and 46.0% among women. Current smoking in men and women was associated with Medicaid insurance status, substance use, and panic symptoms. In women, but not men, hazardous alcohol use decreased the likelihood of quitting smoking and increased the risk of initiation/re-initiation. Smoking interventions for low-income, urban PWH may need to be tailored to address mental health and substance use comorbidities.

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11 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Health Policy & Services
Public, Environmental & Occupational Health
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