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Erschienen in: AIDS and Behavior 9/2018

21.04.2018 | Original Paper

Treatment Outcomes Associated with Quitting Cigarettes Among Sexual Minority Men Living with HIV: Antiretroviral Adherence, Engagement in Care, and Sustained HIV RNA Suppression

verfasst von: Dana King, Chris Grasso, Lydia Dant, Steven A. Elsesser, Heidi M. Crane, Karen L. Cropsey, Kenneth H. Mayer, Conall O’Cleirigh

Erschienen in: AIDS and Behavior | Ausgabe 9/2018

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Abstract

Cigarette smoking is particularly harmful for sexual minority men living with HIV. This study aimed to find benefits of quitting by examining relationships between smoking and sustained HIV RNA suppression, recent CD4 count, ART medication adherence, and engagement in HIV medical care. Sexual minority men (n = 346), former or current smokers, received HIV care at a community health center. Survey responses were combined with electronic health record data in adjusted regression models. Most patients were Caucasian (87%) and 148 (46%) had incomes below the poverty level and 80% had sustained HIV RNA suppression. Compared to current smokers, former smokers had increased odds of sustaining HIV RNA suppression (OR 1.89; 95% CI 1.02–3.48) of reporting > 90% adherence (OR 2.25; 95% CI 1.21–4.17), and were less likely to miss appointments (OR 0.37; 95% CI 0.17–0.82). Heavier smokers (OR 0.36; 95% CI 0.17–0.77) and patients who smoked the longest (OR 0.31; 95% CI 0.14–0.68) had reduced odds of sustaining HIV RNA suppression. Smoking assessment, treatment, and referral could augment HIV outcomes for sexual minority men with HIV.
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Metadaten
Titel
Treatment Outcomes Associated with Quitting Cigarettes Among Sexual Minority Men Living with HIV: Antiretroviral Adherence, Engagement in Care, and Sustained HIV RNA Suppression
verfasst von
Dana King
Chris Grasso
Lydia Dant
Steven A. Elsesser
Heidi M. Crane
Karen L. Cropsey
Kenneth H. Mayer
Conall O’Cleirigh
Publikationsdatum
21.04.2018
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 9/2018
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-018-2116-3

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