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Cigarette smoking among HIV patients...

Nguyen, Nhung Thi Phuong.

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Cigarette smoking among HIV patients receiving antiretroviral therapy in Vietnam.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Cigarette smoking among HIV patients receiving antiretroviral therapy in Vietnam./
Author:	Nguyen, Nhung Thi Phuong.
Description:	105 p.
Notes:	Source: Dissertation Abstracts International, Volume: 76-09(E), Section: B.
Contained By:	Dissertation Abstracts International76-09B(E).
Subject:	Epidemiology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3689784
ISBN:	9781321694062

Cigarette smoking among HIV patients receiving antiretroviral therapy in Vietnam.
Nguyen, Nhung Thi Phuong.

Cigarette smoking among HIV patients receiving antiretroviral therapy in Vietnam. - 105 p.

Source: Dissertation Abstracts International, Volume: 76-09(E), Section: B.

Thesis (Ph.D.)--The University of Texas School of Public Health, 2014.

Cigarette smoking among people living with HIV/AIDS (PLWHA) is becoming a significant public health concern. Viet Nam is a developing country confronting detrimental impacts from the intersection of cigarette smoking and HIV epidemics. To our knowledge, there has been no research on cigarette smoking among PLWHA in Vietnam. Therefore, this study is among the first to address the issue in the country. The purposes of this dissertation were to: 1) examine cigarette smoking prevalence, nicotine dependence, and associated factors among PLWHA in Vietnam, 2) explore effects of cigarette smoking and nicotine dependence on antiretroviral therapy (ART) adherence, and 3) examine motivation to quit smoking and its correlates among HIV-positive smokers.

ISBN: 9781321694062Subjects--Topical Terms:

568544
Epidemiology.

Cigarette smoking among HIV patients receiving antiretroviral therapy in Vietnam.
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020 $a 9781321694062
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100 1 $a Nguyen, Nhung Thi Phuong. $3 3188767
245 1 0 $a Cigarette smoking among HIV patients receiving antiretroviral therapy in Vietnam.
300 $a 105 p.
500 $a Source: Dissertation Abstracts International, Volume: 76-09(E), Section: B.
500 $a Advisers: Damon Vidrine; Lu-Yu Hwang.
502 $a Thesis (Ph.D.)--The University of Texas School of Public Health, 2014.
520 $a Cigarette smoking among people living with HIV/AIDS (PLWHA) is becoming a significant public health concern. Viet Nam is a developing country confronting detrimental impacts from the intersection of cigarette smoking and HIV epidemics. To our knowledge, there has been no research on cigarette smoking among PLWHA in Vietnam. Therefore, this study is among the first to address the issue in the country. The purposes of this dissertation were to: 1) examine cigarette smoking prevalence, nicotine dependence, and associated factors among PLWHA in Vietnam, 2) explore effects of cigarette smoking and nicotine dependence on antiretroviral therapy (ART) adherence, and 3) examine motivation to quit smoking and its correlates among HIV-positive smokers.
520 $a Data used in our analyses were from the cross-sectional survey "2013 HIV Services Users Survey". This survey was conducted from January to September 2013, among 1133 HIV-positive patients at eight ART clinics in Hanoi (the capital) and Nam Dinh (a rural city) in the northern region in Vietnam. Multivariate linear and logistic regression analyses were performed to identify factors associated with continuous and binary outcomes, respectively.
520 $a The proportions of current, former, and never smokers in the sample were 36.1%, 9.5%, and 54.4%, respectively. The prevalence of current smoking was much higher in males (59.7%) than females (2.6%). Alcohol consumption and lifetime drug use were associated with both current smoking status and greater nicotine dependence. Additionally, we observed a high prevalence of ART nonadherence (30.9%) in the overall sample. No association between smoking status and ART nonadherence was found. However, participants with greater nicotine dependence were more likely to be nonadherent. Finally, a substantial proportion of HIV-positive smokers were motivated to quit (59.4%). Among motivated smokers, 50.2% had attempted to quit in the past year and 66.3% planned to quit in the next 3 months. Barriers for quitting were current use of Methadone, binge drinking, and lifetime drug use.
520 $a In conclusion, screening for smoking and providing smoking cessation supports should be integrated into HIV care to reduce adverse health outcomes, particularly to improve ART adherence among PLWHA in Vietnam. Cessation interventions should be tailored to meet specific needs for different patient subgroups.
590 $a School code: 0219.
650 4 $a Epidemiology. $3 568544
650 4 $a Behavioral psychology. $3 2122788
650 4 $a Biostatistics. $3 1002712
690 $a 0766
690 $a 0384
690 $a 0308
710 2 $a The University of Texas School of Public Health. $b Epidemiology & Disease Control. $3 1019542
773 0 $t Dissertation Abstracts International $g 76-09B(E).
790 $a 0219
791 $a Ph.D.
792 $a 2014
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3689784