Beliefs, experience, and interest in pharmacotherapy among smokers with HIV
Amy McQueen, Enbal Shacham, Walton Sumner, E Turner Overton, Amy McQueen, Enbal Shacham, Walton Sumner, E Turner Overton
Abstract
Objectives: To examine beliefs, prior use, and interest in using pharmacotherapy among people living with HIV/AIDS (PLWHA).
Methods: Cross-sectional survey of smokers in a midwestern HIV clinic.
Results: The sample (N = 146) included 69% men, 82% African Americans, 45% were in precontemplation for quitting, and 46% were interested in using pharmacotherapy. Primary reasons for non-use included cost and a belief that they would be able to quit on their own. Physician assistance was the strongest correlate of prior use. Perceived benefits and self-efficacy were the strongest correlates of willingness to use pharmacotherapy.
Conclusions: Future interventions should address misconceptions, perceived benefits, and self-efficacy for using cessation aids. Physicians should offer pharmacotherapy to all smokers.
Conflict of interest statement
Conflict of Interest Statement
None.
References
- US Department of Health and Human Services. The health consequences of smoking: a report of the Surgeon General. Washington, D.C.: Dept. of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2004.
- Tesoriero JM, Gieryic SM, Carrascal A, Lavigne HE. Smoking among HIV positive New Yorkers: prevalence, frequency, and opportunities for cessation. AIDS Behav. 2010;14(4):824–835.
- Lifson AR, Lando HA. Smoking and HIV: prevalence, health risks, and cessation strategies. Curr HIV/AIDS Rep. 2012;9(3):223–230.
- Lipshultz SE, Mas CM, Henkel JM, et al. HAART to heart: highly active antiretroviral therapy and the risk of cardiovascular disease in HIV-infected or exposed children and adults. Expert Rev Anti Infect Ther. 2012;10(6):661–674.
- Petoumenos K, Worm SW. HIV infection, aging and cardiovascular disease: epidemiology and prevention. Sex Health. 2011;8(4):465–473.
- Rahmanian S, Wewers ME, Koletar S, et al. Cigarette smoking in the HIV-infected population. Proc Am Thorac Soc. 2011;8(3):313–319.
- Vidrine DJ. Cigarette smoking and HIV/AIDS: Health implications, smoker characteristics and cessation strategies. AIDS Educ Prev. 2009;21(Suppl A):3–13.
- Feldman JG, Minkoff H, Schneider MF, et al. Association of cigarette smoking with HIV prognosis among women in the HAART era: a report from the Women's Interagency HIV Study. Am J Public Health. 2006;96(6):1060–1065.
- Grubb JR, Overton ET, Presti R, Onen NF. Reply to Ganesan et al. J Infect Dis. 2012;205(3):518–519.
- Justice AC. HIV and aging: time for a new paradigm. Curr HIV/AIDS Rep. 2010;7(2):69–76.
- Onen NF, Overton ET. HIV and aging: two converging epidemics. Mo Med. 2009;106(4):269–273.
- Fiore MC, Jaen CR, Baker TB, et al. A clinical practice guideline for treating tobacco use and dependence: 2008 update. A U.S. Public Health Service report. Am J Prev Med. 2008;35(2):158–176.
- Cromwell J, Bartosch WJ, Fiore MC. Cost-effectiveness of the clinical practice recommendations in the AHCPR guideline for smoking cessation. Agency for Health Care Policy and Research. JAMA. 1997;278(21):1759–1766.
- Cokkinides V, Ward E, Jemal A, et al. Underuse of smoking-cessation treatments: results from the National Health Interview Survey, 2000. Am J Prev Med. 2005;28(1):119–122.
- Shiffman S, Brockwell SE, Pillitteri JL, Gitchell JG. Use of smoking-cessation treatments in the United States. Am J Prev Med. 2008;34(2):102–111.
- Mamary EM, Bahrs D, Martinez S. Cigarette smoking and the desire to quit among individuals living with HIV. AIDS Patient Care STDS. 2002;16(1):39–42.
- Shuter J, Salmo LN, Shuter AD, et al. Provider beliefs and practices relating to tobacco use in patients living with HIV/AIDS: a national survey. AIDS Behav. 2011;16(2):288–294.
- Aveyard P, Begh R, Parsons A, West R. Brief opportunistic smoking cessation interventions: a systematic review and meta-analysis to compare advice to quit and offer of assistance. Addiction. 2012;107(6):1066–1073.
- Chan SSC, Leung DYP, Abdullah ASM, et al. A randomized controlled trial of a smoking reduction plus nicotine replacement therapy intervention for smokers not willing to quit smoking. Addiction. 2011;106(6):1155–1163.
- Hughes JR, Rennard SI, Fingar JR, et al. Efficacy of varenicline to prompt quit attempts in smokers not currently trying to quit: a randomized placebo-controlled trial. Nicotine Tob Res. 2011;13(10):955–964.
- Moore D, Aveyard P, Connock M, et al. Effectiveness and safety of nicotine replacement therapy assisted reduction to stop smoking: systematic review and meta-analysis. BMJ. 2009;338:b1024.
- Cropsey KL, Hendricks PS, Jardin B, et al. A pilot study of Screening, Brief Intervention, and Referral for Treatment (SBIRT) in non-treatment seeking smokers with HIV. Addict Behav. 2013;38(10):2541–2546.
- Ingersoll KS, Cropsey KL, Heckman CJ. A test of motivational plus nicotine replacement interventions for HIV positive smokers. AIDS Behav. 2009;13(3):545–554.
- Lloyd-Richardson EE, Stanton CA, Papandonatos GD, et al. Motivation and patch treatment for HIV+ smokers: A randomized controlled trial. Addiction. 2009;104(11):1891–1900.
- Benard A, Bonnet F, Tessier JF, et al. Tobacco addiction and HIV infection: toward the implementation of cessation programs. ANRS CO3 Aquitane Cohort. AIDS Patient Care STDS. 2007;21(7):458–468.
- Nahvi S, Cooperman NA. Review: the need for smoking cessation among HIV-positive smokers. AIDS Educ Prev. 2009;21(3 suppl):14–27.
- Phillips JC, Oliffe JL, Ensom MHH, et al. An overlooked majority: HIV-positive gay men who smoke. JMH. 2012;9(1):17–24.
- Grover KW, Gonzalez A, Zvolensky MJ. HIV symptom distress and smoking outcome expectancies among HIV+ smokers: a pilot test. AIDS Patient Care STDS. 2013;27(1):17–21.
- Burkhalter JE, Springer CM, Chhabra R, et al. Tobacco use and readiness to quit smoking in low-income HIV-infected persons. Nicotine Tob Res. 2005;7(4):511–522.
- Reynolds NR. Cigarette smoking and HIV: more evidence in action. AIDS Educ Prev. 2009;21(Suppl A):106–121.
- Chapman S, Wong WL, Smith W. Self-exempting beliefs about smoking and health: differences between smokers and ex-smokers. Am J Public Health. 1993;83(2):215–219.
- Oakes W, Chapman S, Borland R, et al. "Bulletproof skeptics in life's jungle": which self-exempting beliefs about smoking most predict lack of progression towards quitting? Prev Med. 2004;39(4):776–782.
- DeSantis AD. A couple of white guys sitting around talking: the collective rationalization of cigar smokers. J Contemp Ethnogr. 2003;32(4):432–466.
- Nicholas PK, Voss JG, Corless IB, et al. Unhealthy behaviours for self-management of HIV-related peripheral neuropathy. AIDS Care. 2007;19(10):1266–1273.
- Blumberg SJ. Guarding against threatening HIV prevention messages: an information-processing model. Health Educ Behav. 2000;27(6):780–795.
- Robinson W, Moody-Thomas S, Gruber D. Patient perspectives on tobacco cessation services for persons living with HIV/AIDS. AIDS Care. 2012;24(1):71–76.
- Gritz ER, Vidrine DJ, Lazev AB, et al. Smoking behavior in a low-income multiethnic HIV/AIDS population. Nicotine Tob Res. 2004;6(1):71–77.
- Shuter J, Bernstein SL, Moadel AB. Cigarette smoking behaviors and beliefs in persons living with HIV/AIDS. Am J Health Behav. 2012;36(1):75–85.
- Webb MS, Vanable PA, Carey MP, Blair DC. Cigarette smoking among HIV+ men and women: examining health, substance use, and psychosocial correlates across the smoking spectrum. J Behav Med. 2007;30(5):371–383.
- Matthews AK, Conrad M, Kuhns L, et al. Project Exhale: preliminary evaluation of a tailored smoking cessation treatment for HIV-positive African American smokers. AIDS Patient Care STDS. 2013;27(1):22–32.
- Stanton CA, Lloyd-Richardson EE, Papandonatos GD, et al. Mediators of the relationship between nicotine replacement therapy and smoking abstinence among people living with HIV/AIDS. AIDS Educ Prev. 2009;21(3 Suppl):65–80.
- Marteau TM, Aveyard P, Munafo MR, et al. Effect on adherence to nicotine replacement therapy of informing smokers their dose is determined by their genotype: a randomized controlled trial. PLoS ONE. 2012;7(4):e35249.
- Mondy K, Overton ET, Tong S, et al. Metabolic syndrome in HIV within a representative U.S. patient population. Clin Infect Dis. 2007;44(5):726–734.
- Fishbein M. The role of theory in HIV prevention. AIDS Care. 2000;12(3):273–278.
- Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50(2):179–211.
- Borland R, Yong H, Balmford J, et al. Do risk-minimizing beliefs about smoking inhibit quitting? Findings from the International Tobacco Control (ITC) four-country survey. Prev Med. 2009;49(2–3):219–223.
- National Cancer Institute. Dispelling myths about nicotine replacement therapy. [Accessed May 22, 2008]; Available at: .
- Christensen AJ, Moran PJ, Ehlers SL, et al. Smoking and drinking behavior in patients with head and neck cancer: effects of behavioral self-blame and perceived control. J Behav Med. 1999;22(5):407–418.
- Weinstein N, Marcus SE, Moser RP. Smokers' unrealistic optimism about their risk. Tob Control. 2005;14(1):55–59.
- Weinstein ND. Conceptualizing and measuring risk perception; Paper presented at the Conceptualizing and Measuring Risk Perceptions Workshop; Washington, D.C.. 2003. [Accessed August 13, 2013]. Available at: .
- Smith SY, Curbow B, Stillman FA. Harm perception of nicotine products in college freshman. Nicotine Tob Res. 2007;9(9):977–982.
- Horne R, Weinman J, Hankins M. The beliefs about medicines questionnaire: the development and evaluation of a new method for assessing the cognitive representation of medication. Psyhcol Health. 1999;14(1):1–24.
- Gross B, Brose L, Schumann A, et al. Reasons for not using smoking cessation aids. BMC Public Health. 2008;8:129–137.
- Kleinjan M, van den Eijnden RJJM, Dijkstra A, et al. Excuses to continue smoking: the role of disengagement beliefs in smoking cessation. Addict Behav. 2006;31(12):2223–2237.
- Dijkstra A, De Vries H, Kok G, Roijackers J. Self-evaluation and motivation to change: social cognitive constructs in smoking cessation. Psyhcol Health. 1999;14(4):747–759.
- Vogt F, Hall S, Marteau TM. Understanding why smokers do not want to use nicotine dependence medications to stop smoking: qualitative and quantitative studies. Nicotine Tob Res. 2008;10(8):1405–1413.
- Velicer WF, Diclemente CC, Rossi JS, Prochaska JO. Relapse situations and self-efficacy: an integrative model. Addict Behav. 1990;15(3):271–283.
- Shiffman S, Ferguson SG, Rohay J, Gitchell JG. Perceived safety and efficacy of nicotine replacement therapies among US smokers and ex-smokers: relationship with use and compliance. Addiction. 2008;103(8):1371–1378.
- Barnes J, Dong CY, McRobbie H, et al. Hypnotherapy for smoking cessation. Cochrane Database of Systematic Reviews, Issue 10. 2010 Art. No.: CD001008.
- Thanavaro JL, Delicath TA. Auricular transcutaneous electrostimulation therapy and intensive counseling for the treatment of smoking cessation in a primary care practice. J Addict Nurs. 2010;21(4):215–224.
- White AR, Rampes H, Liu JP, et al. Acupuncture and related interventions for smoking cessation. Cochrane Database of Systematic Reviews, Issue 1. 2011 Art. No.: CD000009.
- Morojele NK, Stephenson GM, Rutter DR, Quine L. Addictive behaviours: predictors of abstinence intentions and expectations in the theory of planned behaviour. In: Rutter DR, Quine L, editors. Social Psychology and Health: European Perspectives. Aldershot: Avebury; 1994. pp. 47–88.
- Beck L, Ajzen I. Predicting dishonest actions using the theory of planned behavior. J Res Pers. 1991;25(3):285–301.
- Gibbons FX, Gerrard M, Blanton H, Russell DW. Reasoned action and social relation: willingness and intention as independent predictors of health risk. J Pers Soc Psychol. 1998;74(5):1164–1180.
- DiClemente CC, Prochaska JO, Fairhurst SK, et al. The process of smoking cessation: an analysis of precontemplation, contemplation, and preparation stages of change. J Consult Clin Psychol. 1991;59(2):259–304.
- Fagerstrom KO, Kunze M, Schoberberger R, et al. Nicotine dependence versus smoking prevalence: comparisons among countries and categories of smokers. Tob Control. 1996;5(1):52–56.
- Toll BA, McKee SA, Martin DJ, et al. Factor structure and validity of the Medication Adherence Questionnaire (MAQ) with cigarette smokers trying to quit. Nicotine Tob Res. 2007;9(5):597–605.
- Saunders JB, Aasland OG, Babor TF, et al. Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption--II. Addiction. 1993;88(6):791–804.
- National Institute on Alcohol Abuse and Alcoholism. [Accessed July 12, 2013];Overview of alcohol consumption: moderate and binge drinking. Available at: .
- Fu SS, Kodl MM, Joseph AM, et al. Racial/ethnic disparities in the use of nicotine replacement therapy and quit ratios in lifetime smokers ages 25 to 44 years. Cancer Epidemiol Biomarkers Prev. 2008;17(7):1640–1647.
- Bolt DM, Piper ME, Theobald WE, Baker TB. Why two smoking cessation agents work better than one: role of craving suppression. J Consult Clin Psychol. 2012;80(1):54–65.
- Loh WY, Piper ME, Schlam TR, et al. Should all smokers use combination smoking cessation pharmacotherapy? Using novel analytic methods to detect differential treatment effects over 8 weeks of pharmacotherapy. Nicotine Tob Res. 2012;14(2):131–141.
- Shah SD, Wilken LA, Winkler SR, Lin SJ. Systematic review and meta-analysis of combination therapy for smoking cessation. J Am Pharm Assoc. 2003;48(5):659–665.
- Willems RA, Willemsen MC, Nagelhout GE, de Vries H. Understanding smokers' motivations to use evidence-based smoking cessation aids. Nicotine Tob Res. 2013;15(1):167–176.
- Fiore MC, Jaen CR, Baker TB, et al. Treating Tobacco Use and Dependence: 2008 update. Clinical Practice Guideline. U.S. Department of Health and Human Services. Public Health Service; 2008.
- Zwiebel MA, Hughes V. Smoking cessation efforts in one New York city HIV clinic. J Assoc Nurses AIDS Care. 2010;21(1):11–15.
- Conner M, McEachan R, Jackson C, et al. Moderating effect of socioeconomic status on the relationship between health cognitions and behaviors. Ann Behav Med. 2013;46(1):19–30.
- Bansal MA, Cummings M, Hyland A, Giovino GA. Stop-smoking medications: who uses them, who misuses them, and who is misinformed about them? Nicotine Tob Res. 2004;6(Suppl 3):S303–S310.
- Cummings KM, Hyland A, Giovino GA, et al. Are smokers adequately informed about the health risks of smoking and medical nicotine? Nicotine Tob Res. 2004;6(Suppl 3):S333–S340.
Source: PubMed