Addressing smoking among people living with HIV: a cross-sectional survey of Australian HIV health practitioners' practices and attitudes

被引:4
作者
Bell, Stephanie K. [1 ]
Mena, Gabriela [1 ]
Dean, Judith [1 ]
Watts, Peter [2 ]
Howard, Chris [2 ]
Boyd, Mark [3 ]
Gilks, Charles [1 ]
Gartner, Coral [1 ]
机构
[1] Univ Queensland, Sch Publ Hlth, Cnr Wyndham St & Herston Rd, Herston, Qld 4006, Australia
[2] Queensland Posit People, East Brisbane, Australia
[3] Univ Adelaide, Lyell McEwin Hosp, Elizabeth Vale, Australia
来源
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2019年 / 31卷 / 04期
关键词
Smoking; tobacco; practitioners; PLHIV; HIV; ANTIRETROVIRAL THERAPY; LIFE EXPECTANCY; TOBACCO USE; CESSATION; SMOKERS; CARE; INDIVIDUALS; VARENICLINE; POPULATION; PREVALENCE;
D O I
10.1080/09540121.2018.1500007
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
People living with HIV (PLHIV) have high rates of tobacco smoking, and smoking is a leading cause of premature mortality and morbidity. It is important to understand HIV healthcare providers' practices and attitudes towards addressing smoking with their patients. An online survey that measured: (i) use of the 5A framework for addressing smoking (Ask, Assess, Advise, Assist, Arrange) and (ii) attitudes and barriers to addressing smoking cessation was distributed by relevant professional bodies. Eligible participants were Australian health practitioners providing healthcare to PLHIV. Of the 179 respondents, most reported practising at least one of the 5As: Ask (94%); Assess (78%); Advise (82%); Assist (89%); and Arrange (73%). Practising the full 5A framework (completing at least one activity from each A) was less common (62%) and associated with having undertaken smoking cessation training (OR 2.1, CI 1.1-3.9), being a medical practitioner (OR 6.0, CI 3.1-11.6), having greater perceived knowledge and resources (OR 1.7, CI 1.3-2.4) and more positive attitudes (OR 1.5, CI 1.1-2.0). Common barriers to delivering cessation assistance related to knowledge and availability of resources. Development and greater dissemination of effective smoking cessation training and resources may be required to ensure healthcare practitioners have the capacity to complete all aspects of the 5A framework for smoking cessation and support their patients with HIV who smoke.
引用
收藏
页码:436 / 442
页数:7
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