Receipt and predictors of smoking cessation pharmacotherapy among veterans with and without HIV

被引：18

作者：

Shahrir, Shahida ^{[1
]}

Crothers, Kristina ^{[2
]}

McGinnis, Kathleen A. ^{[3
]}

Chan, Kwun C. G. ^{[4
]}

Baeten, Jared M. ^{[5
]}

Wilson, Sarah M. ^{[6
]}

Butt, Adeel A. ^{[7
,8
,9
]}

Pisani, Margaret A. ^{[10
]}

Baldassarri, Stephen R. ^{[14
]}

Justice, Amy ^{[3
,10
,11
,12
,13
]}

Williams, Emily C. ^{[1
,15
]}

机构：

[1] Univ Washington, Dept Hlth Serv, Sch Publ Hlth, Seattle, WA 98109 USA

[2] VA Puget Sound Hlth Care Syst, Pulm & Crit Care Sect, Seattle, WA USA

[3] Vet Affairs Connecticut Healthcare Syst, West Haven, CT USA

[4] Univ Washington, Dept Biostat & Hlth Serv, Sch Publ Hlth, Seattle, WA 98109 USA

[5] Univ Washington, Dept Global Hlth Med & Epidemiol, Sch Publ Hlth, Seattle, WA 98109 USA

[6] Durham Vet Affairs Healthcare Syst, Durham, NC USA

[7] VA Pittsburgh Healthcare Syst, Pittsburgh, PA USA

[8] Weill Cornell Med Coll, New York, NY USA

[9] Hamad Med Corp, Doha, Qatar

[10] Yale Univ, Sch Med, Dept Internal Med, New Haven, CT 06510 USA

[11] Yale Univ, Sch Med, Dept Hlth Policy & Management, New Haven, CT USA

[12] Yale Univ, Sch Publ Hlth, Dept Internal Med, New Haven, CT USA

[13] Yale Univ, Sch Publ Hlth, Dept Hlth Policy & Management, New Haven, CT USA

[14] Yale Univ, Sch Med, Dept Internal Med, Sect Pulm Crit Care & Sleep Med, New Haven, CT 06510 USA

[15] VA Puget Sound Hlth Serv Res & Dev, Ctr Innovat Vet Ctr & Value Driven Care, Seattle, WA USA

来源：

PROGRESS IN CARDIOVASCULAR DISEASES | 2020年 / 63卷 / 02期

基金：

美国国家卫生研究院;

关键词：

Smoking; Smoking cessation; Smoking cessation pharmacotherapy; HIV; Veterans; NICOTINE REPLACEMENT THERAPY; TOBACCO USE; CARDIOVASCULAR-DISEASE; CIGARETTE-SMOKING; AGING COHORT; VACS INDEX; VARENICLINE; ALCOHOL; SAFETY; MORTALITY;

D O I：

10.1016/j.pcad.2020.01.003

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Smoking is highly prevalent among people livingwith HIV (PLWH) and increases cardiovascular risk. Pharmacotherapies such as nicotine replacement therapy (NRT), bupropion, and varenicline help to reduce smoking, though rates of receipt among PLWH compared with HIV-uninfected persons are unknown. Among 814 PLWH and 908 uninfected patients enrolled in the Veterans Aging Cohort Study (2012-2017) who reported current smoking, we used marginal multivariable log-linear regression models to estimate adjusted relative risks (ARR) of receiving pharmacotherapy by HIV status. We also assessed patient-level factors associated with pharmacotherapy receipt within each group. In multivariable analyses, receipt of NRT was less likely among PLWH relative to uninfected participants (ARR 0.77, 95% CI 0.67, 0.89). In both populations, documentedmental health disorders and contemplation to quit were associated with greater likelihood of receiving pharmacotherapy. Further research is needed to explore potential treatment disparities. (C) 2020 Elsevier Inc. All rights reserved.

引用

页码：118 / 124

页数：7

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