HIV and smoking: Associated risks and prevention strategies

Wanjiku Kariuki, Jennifer I. Manuel, Ngaruiya Kariuki, Ellen Tuchman, Johnnie O’Neal, Genevieve A. Lalanne

Research output: Contribution to journalReview articlepeer-review


High rates of smoking among persons living with HIV (PLWH) may reduce the effectiveness of HIV treatment and contribute to significant morbidity and mortality. Factors associated with smoking in PLWH include mental health comorbidity, alcohol and drug use, health-related quality of life, smoking among social networks and supports, and lack of access to care. PLWH smokers are at a higher risk of numerous HIV-associated infections and non-HIV related morbidity, including a decreased response to antiretroviral treatment, impaired immune functioning, reduced cognitive functioning, decreased lung functioning, and cardiovascular disease. Seventeen smoking cessation interventions were identified, of which seven were randomized controlled trials. The most effective studies combined behavioral and pharmacotherapy treatments that incorporated comprehensive assessments, multiple sessions, and cognitive-behavioral and motivational strategies. Smoking cessation interventions that are tailored to the unique needs of diverse samples and incorporate strategies to reduce the risk of relapse are essential to advancing health outcomes in PLWH.

Original languageEnglish (US)
Pages (from-to)17-36
Number of pages20
JournalHIV/AIDS - Research and Palliative Care
StatePublished - Dec 24 2015


  • AIDS
  • HIV
  • Health risks
  • Smoking
  • Smoking cessation interventions

ASJC Scopus subject areas

  • Epidemiology
  • Health Policy
  • Dermatology
  • Infectious Diseases
  • Virology


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