Outcomes of a tailored intervention for cigarette smoking cessation among latinos living with HIV/AIDS

Cassandra A. Stanton, George D. Papandonatos, Jonathan Shuter, Alexandra Bicki, Elizabeth E. Lloyd-Richardson, Marcel A. De Dios, Kathleen M. Morrow, Solomon B. Makgoeng, Karen T. Tashima, Raymond S. Niaura

Research output: Contribution to journalArticle

Abstract

Introduction: Tobacco use has emerged as a leading killer among persons living with HIV, with effective approaches to tobacco treatment still unknown. HIV infection is nearly 3 times as prevalent in Latinos than in non-Latino Whites. This study reports the results of a randomized trial comparing a tailored intervention to brief counseling for smoking cessation among Latino smokers living with HIV (LSLWH). Methods: LSLWH (N = 302; 36% female, 10% employed full-time, 49% born in United States) were randomized to 4 in-person sessions of a tailored intervention (Aurora) or 2 in-person sessions of brief advice (enhanced standard care [ESC]). Both groups received 8 weeks of nicotine replacement therapy (NRT) patch. Biochemically validated 6-and 12-month 7-day point-prevalence abstinence (PPA) rates were compared, along with secondary outcomes (e.g., reduction to light smoking, NRT adherence). Results: Seven-day PPA rates reached 8% versus 11% at 6 months and 6% versus 7% at 12 months, for Aurora and ESC, respectively, with no between-group differences (p values >.40). Significant changes from baseline to 6 and 12 months among intervention targets were noted (percentage reduction in heavy smoking and dependence; increases in knowledge and self-efficacy). Baseline smoking frequency, older age, and higher intensity of patch use during the trial emerged as significant predictors of abstinence at 6 months. Conclusions: There was no evidence that the tailored intervention improved cessation rates. Interventions that encourage use of, and adherence to, empirically validated cessation aids require further development to reduce tobacco-related death and disease in this vulnerable population.

Original languageEnglish (US)
Pages (from-to)975-982
Number of pages8
JournalNicotine and Tobacco Research
Volume17
Issue number8
DOIs
StatePublished - Apr 22 2015

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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    Stanton, C. A., Papandonatos, G. D., Shuter, J., Bicki, A., Lloyd-Richardson, E. E., De Dios, M. A., Morrow, K. M., Makgoeng, S. B., Tashima, K. T., & Niaura, R. S. (2015). Outcomes of a tailored intervention for cigarette smoking cessation among latinos living with HIV/AIDS. Nicotine and Tobacco Research, 17(8), 975-982. https://doi.org/10.1093/ntr/ntv014