Psychosocial Factors, Clinical Characteristics, & Health Risk Behaviors of Urban, Male, HIV-positive Tobacco Smokers & Non-Smokers

This pilot project examines cigarette smoking and its clinical, psychosocial, and behavioral correlates in a sample of 400 HIV-positive male patients from the Infectious Diseases (ID) Silver Clinic of the Veterans Affairs (VA) Medical Center in Washington, DC.

Objectives are

1) to describe the smoking habits, history, and knowledge of this group;

2) to describe these men’s psychosocial characteristics and risk behaviors, and to identify those characteristics that differ for HIV-positive smokers and HIV-positive non-smokers; and

3) to describe important clinical characteristics of these patients, and to compare the incidence and outcomes of these characteristics in smokers and non-smokers. Survey data will be obtained through Audio-enhanced Computer-Assisted Self-Interviewing (A-CASI), and clinical data will be extracted from patients’ charts.

Self-reported smoking will be validated by monitoring carbon monoxide levels. Results will provide baseline information concerning psychological state; attitudes and norms about smoking; clinical characteristics reflecting HIV and cardiovascular condition; and risk behaviors. Findings will also identify characteristics that differ between HIV-positive smokers and non-smokers. The knowledge obtained will be used to create a targeted smoking cessation program, as well as to develop a multidisciplinary conceptual model of antecedents and consequences of smoking behavior among urban HIV-positive men. This project will serve as preliminary data in future applications for federal funding to implement and evaluate the intervention and to develop and test the conceptual model.

PUBLICATIONS - Request an Article

Carol A. Reisen; Fernanda T. Bianchi; Hannah Cohen-Blair; Angelike P. Liappis; Paul J. Poppen; Maria Cecilia Zea; Debra A. Benator; Ann M. Labriola. Present and Past Influences on Current Smoking Among HIV-Positive Male Veterans. Nicotine & Tobacco Research 2011; doi: 10.1093/ntr/ntr050