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Assessing Tobacco Cessation Needs Among Persons Living With HIV in Brazil: Results From a Qualitative Interview Study

Assessing Tobacco Cessation Needs Among Persons Living With HIV in Brazil: Results From a... With regard to tobacco cessation, persons living with HIV (PLWH) are an underserved population, given the high prevalence of use and lack of evidence-based cessation programs tailored to this population. This study examined barriers and facilitators to tobacco use and cessation among PLWH in southern Brazil. We interviewed a total of 36 PLWH: 26 current smokers, of whom eight had a previous diagnosis of pulmonary TB, and 10 former smokers. Motivations for smoking included anxiety relief, social influence, and habitual behaviors. Motivations to quit included bad smell/taste and consequences/symptoms. Barriers to cessation included cost of pharmacological aids, distance to treatment, and reluctance to seek tobacco cessation services at the public primary care clinics due to confidentiality concerns. Participants favored individual or group interventions, no-cost pharmacologic aids, and assured confidentiality. There are specific contextual factors associated with tobacco cessation among PLWH in Brazil, which have important clinical, research, and policy implications. Key words: intervention development, needs assessment, PLWH, qualitative research orldwide, the prevalence of tobacco use is higher disease, and cancer have become more common causes Wamong persons living with HIV (PLWH) com- of morbidity and mortality in this population, both in pared with the general population: 54% prevalence Brazil http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of the Association of Nurses in AIDS Care Wolters Kluwer Health

Assessing Tobacco Cessation Needs Among Persons Living With HIV in Brazil: Results From a Qualitative Interview Study

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Publisher
Wolters Kluwer Health
ISSN
1055-3290
eISSN
1552-6917
DOI
10.1097/JNC.0000000000000181
Publisher site
See Article on Publisher Site

Abstract

With regard to tobacco cessation, persons living with HIV (PLWH) are an underserved population, given the high prevalence of use and lack of evidence-based cessation programs tailored to this population. This study examined barriers and facilitators to tobacco use and cessation among PLWH in southern Brazil. We interviewed a total of 36 PLWH: 26 current smokers, of whom eight had a previous diagnosis of pulmonary TB, and 10 former smokers. Motivations for smoking included anxiety relief, social influence, and habitual behaviors. Motivations to quit included bad smell/taste and consequences/symptoms. Barriers to cessation included cost of pharmacological aids, distance to treatment, and reluctance to seek tobacco cessation services at the public primary care clinics due to confidentiality concerns. Participants favored individual or group interventions, no-cost pharmacologic aids, and assured confidentiality. There are specific contextual factors associated with tobacco cessation among PLWH in Brazil, which have important clinical, research, and policy implications. Key words: intervention development, needs assessment, PLWH, qualitative research orldwide, the prevalence of tobacco use is higher disease, and cancer have become more common causes Wamong persons living with HIV (PLWH) com- of morbidity and mortality in this population, both in pared with the general population: 54% prevalence Brazil

Journal

Journal of the Association of Nurses in AIDS Care – Wolters Kluwer Health

Published: Jan 1, 2020

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