Investigating the practices of tobacco smoking in HIV-infected patients attending HIV health centers in the Western Cape Province, South Africa: patterns and associated risk factors
Background Smoking is one of the major preventable causes of disease and premature death globally. Emerging findings have highlighted the intersection of cigarette smoking and HIV/AIDS as a significant public health concern. For adults with HIV, smoking increases both HIV-related and non-related ou...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2018-03-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.journalssystem.com/tid/Investigating-the-practices-of-tobacco-smoking-in-HIV-infected-patients-attending,84705,0,2.html |
| _version_ | 1818759083783618560 |
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| author | Muyunda Buwa Anniza deVilliers Andre Pascal Kengne |
| author_facet | Muyunda Buwa Anniza deVilliers Andre Pascal Kengne |
| author_sort | Muyunda Buwa |
| collection | DOAJ |
| description | Background
Smoking is one of the major preventable
causes of disease and premature death globally. Emerging findings have highlighted
the intersection of cigarette smoking and HIV/AIDS as a significant public
health concern. For adults with HIV, smoking increases both HIV-related and
non-related outcomes. There is scarcity of information on the incidence and
effects of cigarette smoking as well as its management in the HIV-infected
population in South Africa. This study therefore aimed to determine the occurrence of smoking in HIV positive patients
attending public healthcare facilities in the Western Cape Province of South
Africa.
Methods
An overall of 751 patients living with HIV randomly
selected and screened from 17 different HIV/AIDS public facilities in the
Western Cape at both primary and secondary level were included for this study
between 2014 and 2015. This article focuses on the self-reported tobacco-using behavior of
adults aged >18 years. The survey instrument included questions on the
respondents´ history of smoking tobacco, current use of other tobacco products,
frequency and duration of use, and attempts to stop smoking tobacco or using
other tobacco products.
Results
Of the 751 HIV positive
patients receiving medical care at public healthcare facilities, an overall of 20.7%
(95% CI, 17.3% to 24.1%) were current smokers, 14.5% (CI, 11.6% to 17.4%) were
former smokers, while 65.3% (CI, 54.6% to 68.9%) had never smoked. Out of these
the current smokers, 18.9% (95% CI, 12.3% to 25.5%) were men while 20.8% (95%
CI, 16.9% to 24.7%) were women. Among the patients living with HIV, factors
independently associated with greater smoking prevalence were gender, age, unemployment,
household smoking, and excessive alcohol use.
Conclusions
We
found a high prevalence of hypertension among patients receiving routine care
for HIV infection across public HIV clinics in this setting. |
| first_indexed | 2024-12-18T06:37:05Z |
| format | Article |
| id | doaj.art-ca5baa930ad34dcf89168cdcc11a319a |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-12-18T06:37:05Z |
| publishDate | 2018-03-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-ca5baa930ad34dcf89168cdcc11a319a2022-12-21T21:17:46ZengEuropean PublishingTobacco Induced Diseases1617-96252018-03-0116110.18332/tid/8470584705Investigating the practices of tobacco smoking in HIV-infected patients attending HIV health centers in the Western Cape Province, South Africa: patterns and associated risk factorsMuyunda Buwa0Anniza deVilliers1Andre Pascal Kengne2South African Medical Research Council, Non-Communicable Diseases Research Unit, South AfricaSouth African Medical Research Council, Non-Communicable Diseases Research Unit, South AfricaSouth African Medical Research Council, Non-Communicable Diseases Research Unit, South AfricaBackground Smoking is one of the major preventable causes of disease and premature death globally. Emerging findings have highlighted the intersection of cigarette smoking and HIV/AIDS as a significant public health concern. For adults with HIV, smoking increases both HIV-related and non-related outcomes. There is scarcity of information on the incidence and effects of cigarette smoking as well as its management in the HIV-infected population in South Africa. This study therefore aimed to determine the occurrence of smoking in HIV positive patients attending public healthcare facilities in the Western Cape Province of South Africa. Methods An overall of 751 patients living with HIV randomly selected and screened from 17 different HIV/AIDS public facilities in the Western Cape at both primary and secondary level were included for this study between 2014 and 2015. This article focuses on the self-reported tobacco-using behavior of adults aged >18 years. The survey instrument included questions on the respondents´ history of smoking tobacco, current use of other tobacco products, frequency and duration of use, and attempts to stop smoking tobacco or using other tobacco products. Results Of the 751 HIV positive patients receiving medical care at public healthcare facilities, an overall of 20.7% (95% CI, 17.3% to 24.1%) were current smokers, 14.5% (CI, 11.6% to 17.4%) were former smokers, while 65.3% (CI, 54.6% to 68.9%) had never smoked. Out of these the current smokers, 18.9% (95% CI, 12.3% to 25.5%) were men while 20.8% (95% CI, 16.9% to 24.7%) were women. Among the patients living with HIV, factors independently associated with greater smoking prevalence were gender, age, unemployment, household smoking, and excessive alcohol use. Conclusions We found a high prevalence of hypertension among patients receiving routine care for HIV infection across public HIV clinics in this setting.http://www.journalssystem.com/tid/Investigating-the-practices-of-tobacco-smoking-in-HIV-infected-patients-attending,84705,0,2.htmlWCTOH |
| spellingShingle | Muyunda Buwa Anniza deVilliers Andre Pascal Kengne Investigating the practices of tobacco smoking in HIV-infected patients attending HIV health centers in the Western Cape Province, South Africa: patterns and associated risk factors Tobacco Induced Diseases WCTOH |
| title | Investigating the practices of tobacco smoking in HIV-infected patients attending HIV health centers in the Western Cape Province, South Africa: patterns and associated risk factors |
| title_full | Investigating the practices of tobacco smoking in HIV-infected patients attending HIV health centers in the Western Cape Province, South Africa: patterns and associated risk factors |
| title_fullStr | Investigating the practices of tobacco smoking in HIV-infected patients attending HIV health centers in the Western Cape Province, South Africa: patterns and associated risk factors |
| title_full_unstemmed | Investigating the practices of tobacco smoking in HIV-infected patients attending HIV health centers in the Western Cape Province, South Africa: patterns and associated risk factors |
| title_short | Investigating the practices of tobacco smoking in HIV-infected patients attending HIV health centers in the Western Cape Province, South Africa: patterns and associated risk factors |
| title_sort | investigating the practices of tobacco smoking in hiv infected patients attending hiv health centers in the western cape province south africa patterns and associated risk factors |
| topic | WCTOH |
| url | http://www.journalssystem.com/tid/Investigating-the-practices-of-tobacco-smoking-in-HIV-infected-patients-attending,84705,0,2.html |
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