Prevalence & Correlates of Smoking & Readiness to Quit Smoking in People Living with HIV in Austria & Germany

We aimed to investigate the prevalence and correlates of smoking in people living with HIV (PLWHIV) in Germany and Austria and their readiness to quit. 

A total of 447 consecutive patients with confirmed positive HIV status who were treated in different outpatient HIV centres in Austria and Germany were included. Nicotine dependence and stages of change were assessed by standardized questionnaires, and this was confirmed by measuring exhaled carbon monoxide. 

Prevalence of smoking was 49.4%. According to a multivariate logistic regression analysis, higher age and tertiary education level were associated with a lower chance, and occasional and daily smoking of the partner were significantly associated with a higher chance of smoking. Moderate and higher nicotine dependency level, were significantly associated with higher chance, and older age, with lower chance for readiness to quit smoking. Those results may be used to address preventive measures to quit smoking aimed at PLWHIV and the importance of addressing smoking habits.

Below:  Smoking characteristics of participants who smoke

Full article at:   http://goo.gl/q1giMg

By:  

Helmut Brath 
Health Centre South, Vienna, Austria

Igor Grabovac 

Institute of Occupational Medicine, University Clinic for Internal Medicine II, Medical University of Vienna, Vienna, Austria

Horst Schalk 

Schalk-Pichler Group Practice, Vienna, Austria

Olaf Degen 

University Clinic Hamburg-Eppendorf, Outpatient Centre, Hamburg, Germany

Thomas E. Dorner 

Institute of Social Medicine, Centre for Public Health, Medical University of Vienna, Vienna, Austria

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Dose-Response Relationship between Cigarette Smoking and Female Sexual Dysfunction

Below:  The relationship between cumulative smoking dose and female sexual function index (FSFI) score among current smokers (r=-0.278, P<0.05)

A total of 900 women were included, and the frequency of current smokers and the frequency of FSD were 62 (6.9%) and 496 (55.1%), respectively. In current smokers, the frequency of FSD was significantly higher and the median total FSFI score was significantly lower than in never/former smokers, and this difference of FSD remained significant after adjustment for confounding variables. Among current smokers, the cumulative smoking dose (pack-years) and the total FSFI score showed negative correlation, in which increased cumulative smoking dose was associated with lower total FSFI score (r=-0.278, P<0.05). In terms of nicotine dependency, the total FSFI score of moderately to heavily nicotine dependent smokers was significantly lower than that of lightly dependent smokers.

In premenopausal women, current smoking was an independent risk factor for FSD. And cumulative smoking dose and nicotine dependency were associated with higher risk of FSD.

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