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A brief tobacco dependence intervention for people living with HIV in Nepal: results of a quasi-experimental study

Published online by Cambridge University Press:  24 June 2019

Krishna C. Poudel ,
Kalpana Poudel-Tandukar ,
Basu Dev Pandey ,
Erica Letson  and
Paula H. Palmer
Krishna C. Poudel*
Affiliation:
Department of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst, MA, USA
Kalpana Poudel-Tandukar
Affiliation:
College of Nursing, University of Massachusetts Amherst, MA, USA
Basu Dev Pandey
Affiliation:
National Center for AIDS and STD Control, Kathmandu, Nepal
Erica Letson
Affiliation:
Department of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst, MA, USA
Paula H. Palmer
Affiliation:
School of Community and Global Health, Claremont Graduate University, Claremont, CA, USA
*
Author for correspondence: Krishna C. Poudel, E-mail: krishna@schoolph.umass.edu
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Abstract

Introduction

There is evidence of increased morbidity, decreased quality of life, and premature mortality in people living with HIV (PLHIV) who smoke tobacco compared to PLHIV who do not smoke tobacco. Evidence-based screening for tobacco dependence, pharmacological treatment, and treatment monitoring and education into relapse prevention are not readily available in low- and middle-income countries (LMIC). We evaluated the effects of a brief tobacco dependence intervention in improving knowledge on the health effects of smoking and intention to quit smoking in PLHIV in Nepal, a low-income country in south Asia.

Methods

Using a quasi-experimental design, we assigned 59 smokers to participate in the intervention and 67 in the control group. The 1.5 h smoking cessation intervention emphasized harms of smoking, reasons for smoking and quitting, causes of relapse in previous quit attempts, and quitting strategies. We collected data at baseline and immediately post-intervention.

Results

Findings indicate that a brief smoking cessation intervention produced a significant increase in smoking-related knowledge and intention to quit among PLHIV. The positive effects of our intervention remained significant after adjusting for potential confounders.

Conclusions

Our brief tobacco dependence intervention was effective in improving knowledge on the health effects of smoking and intention to quit among PLHIV. Further studies are required to evaluate the effectiveness of our intervention in increasing smoking cessation among PLHIV in LMIC.

Keywords

HIV/AIDSintention to quitNepaltobacco dependence
Type
Original Articles
Information
Journal of Smoking Cessation , Volume 14 , Issue 4 , December 2019 , pp. 221 - 228
Copyright
Copyright © The Author(s) 2019 Published by Cambridge University Press 

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References

Abbud, R. A., Finegan, C. K., Guay, L. A., & Rich, E. A. (1995). Enhanced production of human immunodeficiency virus type 1 by in vitro-infected alveolar macrophages from otherwise healthy cigarette smokers. Journal of Infectious Diseases, 172(3), 859–863.Google Scholar
Amiya, R. M., Poudel, K. C., Poudel-Tandukar, K., Kobayashi, J., Pandey, B. D., & Jimba, M. (2011). Physicians are a key to encouraging cessation of smoking among people living with HIV/AIDS: A cross-sectional study in the Kathmandu valley, Nepal. BMC Public Health, 11, 677.Google Scholar
Anderson, C. L., Becher, H., & Winkler, V. (2016). Tobacco control progress in low and middle income countries in comparison to high income countries. International Journal of Environmental Research and Public Health, 13(10), 1039.Google Scholar
Berg, C. J., Nehl, E. J., Wang, X., Ding, Y., He, N., & Wong, F. Y. (2014). Utilization of cessation resources among HIV-positive and HIV-negative men who smoke and who have sex with men in Chengdu, China. Nicotine & Tobacco Research, 16(10), 1283–1288.Google Scholar
Burkhalter, J. E., Springer, C. M., Chhabra, R., Ostroff, J. S., & Rapkin, B. D. (2005). Tobacco use and readiness to quit smoking in low-income HIV-infected persons. Nicotine & Tobacco Research, 7(4), 511–522.Google Scholar
Carpenter, M. J., Ford, M. E., Cartmell, K., & Alberg, A. J. (2011). Misperceptions of nicotine replacement therapy within racially and ethnically diverse smokers. Journal of the National Medical Association, 103(9–10), 885–894.Google Scholar
Chattopadhyay, A., Caplan, D. J., Slade, G. D., Shugars, D. C., Tien, H. C., & Patton, L. L. (2005). Incidence of oral candidiasis and oral hairy leukoplakia in HIV-infected adults in North Carolina. Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontics, 99(1), 39–47.Google Scholar
Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences. Mahwah, NJ: Lawrence Erlbaum Associates.Google Scholar
DiClemente, C. C., Prochaska, J. O., Fairhurst, S. K., Velicer, W. F., Velasquez, M. M., & Rossi, J. S. (1991). The process of smoking cessation: An analysis of precontemplation, contemplation, and preparation stages of change. Journal of Consulting and Clinical Psychology, 59(2), 295–304.Google Scholar
Feldman, J. G., Minkoff, H., Schneider, M. F., Gange, S. J., Cohen, M., Watts, D. H. et al. (2006). Association of cigarette smoking with HIV prognosis among women in the HAART era: A report from the women's interagency HIV study. American Journal of Public Health, 96(6), 1060–1065.Google Scholar
Fine, L. J., Philogene, G. S., Gramling, R., Coups, E. J., & Sinha, S. (2004). Prevalence of multiple chronic disease risk factors. 2001 National Health Interview Survey. American Journal of Preventive Medicine, 27(Suppl 2), 18–24.Google Scholar
Fiore, M. C., Jaen, C. R., Baker, T. B., Bailey, W. C., Benowitz, N. L., Curry, S. J. et al. (2008). Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. pp. 2083–2085. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service.Google Scholar
Fujita, M., Poudel, K. C., Green, K., Wi, T., Abeyewickreme, I., & Ghidinelli, M. (2015). HIV service delivery models towards ‘Zero AIDS-related deaths’: A collaborative case study of 6 Asia and Pacific countries. BMC Health Services Research, 15, 176.Google Scholar
Gritz, E. R., Vidrine, D. J., Lazev, A. B., Amick, B. C. 3rd, & Arduino, R. C. (2004). Smoking behavior in a low-income multiethnic HIV/AIDS population. Nicotine & Tobacco Research, 6(1), 71–77.Google Scholar
Helleberg, M., Afzal, S., Kronborg, G., Larsen, C. S., Pedersen, G., Pedersen, C. et al. (2013). Mortality attributable to smoking among HIV-1-infected individuals: A nationwide, population-based cohort study. Journal of Biochemistry and Molecular Biology, 56(5), 727–734.Google Scholar
Katz, M. H. (2010). Evaluating clinical and public health interventions: A practical guide to study design and statistics. Cambridge: Cambridge University Press.Google Scholar
Kohrt, B. A., Kunz, R. D., Koirala, N. R., Sharma, V. D., & Nepal, M. K. (2002). Validation of a Nepali version of the beck depression inventory. Nepalese Journal of Psychiatry, 2(4), 123–130.Google Scholar
Kreuter, M. W., & Skinner, C. S. (2000). Tailoring: What's in a name? Health Education Research, 15(1), 1–4.Google Scholar
Lando, H. A. (2016). Promoting tobacco cessation in low-and middle-income countries. Journal of Smoking Cessation, 11(2), 66–69.Google Scholar
Lifson, A. R., Neuhaus, J., Arribas, J. R., van den Berg-Wolf, M., Labriola, A. M., & Read, T. R. (2010). Smoking-related health risks among persons with HIV in the Strategies for Management of Antiretroviral Therapy clinical trial. American Journal of Public Health, 100(10), 1896–1903.Google Scholar
Maziak, W., Eissenberg, T., Klesges, R. C., Keil, U., & Ward, K. D. (2004). Adapting smoking cessation interventions for developing countries: A model for the Middle East. The International Journal of Tuberculosis and Lung Disease, 8(4), 403–413.Google Scholar
Metersky, M. L., Colt, H. G., Olson, L. K., & Shanks, T. G. (1995). AIDS-related spontaneous pneumothorax. Risk factors and treatment. Chest, 108(4), 946–951.Google Scholar
Miguez-Burbano, M. J., Ashkin, D., Rodriguez, A., Duncan, R., Pitchenik, A., Quintero, N. et al. (2005). Increased risk of Pneumocystis carinii and community-acquired pneumonia with tobacco use in HIV disease. International Journal of Infectious Diseases, 9(4), 208–217.Google Scholar
Munyati, S. S., Redzo, N., Dauya, E., Matambo, R., Makamure, B., Bandason, T. et al. (2006). Human immunodeficiency virus, smoking and self-rated health in Harare, Zimbabwe. The international Journal of Tuberculosis and Lung Disease, 10(11), 1279–1285.Google Scholar
Nguyen, N. T., Tran, B. X., Hwang, L. Y., Markham, C. M., Swartz, M. D., Vidrine, J. I. et al. (2015). Motivation to quit smoking among HIV-positive smokers in Vietnam. BMC Public Health, 15, 326.Google Scholar
Noar, S. M., Benac, C. N., & Harris, M. S. (2007). Does tailoring matter? Meta-analytic review of tailored print health behavior change interventions. Psychological Bulletin, 133, 673–693.Google Scholar
Nollen, N. L., Adewale, S., Okuyemi, K. S., Ahluwalia, J. S., & Parakoyi, A. (2004). Workplace tobacco policies and smoking cessation practices of physicians. Journal of the National Medical Association, 96(6), 838–842.Google Scholar
Parascandola, M., & Bloch, M. (2016). The global laboratory of tobacco control: Research to advance tobacco cessation in LMIC. Journal of Smoking Cessation, 11(2), 70–77.Google Scholar
Pool, E. R., Dogar, O., Lindsay, R. P., Weatherburn, P., & Siddiqi, K. (2016). Interventions for tobacco use cessation in people living with HIV and AIDS. Cochrane Database of Systematic Reviews 6), Art. No.: CD011120. DOI: 10.1002/14651858.CD011120.pub2.Google Scholar
Poudel, K. C., Buchanan, D. R., & Poudel-Tandukar, K. (2015). Effects of a community-based HIV risk reduction intervention among HIV-positive individuals: Results of a quasi-experimental study in Nepal. AIDS Education and Prevention, 27(3), 240–256.Google Scholar
Poudel, K. C., Fujita, M., Green, K., Poudel-Tandukar, K., & Jimba, M. (2011). Non-communicable diseases in Southeast Asia. Lancet, 377(9782), 2004–2005. author reply 2005.Google Scholar
Poudel-Tandukar, K., Bertone-Johnson, E. R., Palmer, P. H., & Poudel, K. C. (2014). C-reactive protein and depression in persons with human immunodeficiency virus infection: The positive living with HIV (POLH) Study. Brain Behavior and Immunity, 42, 89–95.Google Scholar
Prochaska, J. O., & DiClemente, C. C. (1982). Transtheoretical therapy toward a more integrative model of change. Psychotherapy: Theory, Research & Practice, 19, 276–288.Google Scholar
Raw, M., Mackay, J., & Reddy, S. (2016). Time to take tobacco dependence treatment seriously. Lancet, 387(10017), 412–413.Google Scholar
Reddy, K. P., Kong, C. Y., Hyle, E. P., Baggett, T. P., Huang, M., & Parker, R. A. (2017). Lung cancer mortality associated with smoking and smoking cessation among people living with HIV in the United States. JAMA Internal Medicine, 177(11), 1613–1621.Google Scholar
Shapiro, A. E., Tshabangu, N., Golub, J. E., & Martinson, N. A. (2011). Intention to quit smoking among human immunodeficiency virus infected adults in Johannesburg, South Africa. The international Journal of Tuberculosis and Lung Disease, 15(1), 140–142.Google Scholar
Shiboski, C. H., Neuhaus, J. M., Greenspan, D., & Greenspan, J. S. (1999). Effect of receptive oral sex and smoking on the incidence of hairy leukoplakia in HIV-positive gay men. Journal of Acquired Immune Deficiency Syndromes, 21(3), 236–242.Google Scholar
Slavinsky, J. 3rd, Myers, T., Swoboda, R. K., Leigh, J. E., Hager, S., & Fidel, P. L. Jr. (2002). Th1/Th2 cytokine profiles in saliva of HIV-positive smokers with oropharyngeal candidiasis. Oral Microbiology and Immunology, 17(1), 38–43.Google Scholar
Stead, L. F., Hartmann-Boyce, J., Perera, R., & Lancaster, T. (2013). Telephone counselling for smoking cessation. Cochrane Database of Systematic Reviews 8), Art. No.: CD002850. DOI: 10.1002/14651858.CD002850.pub3Google Scholar
Strecher, V. J., McClure, J., Alexander, G., Chakraborty, B., Nair, V., Konkel, J. et al. (2008). The role of engagement in a tailored web-based smoking cessation program: Randomized controlled trial. Journal of Medical Internet Research, 10(5), e36.Google Scholar
UNAIDS. (2017). UNAIDS data 2017. Geneva: Joint United Nations Programme on HIV/AIDS.Google Scholar
Valiathan, R., Miguez, M. J., Patel, B., Arheart, K. L., & Asthana, D. (2014). Tobacco smoking increases immune activation and impairs T-cell function in HIV infected patients on antiretrovirals: A cross-sectional pilot study. PLoS One, 9(5), e97698.Google Scholar
Velicer, W. F., Fava, J. L., Prochaska, J. O., Abrams, D. B., Emmons, K. M., & Pierce, J. P. (1995). Distribution of smokers by stage in three representative samples. Preventive Medicine, 24(4), 401–411.Google Scholar
Walter, H. J., & Vaughan, R. D. (1993). AIDS risk reduction among a multiethnic sample of urban high school students. JAMA, 270(6), 725–730.Google Scholar
West, R. (2005). Time for a change: Putting the transtheoretical (stages of change) model to rest. Addiction, 100(8), 1036–1039.Google Scholar
WHO. (2015). Tobacco, WHO fact sheet N 339. Geneva: World Health Organization.Google Scholar
Winstone, T. A., Man, S. F. P., Hull, M., Montaner, J. S., & Sin, D. D. (2013). Epidemic of lung cancer in patients with HIV infection. Chest, 143(2), 305–314.Google Scholar