235150 Knowledge, Attitude, and Behavior Towards Cigarette Smoking in HIV-Positive Populations: An In- Depth Qualitative Study

Tuesday, November 1, 2011

Monica Getahun, MPH , School of Population Health, Thomas Jefferson University, Philadelphia, PA
It is a known fact that cigarette smoking increases the risk of chronic health problems. The National Center for Health Statistics estimates that 25.9 million men (23.9 percent) and 20.7 million women (18.1 percent) are smokers in the US. However, many studies show that these percentages are not mirrored in HIV positive populations where smoking prevalence ranges from 50%-70%. As the number of people living with HIV/AIDS (PLWHA) continues to rise, cigarette smoking is one of the leading contributors and causes of chronic illness among PLWHA with further implications on disease management and healthcare costs. Current literature shows a gap in efforts around smoking cessation and PLWHA. This qualitative study identifies the knowledge,attitude, and behaviors towards cigarette smoking.To explore this population and its needs, two focus groups were conducted among PLWHA enrolled in HIV/AIDS management courses at an AIDS service organization.The population has a strong interest in quitting smoking with some successful efforts. Participants expressed an external locus of control over their cigarette addiction. Although aware of smoking consequences on health, there was a lack of knowledge with the level and severity of cigarette smoking a and how smoking impacts PLWHA as compared to non- positive populations.Participants also expressed needs that are different from non-positive populations and dissatisfaction with general smoking cessation programs. The study suggests that the needs of this population can be met with a smoking cessation program that is culturally appropriate and geared towards PLWHA and for HIV care physicians to provide consistent and thorough counseling efforts.

Learning Areas:
Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Planning of health education strategies, interventions, and programs
Program planning

Learning Objectives:
Describe the unique needs of PLWHA communities for cessations programs that are culturally competent and appropriate Identify the unique psychosocial needs of cigarette smoking PLWHA Assess the current smoking cessation counseling methods in medical case management models and identify gaps in cessation counseling efforts Demonstrate the need for culturally appropriate and sensitive cessation models in PLWHA

Keywords: Smoking Cessation, HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Have worked with the populations (PLWHA) as a health planner with significant time spent conducting focus groups among the target group
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.