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Perceived barriers to smoking cessation and perceptions of electronic cigarettes among persons living with HIV

机译:在艾滋病毒患者中感染吸烟和对电子烟的看法的障碍

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摘要

Smoking is more prevalent in persons living with HIV than the general population and is linked to increased morbidity and mortality. Some have suggested that based on current knowledge of harms and benefits, it may be feasible to advise smokers who are unable or unwilling to quit to switch to electronic cigarettes (ECs) as a less harmful alternative. We conducted 25 qualitative interviews with HIV-positive current or former smokers to explore perceived barriers to smoking cessation and perceptions of ECs. A high level of nicotine dependence, smoking as a form of stress management, motivational factors (including lack of readiness, low self-efficacy, ambivalence toward quitting), and having a social network of smokers were identified as cessation barriers. Low knowledge of ECs and uncertainty about EC safety and efficacy were barriers to EC uptake. However, current smokers indicated a willingness to try ECs. This study provides evidence that HIV-positive smokers face significant individual and environmental barriers to cessation. ECs may have potential as a harm reduction strategy in this population; however, there is a significant need for education regarding use and relative safety.
机译:吸烟比艾滋病毒的生活人数比一般人群更普遍,与发病率和死亡率增加有关。有些人建议基于目前对危害和福利的知识,建议无法或不愿意退出切换到电子卷烟(ECS)作为一种较小的有害替代品的吸烟者可能是可行的。我们与艾滋病毒阳性现任或前吸烟者进行了25采访,探索吸烟的感知障碍和对ECS的看法。尼古丁依赖的高水平依赖,吸烟作为压力管理的形式,激励因素(包括缺乏准备,低自我效能,戒烟,戒烟),并具有社交网络被识别为停止障碍。低知识的EC和EC安全性和疗效的不确定性是EC吸收的障碍。然而,目前的吸烟者表示愿意尝试ECS。本研究提供了证据表明,艾滋病毒阳性吸烟者面临着戒烟的重要个人和环境障碍。 ECS可能有潜在的损害减少该人群的策略;但是,有关使用和相对安全的教育有重大需求。

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