Prevalence and Correlates of Cardiovascular, Pulmonary, Cancer, and Mental Health Comorbidities Among Adults With HIV Who Smoke

Authors

Jessica L. Elf, Jessica L. Elf, PhD, MPH, is an Assistant Professor, Colorado State University, Fort Collins, Colorado, USA. Kimberly Horn, EdD, is a Research Professor, Virginia Tech, Roanoke, Virginia, USA. Lorien Abroms, ScD, MA, is a Professor, George Washington University, Washington, District of Columbia, USA. Cassandra A. Stanton, PhD, is a Senior Epidemiologist, Westat, Rockville, Maryland, USA. Amy M. Cohn, PhD, is an Associate Professor, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA. Freya Spielberg, MD, MPH, is an Associate Professor, University of Texas at Austin, Austin, Texas, USA. Tiffany Gray, DrPh, MPH, is Adjunct Faculty at George Washington University, Washington, District of Columbia, USA and Public Health Analyst at the D.C. Department of Health, Washington, District of Columbia, USA. Emily Harvey, MPH, is a Manager of Primary Research, Bain & Company, New York, New York, USA. Charles Debnam, BA, is Deputy Chief Executive Officer, Community Wellness Alliance, Washington, District of Columbia, USA. Lexi Kierstead, MPH, is a Research Associate, Truth Initiative, Washington, District of Columbia, USA. Matthew E. Levy, PhD, is a Research Scientist, George Washington University, Washington, District of Columbia, USA. Amanda Castel, MD, MPH, is a Professor, George Washington University, Washington, District of Columbia, USA. Anne Monroe, MD, MSPH, is an Associate Professor, George Washington University, Washington, District of Columbia, USA. Raymond Niaura, PhD, is a Professor, New York University, New York, New York, USA.
Kimberly Horn
Lorien Abroms
Cassandra A. Stanton
Amy M. Cohn
Freya Spielberg
Tiffany Gray
Emily Harvey
Charles Debnam
Lexi Kierstead
Matthew E. Levy
Amanda Castel
Anne Monroe
Raymond Niaura

Document Type

Journal Article

Publication Date

7-1-2023

Journal

The Journal of the Association of Nurses in AIDS Care : JANAC

Volume

34

Issue

4

DOI

10.1097/JNC.0000000000000416

Abstract

Using data from the D.C. Cohort Longitudinal HIV Study, we examined (a) diagnosed mental health and (b) cardiovascular, pulmonary, or cancer (CPC) comorbidity among adults with HIV who smoked. Among 8,581 adults, 4,273 (50%) smoked; 49% of smokers had mental health, and 13% of smokers had a CPC comorbidity. Among smokers, non-Hispanic Black participants had a lower risk for mental health (prevalence ratio [PR]: 0.69; 95% confidence interval [CI] [0.62-0.76]) but a higher risk for CPC (PR: 1.17; 95% CI [0.84-1.62]) comorbidity. Male participants had a lower risk for mental health (PR: 0.88; 95% CI [0.81-0.94]) and CPC (PR: 0.68; 95% CI [0.57-0.81]) comorbidity. All metrics of socioeconomic status were associated with a mental health comorbidity, but only housing status was associated with a CPC comorbidity. We did not find any association with substance use. Gender, socioeconomic factors, and race/ethnicity should inform clinical care and the development of smoking cessation strategies for this population.

APA Citation

Elf, Jessica L.; Horn, Kimberly; Abroms, Lorien; Stanton, Cassandra A.; Cohn, Amy M.; Spielberg, Freya; Gray, Tiffany; Harvey, Emily; Debnam, Charles; Kierstead, Lexi; Levy, Matthew E.; Castel, Amanda; Monroe, Anne; and Niaura, Raymond, "Prevalence and Correlates of Cardiovascular, Pulmonary, Cancer, and Mental Health Comorbidities Among Adults With HIV Who Smoke" (2023). GW Authored Works. Paper 3140.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/3140

Department

Epidemiology