Prevalence and trends of cigarette smoking among adults with HIV infection compared with the general population in Korea
OBJECTIVES This study compared the current smoking prevalence among adults with human immunodeficiency virus (HIV) infection to that of the general Korean population and analyzed changes in smoking prevalence and cessation rates from 2009 to 2020. METHODS The study included a total of 10,980 adults...
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Korean Society of Epidemiology
2024-12-01
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| Series: | Epidemiology and Health |
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| Online Access: | http://www.e-epih.org/upload/pdf/epih-46-e2024097.pdf |
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| author | Boyoung Park Yoonyoung Jang Taehwa Kim Yunsu Choi Kyoung Hwan Ahn Jung Ho Kim Hye Seong Jun Yong Choi Hyo Youl Kim Joon Young Song Shin-Woo Kim Hee Jung Choi Dae Won Park Young Kyung Yoon Sang Il Kim |
| author_facet | Boyoung Park Yoonyoung Jang Taehwa Kim Yunsu Choi Kyoung Hwan Ahn Jung Ho Kim Hye Seong Jun Yong Choi Hyo Youl Kim Joon Young Song Shin-Woo Kim Hee Jung Choi Dae Won Park Young Kyung Yoon Sang Il Kim |
| author_sort | Boyoung Park |
| collection | DOAJ |
| description | OBJECTIVES This study compared the current smoking prevalence among adults with human immunodeficiency virus (HIV) infection to that of the general Korean population and analyzed changes in smoking prevalence and cessation rates from 2009 to 2020. METHODS The study included a total of 10,980 adults with HIV infection who underwent a health screening examination (National Health Insurance Service-National Health Information Database; NHIS-NHID), 1,230 individuals with HIV infection who participated in the Korea HIV/AIDS Cohort (KoCosHIV), and 76,783 participants from the Korea National Health and Nutrition Examination Survey (KNHANES). We estimated the current smoking prevalence and the quit ratio, defined as the ratio of former smokers to ever-smokers. RESULTS In the NHIS-NHID and KoCosHIV studies, the prevalence of current and former smoking among adults with HIV was 44.2% (95% confidence interval [CI], 43.2 to 45.1) and 15.6% (95% CI, 14.9 to 16.3), and 47.7% (95% CI, 43.7 to 51.8) and 16.9% (95% CI, 11.8 to 22.0), respectively. In the KNHANES, these rates were 22.5% and 18.1%, respectively. The standardized prevalence ratio of current smoking among adults with HIV was 1.76 in the NHIS-NHID and 1.97 in the KoCosHIV. Furthermore, the likelihood of quitting smoking was lower among adults with HIV than in the general population (NHIS-NHID: 26.1%; 95% CI, 25.0 to 27.1; KoCosHIV: 26.2%; 95% CI, 20.2 to 32.1; KNHANES: 44.6%; 95% CI, 44.5 to 44.6). Among HIV-positive adults, there was a 1.53% decline in the current smoking rate and a 2.86% increase in the quit ratio. CONCLUSIONS Adults with HIV were more likely to smoke and less likely to quit smoking than the general adult population. Tobacco screening and cessation strategies should specifically target this population. |
| format | Article |
| id | doaj-art-184560c1d8bf4d6293adb6893175dbfe |
| institution | OA Journals |
| issn | 2092-7193 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Korean Society of Epidemiology |
| record_format | Article |
| series | Epidemiology and Health |
| spelling | doaj-art-184560c1d8bf4d6293adb6893175dbfe2025-08-20T02:13:27ZengKorean Society of EpidemiologyEpidemiology and Health2092-71932024-12-014610.4178/epih.e20240971563Prevalence and trends of cigarette smoking among adults with HIV infection compared with the general population in KoreaBoyoung Park0Yoonyoung Jang1Taehwa Kim2Yunsu Choi3Kyoung Hwan Ahn4Jung Ho Kim5Hye Seong6Jun Yong Choi7Hyo Youl Kim8Joon Young Song9Shin-Woo Kim10Hee Jung Choi11Dae Won Park12Young Kyung Yoon13Sang Il Kim14 Department of Preventive Medicine, Hanyang University College of Medicine, Seoul, Korea Department of Preventive Medicine, Hanyang University College of Medicine, Seoul, Korea Department of Preventive Medicine, Hanyang University College of Medicine, Seoul, Korea Department of Preventive Medicine, Hanyang University College of Medicine, Seoul, Korea Department of Preventive Medicine, Hanyang University College of Medicine, Seoul, Korea Division of Infectious Diseases, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea Division of Infectious Diseases, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea Division of Infectious Diseases, Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea Department of Internal Medicine, Kyungpook National University School of Medicine, Deagu, Korea Department of Internal Medicine, Ewha Womans University College of Medicine, Ewha Womans University Mokdong Hospital, Seoul, Korea AIDS Research Institute, Yonsei University College of Medicine, Seoul, Korea AIDS Research Institute, Yonsei University College of Medicine, Seoul, Korea Division of Infectious Disease, Department of Internal Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, KoreaOBJECTIVES This study compared the current smoking prevalence among adults with human immunodeficiency virus (HIV) infection to that of the general Korean population and analyzed changes in smoking prevalence and cessation rates from 2009 to 2020. METHODS The study included a total of 10,980 adults with HIV infection who underwent a health screening examination (National Health Insurance Service-National Health Information Database; NHIS-NHID), 1,230 individuals with HIV infection who participated in the Korea HIV/AIDS Cohort (KoCosHIV), and 76,783 participants from the Korea National Health and Nutrition Examination Survey (KNHANES). We estimated the current smoking prevalence and the quit ratio, defined as the ratio of former smokers to ever-smokers. RESULTS In the NHIS-NHID and KoCosHIV studies, the prevalence of current and former smoking among adults with HIV was 44.2% (95% confidence interval [CI], 43.2 to 45.1) and 15.6% (95% CI, 14.9 to 16.3), and 47.7% (95% CI, 43.7 to 51.8) and 16.9% (95% CI, 11.8 to 22.0), respectively. In the KNHANES, these rates were 22.5% and 18.1%, respectively. The standardized prevalence ratio of current smoking among adults with HIV was 1.76 in the NHIS-NHID and 1.97 in the KoCosHIV. Furthermore, the likelihood of quitting smoking was lower among adults with HIV than in the general population (NHIS-NHID: 26.1%; 95% CI, 25.0 to 27.1; KoCosHIV: 26.2%; 95% CI, 20.2 to 32.1; KNHANES: 44.6%; 95% CI, 44.5 to 44.6). Among HIV-positive adults, there was a 1.53% decline in the current smoking rate and a 2.86% increase in the quit ratio. CONCLUSIONS Adults with HIV were more likely to smoke and less likely to quit smoking than the general adult population. Tobacco screening and cessation strategies should specifically target this population.http://www.e-epih.org/upload/pdf/epih-46-e2024097.pdfhuman immunodeficiency virustobacco smokingsmoking cessation |
| spellingShingle | Boyoung Park Yoonyoung Jang Taehwa Kim Yunsu Choi Kyoung Hwan Ahn Jung Ho Kim Hye Seong Jun Yong Choi Hyo Youl Kim Joon Young Song Shin-Woo Kim Hee Jung Choi Dae Won Park Young Kyung Yoon Sang Il Kim Prevalence and trends of cigarette smoking among adults with HIV infection compared with the general population in Korea Epidemiology and Health human immunodeficiency virus tobacco smoking smoking cessation |
| title | Prevalence and trends of cigarette smoking among adults with HIV infection compared with the general population in Korea |
| title_full | Prevalence and trends of cigarette smoking among adults with HIV infection compared with the general population in Korea |
| title_fullStr | Prevalence and trends of cigarette smoking among adults with HIV infection compared with the general population in Korea |
| title_full_unstemmed | Prevalence and trends of cigarette smoking among adults with HIV infection compared with the general population in Korea |
| title_short | Prevalence and trends of cigarette smoking among adults with HIV infection compared with the general population in Korea |
| title_sort | prevalence and trends of cigarette smoking among adults with hiv infection compared with the general population in korea |
| topic | human immunodeficiency virus tobacco smoking smoking cessation |
| url | http://www.e-epih.org/upload/pdf/epih-46-e2024097.pdf |
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