Patterns and Correlates of Tobacco Use Among PLWH in Viet Nam: A Cross-Sectional Analysis
Introduction The use of multiple tobacco products may increase nicotine dependence and reduce success in quitting. In Viet Nam, the prevalence of dual cigarette and waterpipe use is high, yet the characteristics of dual users, particularly among people living with HIV (PLWH) in low-and-middle income...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-06-01
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| Series: | Tobacco Use Insights |
| Online Access: | https://doi.org/10.1177/1179173X251353030 |
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| author | Reet Kapur Nam Nguyen Trang Nguyen Gloria Guevara Alvarez Charles M. Cleland Mari Armstrong-Hough Donna Shelley |
| author_facet | Reet Kapur Nam Nguyen Trang Nguyen Gloria Guevara Alvarez Charles M. Cleland Mari Armstrong-Hough Donna Shelley |
| author_sort | Reet Kapur |
| collection | DOAJ |
| description | Introduction The use of multiple tobacco products may increase nicotine dependence and reduce success in quitting. In Viet Nam, the prevalence of dual cigarette and waterpipe use is high, yet the characteristics of dual users, particularly among people living with HIV (PLWH) in low-and-middle income countries (LMICs) are underexplored. This paper describes patterns and correlates of tobacco use among PLWH in Viet Nam. Methods This cross-sectional analysis utilized baseline survey data from a randomized controlled trial. Participants (n = 672) were ≥ 18 years old, current cigarette smokers, and receiving care at one of 13 HIV clinics in Ha Noi. Tobacco use pattern (cigarette-only vs dual waterpipe and cigarette use) was determined by self-reported use in the past 7 days. Sociodemographic characteristics, health status, household smoking rules, substance use, and perceived smoking risks were examined using bivariate analysis, with Wilcoxon’s rank sum test and Pearson’s Chi-sq tests used to assess statistical significance. Results Half of the sample (50.3%) reported dual waterpipe and cigarette use. Dual use was significantly associated with a lower level of education, lower annual income, and poorer health compared to cigarette-only smokers. Dual users were less likely to report a no-smoking household policy, and more likely to have a higher level of nicotine dependence. Participants from both user groups perceived waterpipe smoking as less harmful compared to cigarette smoking. Conclusion There is a high prevalence of dual tobacco use among PLWH in Viet Nam. Understanding the characteristics of dual users is critical for developing comprehensive tobacco control policies and cessation strategies tailored to this population in Viet Nam and other LMICs. |
| format | Article |
| id | doaj-art-7d6d43da71cd48d69f0e6e87e643bdee |
| institution | OA Journals |
| issn | 1179-173X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Tobacco Use Insights |
| spelling | doaj-art-7d6d43da71cd48d69f0e6e87e643bdee2025-08-20T02:21:34ZengSAGE PublishingTobacco Use Insights1179-173X2025-06-011810.1177/1179173X251353030Patterns and Correlates of Tobacco Use Among PLWH in Viet Nam: A Cross-Sectional AnalysisReet KapurNam NguyenTrang NguyenGloria Guevara AlvarezCharles M. ClelandMari Armstrong-HoughDonna ShelleyIntroduction The use of multiple tobacco products may increase nicotine dependence and reduce success in quitting. In Viet Nam, the prevalence of dual cigarette and waterpipe use is high, yet the characteristics of dual users, particularly among people living with HIV (PLWH) in low-and-middle income countries (LMICs) are underexplored. This paper describes patterns and correlates of tobacco use among PLWH in Viet Nam. Methods This cross-sectional analysis utilized baseline survey data from a randomized controlled trial. Participants (n = 672) were ≥ 18 years old, current cigarette smokers, and receiving care at one of 13 HIV clinics in Ha Noi. Tobacco use pattern (cigarette-only vs dual waterpipe and cigarette use) was determined by self-reported use in the past 7 days. Sociodemographic characteristics, health status, household smoking rules, substance use, and perceived smoking risks were examined using bivariate analysis, with Wilcoxon’s rank sum test and Pearson’s Chi-sq tests used to assess statistical significance. Results Half of the sample (50.3%) reported dual waterpipe and cigarette use. Dual use was significantly associated with a lower level of education, lower annual income, and poorer health compared to cigarette-only smokers. Dual users were less likely to report a no-smoking household policy, and more likely to have a higher level of nicotine dependence. Participants from both user groups perceived waterpipe smoking as less harmful compared to cigarette smoking. Conclusion There is a high prevalence of dual tobacco use among PLWH in Viet Nam. Understanding the characteristics of dual users is critical for developing comprehensive tobacco control policies and cessation strategies tailored to this population in Viet Nam and other LMICs.https://doi.org/10.1177/1179173X251353030 |
| spellingShingle | Reet Kapur Nam Nguyen Trang Nguyen Gloria Guevara Alvarez Charles M. Cleland Mari Armstrong-Hough Donna Shelley Patterns and Correlates of Tobacco Use Among PLWH in Viet Nam: A Cross-Sectional Analysis Tobacco Use Insights |
| title | Patterns and Correlates of Tobacco Use Among PLWH in Viet Nam: A Cross-Sectional Analysis |
| title_full | Patterns and Correlates of Tobacco Use Among PLWH in Viet Nam: A Cross-Sectional Analysis |
| title_fullStr | Patterns and Correlates of Tobacco Use Among PLWH in Viet Nam: A Cross-Sectional Analysis |
| title_full_unstemmed | Patterns and Correlates of Tobacco Use Among PLWH in Viet Nam: A Cross-Sectional Analysis |
| title_short | Patterns and Correlates of Tobacco Use Among PLWH in Viet Nam: A Cross-Sectional Analysis |
| title_sort | patterns and correlates of tobacco use among plwh in viet nam a cross sectional analysis |
| url | https://doi.org/10.1177/1179173X251353030 |
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