Comparison of smoking behaviors and associated factors between HIV-infected and uninfected men in Guilin, China: a case–control study

BackgroundSmoking is highly prevalent among HIV-infected individuals and is associated with high morbidity and mortality. Studies on smoking among HIV-infected individuals in China, especially compared to uninfected individuals, are scarce.PurposeThis study aimed to investigate and compare the preva...

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Main Authors: Yong Yu, Fuqun Xiao, Mengqiu Xia, Liman Huang, Xiaohu Liu, Wenyu Tang, Xue Gong
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-12-01
Series:Frontiers in Psychology
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1422144/full
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author Yong Yu
Yong Yu
Fuqun Xiao
Fuqun Xiao
Mengqiu Xia
Liman Huang
Xiaohu Liu
Wenyu Tang
Xue Gong
author_facet Yong Yu
Yong Yu
Fuqun Xiao
Fuqun Xiao
Mengqiu Xia
Liman Huang
Xiaohu Liu
Wenyu Tang
Xue Gong
author_sort Yong Yu
collection DOAJ
description BackgroundSmoking is highly prevalent among HIV-infected individuals and is associated with high morbidity and mortality. Studies on smoking among HIV-infected individuals in China, especially compared to uninfected individuals, are scarce.PurposeThis study aimed to investigate and compare the prevalence and factors associated with smoking between HIV-infected and uninfected men in Guilin, China.MethodsA survey was conducted among 1,395 HIV-infected men at Guilin Third People’s Hospital from June to December 2022, with a 1:2 age (±1 year) and education-matched control group of 2,790 HIV-uninfected men, whose data were collected from March to August 2023. Both groups completed an online questionnaire on smoking behaviors and relevant characteristics, with a comparative analysis of associated factors conducted using chi-square tests and multivariable logistic regressions.ResultsThe rates of former smokers were comparable between HIV-infected and uninfected men [12.3% (95% CI: 10.7–13.9%) vs. 12.0% (95% CI: 10.9–13.1%)], but the current smoking rate was significantly higher in the infected group than in the uninfected group [37.6% (95% CI: 35.2–40.0%) vs. 27.6% (95% CI: 25.9–29.3%), p < 0.05]. In both groups, the following factors were significantly associated with smoking: higher income, presence of chronic diseases, negative coping styles, lower social support, and having depression, anxiety, and suicidal ideation. Additionally, in HIV-infected men, the following factors were exclusively associated with smoking: heterosexual HIV transmission route, lower CD4+ T cell count, longer duration of antiretroviral therapy (ART), and drug use.ConclusionHIV-infected men had higher smoking rates than their uninfected counterparts, indicating that HIV diagnosis may be a critical timing to initiate behavioral changes and deliver smoking cessation interventions. Furthermore, multiple demographic, clinical, and psychosocial factors were associated with smoking, indicating the need to develop and implement comprehensive smoking cessation prevention and intervention programs.
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spelling doaj-art-80205e1e4c4247ad85ef10e624e662af2025-08-20T02:32:37ZengFrontiers Media S.A.Frontiers in Psychology1664-10782024-12-011510.3389/fpsyg.2024.14221441422144Comparison of smoking behaviors and associated factors between HIV-infected and uninfected men in Guilin, China: a case–control studyYong Yu0Yong Yu1Fuqun Xiao2Fuqun Xiao3Mengqiu Xia4Liman Huang5Xiaohu Liu6Wenyu Tang7Xue Gong8School of Politics and Public Administration, Guangxi Normal University, Guilin, ChinaWestern Urban and Rural Integration Development Institute, Guilin, ChinaSchool of Politics and Public Administration, Guangxi Normal University, Guilin, ChinaWestern Urban and Rural Integration Development Institute, Guilin, ChinaGuilin Tobacco Company of Guangxi Zhuang Autonomous Region, Guilin, ChinaDepartment of Infectious Diseases, The Third People's Hospital of Guilin City, Guilin, ChinaGuilin Tobacco Company of Guangxi Zhuang Autonomous Region, Guilin, ChinaGuilin Tobacco Company of Guangxi Zhuang Autonomous Region, Guilin, ChinaGuilin Tobacco Company of Guangxi Zhuang Autonomous Region, Guilin, ChinaBackgroundSmoking is highly prevalent among HIV-infected individuals and is associated with high morbidity and mortality. Studies on smoking among HIV-infected individuals in China, especially compared to uninfected individuals, are scarce.PurposeThis study aimed to investigate and compare the prevalence and factors associated with smoking between HIV-infected and uninfected men in Guilin, China.MethodsA survey was conducted among 1,395 HIV-infected men at Guilin Third People’s Hospital from June to December 2022, with a 1:2 age (±1 year) and education-matched control group of 2,790 HIV-uninfected men, whose data were collected from March to August 2023. Both groups completed an online questionnaire on smoking behaviors and relevant characteristics, with a comparative analysis of associated factors conducted using chi-square tests and multivariable logistic regressions.ResultsThe rates of former smokers were comparable between HIV-infected and uninfected men [12.3% (95% CI: 10.7–13.9%) vs. 12.0% (95% CI: 10.9–13.1%)], but the current smoking rate was significantly higher in the infected group than in the uninfected group [37.6% (95% CI: 35.2–40.0%) vs. 27.6% (95% CI: 25.9–29.3%), p < 0.05]. In both groups, the following factors were significantly associated with smoking: higher income, presence of chronic diseases, negative coping styles, lower social support, and having depression, anxiety, and suicidal ideation. Additionally, in HIV-infected men, the following factors were exclusively associated with smoking: heterosexual HIV transmission route, lower CD4+ T cell count, longer duration of antiretroviral therapy (ART), and drug use.ConclusionHIV-infected men had higher smoking rates than their uninfected counterparts, indicating that HIV diagnosis may be a critical timing to initiate behavioral changes and deliver smoking cessation interventions. Furthermore, multiple demographic, clinical, and psychosocial factors were associated with smoking, indicating the need to develop and implement comprehensive smoking cessation prevention and intervention programs.https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1422144/fullmensmokingHIV infectioncase–control studyChina
spellingShingle Yong Yu
Yong Yu
Fuqun Xiao
Fuqun Xiao
Mengqiu Xia
Liman Huang
Xiaohu Liu
Wenyu Tang
Xue Gong
Comparison of smoking behaviors and associated factors between HIV-infected and uninfected men in Guilin, China: a case–control study
Frontiers in Psychology
men
smoking
HIV infection
case–control study
China
title Comparison of smoking behaviors and associated factors between HIV-infected and uninfected men in Guilin, China: a case–control study
title_full Comparison of smoking behaviors and associated factors between HIV-infected and uninfected men in Guilin, China: a case–control study
title_fullStr Comparison of smoking behaviors and associated factors between HIV-infected and uninfected men in Guilin, China: a case–control study
title_full_unstemmed Comparison of smoking behaviors and associated factors between HIV-infected and uninfected men in Guilin, China: a case–control study
title_short Comparison of smoking behaviors and associated factors between HIV-infected and uninfected men in Guilin, China: a case–control study
title_sort comparison of smoking behaviors and associated factors between hiv infected and uninfected men in guilin china a case control study
topic men
smoking
HIV infection
case–control study
China
url https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1422144/full
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