Abstract
Objectives:The aim of this study was to define a smoking cessation 'cascade' among USA women with and without HIV and examine differences by sociodemographic characteristics.Design:An observational cohort study using data from smokers participating in the Women's Interagency HIV Study between 2014 and 2019.Methods:We followed 1165 women smokers with and without HIV from their first study visit in 2014 or 2015 until an attempt to quit smoking within approximately 3 years of follow-up, initial cessation (i.e. no restarting smoking within approximately 6 months of a quit attempt), and sustained cessation (i.e. no restarting smoking within approximately 12 months of a quit attempt). Using the Aalen-Johansen estimator, we estimated the cumulative probability of achieving each step, accounting for the competing risk of death.Results:Forty-five percent of smokers attempted to quit, 27% achieved initial cessation, and 14% achieved sustained cessation with no differences by HIV status. Women with some post-high school education were more likely to achieve each step than those with less education. Outcomes did not differ by race. Thirty-six percent [95% confidence interval (95% CI): 31-42] of uninsured women attempted to quit compared with 47% (95% CI: 44-50) with Medicaid and 49% (95% CI: 41-59) with private insurance.Conclusion:To decrease smoking among USA women with and without HIV, targeted, multistage interventions, and increased insurance coverage are needed to address shortfalls along this cascade.
Original language | English (US) |
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Pages (from-to) | 107-116 |
Number of pages | 10 |
Journal | AIDS |
Volume | 36 |
Issue number | 1 |
DOIs | |
State | Published - Jan 1 2022 |
Keywords
- Epidemiology
- HIV
- Smoking cessation
- Tobacco use
- Women's health
ASJC Scopus subject areas
- Immunology and Allergy
- Immunology
- Infectious Diseases