Smoking behaviors in a community-based cohort of HIV-infected indigent adults

Maya Vijayaraghavan, Joanne Penko, Eric Vittinghoff, David R. Bangsberg, Christine Miaskowski, Margot B. Kushel

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


We conducted a longitudinal study of a community-based cohort of HIV-infected indigent adults to examine smoking behaviors and factors associated with quitting. We assessed "hardcore" smoking behaviors associated with a low probability of quitting. Of the 296 participants, 218 were current smokers (73.6 %). The prevalence of "hardcore" smoking was high: 59.6 % smoked ≥15 cigarettes per day, and 67.3 % were daily smokers. During the study interval, 20.6 % made at least one quit attempt. Of these, 53.3 % were abstinent at 6 months. The successful quit rate over 2 years was 4.6 %. Illegal substance use (adjusted odds ratio, AOR 0.2, 95 % CI 0.1-0.6) and smoking within 30 min of waking (AOR 0.2, 95 % CI 0.1-0.7) were associated with lower likelihood of making a quit attempt. Interventions that reduce nicotine dependence prior to smoking cessation and those that are integrated with substance use treatment may be effective for this population.

Original languageEnglish (US)
Pages (from-to)535-543
Number of pages9
JournalAIDS and Behavior
Issue number3
StatePublished - Mar 2014
Externally publishedYes


  • HIV-infected persons
  • Hardcore smokers
  • Nicotine dependence
  • Smoking cessation

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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