A Pilot Trial Examining African American and White Responses to Algorithm-Guided Smoking Cessation Medication Selection in Persons Living with HIV

Pamela Valera, F. Joseph McClernon, Greer Burkholder, Michael J. Mugavero, James Willig, Conall O’Cleirigh, Karen L. Cropsey

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Algorithm-based treatments (AT) may be an effective clinical tool to aid HIV clinicians in prescribing pharmacotherapy to increase smoking cessation among people living with HIV (PLWH). Initial results from AT indicated significant increases in abstinence self-efficacy and medication utilization and declines in cigarettes smoked per day across time. Given historical racial disparities, it is unclear if both African Americans and White smokers would benefit equally from this type of intervention. Thus, the aim of this study was to examine racial differences in response to AT guided smoking cessation for African American and White smokers living with HIV. One hundred PLWH smokers (n = 100) were randomized to receive either AT guided smoking cessation or Treatment as Usual (TAU) which consisted of instructing participants to talk to a provider about smoking cessation assistance when ready to make a quit attempt. Participants were African American (75%) and White (25%) and majority men (71%) who had never been married (56%). African Americans smoked fewer cigarettes and were more likely to smoke mentholated cigarettes compared to White smokers at baseline. African Americans increased their use of other tobacco products (cigars/cigarillos) over time relative to White smokers. A significant interaction between race and quit goal was observed, with White smokers who reported complete abstinence as their goal having higher quit rates, while African Americans who reported a goal other than complete abstinence demonstrating higher quit rates. The increased use of cigars/cigarillos during quit attempts as well as having a goal other than complete abstinence should be considered when applying algorithm based interventions for PLWH African American smokers.

Original languageEnglish (US)
Pages (from-to)1975-1984
Number of pages10
JournalAIDS and behavior
Volume21
Issue number7
DOIs
StatePublished - Jul 1 2017

Fingerprint

Smoking Cessation
African Americans
Tobacco Products
HIV
Self Medication
Withholding Treatment
Self Efficacy
Therapeutics
Smoke
Drug Therapy

All Science Journal Classification (ASJC) codes

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

Keywords

  • Behavior
  • HIV
  • Intervention
  • Smoking cessation

Cite this

Valera, Pamela ; McClernon, F. Joseph ; Burkholder, Greer ; Mugavero, Michael J. ; Willig, James ; O’Cleirigh, Conall ; Cropsey, Karen L. / A Pilot Trial Examining African American and White Responses to Algorithm-Guided Smoking Cessation Medication Selection in Persons Living with HIV. In: AIDS and behavior. 2017 ; Vol. 21, No. 7. pp. 1975-1984.
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A Pilot Trial Examining African American and White Responses to Algorithm-Guided Smoking Cessation Medication Selection in Persons Living with HIV. / Valera, Pamela; McClernon, F. Joseph; Burkholder, Greer; Mugavero, Michael J.; Willig, James; O’Cleirigh, Conall; Cropsey, Karen L.

In: AIDS and behavior, Vol. 21, No. 7, 01.07.2017, p. 1975-1984.

Research output: Contribution to journalArticle

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