scholarly journals Use of the Phase-Based Model of Smoking Treatment to Guide Intervention Development for Persons Living with HIV Who Self-Identify as African American Tobacco Smokers

2019 ◽  
Vol 16 (10) ◽  
pp. 1703 ◽  
Author(s):  
Rebecca Schnall ◽  
Jasmine Carcamo ◽  
Tiffany Porras ◽  
Ming-Chun Huang ◽  
Monica Webb Hooper
Keyword(s):  
Substance Use ◽  
African American ◽  
Focus Group ◽  
Tobacco Use ◽  
Support System ◽  
Tobacco Cessation ◽  
Cessation Intervention ◽  
Persons Living With Hiv ◽  
Group Sessions ◽  
Living With Hiv

Cigarette smoking is highly prevalent among persons living with the human immunodeficiency virus (HIV) (PLWH), with rates as high 50% as compared to 14% in the general U.S. population. Tobacco use causes morbidity and mortality in PLWH, and tobacco-related harm is substantially higher in PLWH than smokers in the general population, providing the scientific premise for developing effective tobacco cessation interventions in this population. To better address this issue, we conducted six focus group sessions with 45 African American smokers who are living with HIV to understand the barriers to smoking cessation and the strategies that would be helpful to overcome these barriers. We organized our findings by the Phase-Based Model of Smoking Treatment to understand the intervention components that are needed at each phase to help PLWH successfully quit smoking. Participants in our focus group sessions articulated key components for incorporation into tobacco cessation intervention for PLWH: a personalized plan for quitting, reminders about that plan, and a support system. Participants thought that their HIV and tobacco use were disassociated. Participants described barriers to the use of pharmacotherapy, including adverse side effects of the gum and patch and concerns about the negative health effects of some oral medications. Substance use was identified as a commonly co-occurring condition as well as a barrier to successfully ceasing to smoke tobacco products. In summary, these findings offer information on the components of a tobacco cessation intervention for PLWH, namely reminders, a support system, substance use treatment, and monitoring to prevent relapse.

Integration of an evidence-based tobacco cessation program into a substance use disorders program to enhance equity of treatment access for northern, rural, and remote communities

2020 ◽  
Vol 10 (3) ◽  
pp. 555-564
Author(s):  
Patricia M Smith ◽  
Lisa D Seamark ◽  
Katie Beck
Keyword(s):  
Substance Use ◽  
Behavior Change ◽  
Tobacco Use ◽  
Tobacco Cessation ◽  
Access Point ◽  
Indigenous Communities ◽  
Well Being ◽  
Evidence Based ◽  
Treatment Access ◽  
Cessation Intervention

Abstract Integrating tobacco cessation interventions into substance use disorder (SUD) programs is recommended, yet few are implemented into practice. This translational research implementation study was designed to integrate an evidence-based tobacco cessation intervention into a 2-week hospital outpatient SUD program that served a rural municipality and 33 remote Indigenous communities. Objectives included determining tobacco use prevalence, intervention uptake, and staffing resources required for intervention delivery. A series of 1-hr tobacco and health/well-being interactive education and behavior-change groups were developed for the SUD program to create a central access point to offer an evidence-based, intensive tobacco cessation intervention that included an initial counseling/planning session and nine post-SUD treatment follow-ups (weekly month 1; biweekly month 2; and 3, 6, and 12 months). Group sign-in data included age, gender, community, tobacco use, and interest in receiving tobacco cessation help. Thirty-two groups (April 2018 to February 2019) were attended by 105 people from 22 communities—56% were female, mean age = 30.9 (±7.3; 93% <45 years), 86% smoked, and 38% enrolled in the intensive tobacco cessation intervention. The age-standardized tobacco use ratio was two times higher than would be expected in the general rural population in the region. Average staff time to provide the intervention was 1.5–2.5 hr/week. Results showed that a Healthy Living group integrated into SUD programming provided a forum for tobacco education, behavior-change skills development, and access to an intensive tobacco cessation intervention for which enrollment was high yet the intervention could be delivered with only a few staff hours a week.

Self-efficacy as a mediator of patient navigation interventions to engage persons living with HIV and substance use

2021 ◽  
Vol 221 ◽  
pp. 108567
Author(s):  
Sharleen M. Traynor ◽  
Lisa R. Metsch ◽  
Lauren Gooden ◽  
Maxine Stitzer ◽  
Tim Matheson ◽  
...  
Keyword(s):  
Substance Use ◽  
Self Efficacy ◽  
Patient Navigation ◽  
Persons Living With Hiv ◽  
Living With Hiv

scholarly journals The role of chronic pain and current substance use in predicting negative social support among disadvantaged persons living with HIV/AIDS

AIDS Care ◽  
2016 ◽  
Vol 28 (10) ◽  
pp. 1280-1286 ◽  
Author(s):  
Mary M. Mitchell ◽  
Allysha C. Maragh-Bass ◽  
Trang Q. Nguyen ◽  
Sarina Isenberg ◽  
Amy R. Knowlton
Keyword(s):  
Social Support ◽  
Chronic Pain ◽  
Substance Use ◽  
Persons Living With Hiv ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals Predictors for Poor Linkage to Care Among Hospitalized Persons Living with HIV and Co-Occurring Substance Use Disorder

2020 ◽  
Vol 36 (5) ◽  
pp. 406-414
Author(s):  
Nathan A. Summers ◽  
Jonathan A. Colasanti ◽  
Daniel J. Feaster ◽  
Wendy S. Armstrong ◽  
Allan Rodriguez ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorder ◽  
Linkage To Care ◽  
Persons Living With Hiv ◽  
Living With Hiv

scholarly journals Factors Influencing Implementation of a Workplace Tobacco Cessation Intervention in India: A Qualitative Exploration

2020 ◽  
pp. 216507992095276
Author(s):  
Himanshu A. Gupte ◽  
Marina D’Costa ◽  
Shoba Ramanadhan ◽  
Kasisomayajula Viswanath
Keyword(s):  
Occupational Health ◽  
Tobacco Use ◽  
Tobacco Cessation ◽  
Face To Face ◽  
Program Coordinators ◽  
Cessation Intervention ◽  
High Prevalence ◽  
Core Components ◽  
Workplace Setting ◽  
Qualitative Exploration

Background: Tobacco use is projected to cause more than 8 million deaths annually worldwide by 2030 and is currently linked to 1 million annual deaths in India. Very few workplaces provide tobacco cessation as a part of occupational health in India. In this study, we examined promoters and barriers to implementing an evidence-based tobacco cessation program in a workplace setting in India. Methods: In-depth interviews were conducted with all facilitators (two program coordinators and four counselors) of a workplace tobacco cessation intervention covering implementation efforts in five organizations, including three manufacturing units and two corporate settings. Findings: The identified promoters for implementation of the program were as follows: (a) workplaces that provided access to many individuals, (b) high prevalence of tobacco use that made the intervention relevant, (c) core components (awareness sessions, face-to-face counseling and 6-months follow-up) that were adaptable, (d) engagement of the management in planning and execution of the intervention, (e) employees’ support to each other to quit tobacco, (f) training the medical unit within the workplace to provide limited advice, and (g) efforts to advocate tobacco-free policies within the setting. Barriers centered around (a) lack of ownership from the workplace management, (b) schedules of counselors not matching with employees, (c) nonavailability of employees because of workload, and (d) lack of privacy for counseling. Conclusion/Implications for Practice: This study provided practical insights into the aspects of planning, engaging, executing and the process of implementation of a tobacco cessation intervention in a workplace setting. It provided guidance for an intervention within occupational health units in similar settings.

scholarly journals Understanding long-term HIV survivorship among African American/Black and Latinx persons living with HIV in the United States: A qualitative exploration through the lens of symbolic violence

2020 ◽  
Author(s):  
Robert Freeman ◽  
Marya Gwadz ◽  
Leo Wilton ◽  
Linda M. Collins ◽  
Caroline Dorsen ◽  
...  
Keyword(s):  
African American ◽  
Symbolic Violence ◽  
Hiv Care ◽  
Low Ses ◽  
Hiv Management ◽  
Persons Living With Hiv ◽  
Self Worth ◽  
American Black ◽  
Living With Hiv

Abstract Background Persons living with HIV (PLWH) are living longer, although racial/ethnic and socioeconomic status (SES) disparities persist. Yet, little is known about successful HIV management over decades. To address this gap, the present study took a qualitative approach and used the lens of symbolic violence, a type of internalized, non-physical violence manifested in the power differential between social groups. We focused on adult African American/Black and Hispanic/Latinx (AABHL) PLWH from low SES-backgrounds. Methods Data were drawn from two studies with AABHL PLWH in New York City ( N =59). After providing signed informed consent, participants engaged in in-depth semi-structured interviews on aspects of HIV management. Interviews were audio-recorded and professionally transcribed verbatim, and data were analyzed using a systematic content analysis approach. Results Participants in the two studies were comparable on sociodemographic and HIV history characteristics. They had lived with HIV for 20 years, on average (range 3-33 years). All were from low-SES backgrounds and most were African American/Black and men. Participants experienced a convergence of multiple intersecting social exclusions, harms, and stigmas, consistent with symbolic violence, which contributed to disengagement from HIV care and medications. We found five specific sub-themes: (1) material, social, and emotional challenges combined to “grind down” participants over time and diminish self-worth and even, at times, the will to live, (2) social isolation and self-isolation, based in part on feeling devalued and dehumanized, served as both a stigma-avoidance strategy and a mechanism of social exclusion, (3) stigmatizing aspects of patient-provider interactions, both experienced and anticipated, and (4) perceived restricted autonomy in HIV care reduced engagement, and (5) poor HIV management was internalized as a personal failure. Importantly, resilience was also evident throughout the five sub-themes. Conclusions Symbolic violence is a useful framework for understanding the experiences of long-term HIV management/survivorship among AABHL PLWH from low-SES backgrounds. Aspects of symbolic violence are internalized over time (e.g., experiencing devaluation, dehumanization, loss of self-worth, and anticipated stigma), thereby impeding successful HIV management, including because avoiding HIV care and discontinuing HIV medications are primary coping strategies. Study findings have implications for interventions in community and health care settings.

Dental Care Utilization of Hospitalized Persons Living with HIV and Substance Use

2020 ◽  
Author(s):  
Anthony J. Santella ◽  
Carrigan Parish ◽  
Rui Dan ◽  
Daniel J. Feaster ◽  
Allan E. Rodriguez ◽  
...  
Keyword(s):  
Substance Use ◽  
Dental Care ◽  
Care Utilization ◽  
Dental Care Utilization ◽  
Persons Living With Hiv ◽  
Living With Hiv
Sign in / Sign up

Export Citation Format

Share Document