Tobacco Use and Sustained Viral Suppression in Youth Living with HIV.

TitleTobacco Use and Sustained Viral Suppression in Youth Living with HIV.
Publication TypePublication
Year of Publication2018
AuthorsGamarel KE, Westfall AO, Lally MA, Hosek S, Wilson CM
Corporate AuthorsAdolescent Medicine Trials Network for HIV/AIDS Intervention
JournalAIDS Behav
Volume22
Issue6
Pagination2018-2025
Date Published2018 Jun
ISSN1573-3254
KeywordsAdolescent, Anti-HIV Agents, Cross-Sectional Studies, Disease Progression, Female, HIV, HIV Infections, Humans, Male, Mass Screening, Sustained Virologic Response, Tobacco Smoking, Treatment Outcome, Viral Load, Young Adult
Abstract

<p>Tobacco has been associated with worse HIV disease progression in adult samples of people living with HIV; however, studies have yet to examine these effects in youth living with HIV (YLWH). This study examined the association between tobacco smoking behaviors and sustained viral suppression among a sample of 820 YLWH who were recruited through the Adolescent Medicine Trials Network for HIV Interventions. Participants completed a cross-sectional survey and then staff abstracted viral suppression data from medical records for up to 26 weeks prior to enrollment. Overall, 20.4% of youth reported daily or almost daily tobacco use. In multivariable analyses, older age and daily or almost daily tobacco smoking, and ART adherence remained statistically significant in predicting sustained viral suppression over the study period. These findings underscore the need for tobacco screening and interventions in HIV care settings in order to identify youth in need of additional smoking cessation services.</p>

DOI10.1007/s10461-017-1915-2
Alternate JournalAIDS Behav
PubMed ID28951979
PubMed Central IDPMC5869110
Grant ListU01 HD040533 / HD / NICHD NIH HHS / United States
U01 HD040474 / HD / NICHD NIH HHS / United States
U01HD040474 / / Eunice Kennedy Shriver National Institute of Child Health and Human Development /
U24AA022000 / / National Institute on Alcohol Abuse and Alcoholism /
L30 DA040191 / DA / NIDA NIH HHS / United States
U01HD040533 / / Eunice Kennedy Shriver National Institute of Child Health and Human Development /
P30 AI042853 / AI / NIAID NIH HHS / United States