AI Article Synopsis

  • Smoking-related diseases are the top cause of death in HIV-infected individuals, many of whom express a desire to quit smoking but lack readiness to do so.
  • The study analyzed data from 100 people living with HIV who smoke, finding no significant direct effects of self-efficacy, quality of life, or perceived vulnerability on readiness to quit, but identified a curvilinear relationship where high self-efficacy may decrease readiness at extreme levels.
  • The results suggest that enhancing self-efficacy could boost quit attempts, particularly for those with lower quality of life, advocating for psychoeducation and self-efficacy interventions tailored for this population.

Article Abstract

Smoking-related diseases (e.g., lung cancer) are the leading cause of mortality in HIV-infected patients. While many PLWH who smoke report a desire to quit, a majority of them have low readiness to quit. This study used logistic and linear regression to examine the relations among two (continuous vs. binary) measures of readiness to quit, smoking cessation self-efficacy (SE), quality of life (QoL), and perceived vulnerability (PV) using baseline data from 100 PLWH who smoke who participated in a clinical trial. Results showed no significant main effects (SE, QoL, and PV) or interaction effects (SE × QoL and SE × PV) on a continuous measure of readiness to quit. However, a follow-up analysis revealed that SE had a curvilinear effect on readiness to quit such that self-efficacy was positively associated with readiness to quit except at the highest levels of self-efficacy where readiness to quit declined. Greater SE significantly increased the likelihood of reporting readiness to quit (yes/no) among those with low QoL or high PV. For PLWH who smoke, improving self-efficacy may increase readiness to quit especially among those with lower quality of life. Psychoeducation tailored to PLWH designed to reduce unrealistic invulnerability to smoking-related diseases along with interventions that target self-efficacy may improve readiness to quit.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8279192PMC
http://dx.doi.org/10.1155/2021/6697404DOI Listing

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