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Co-use of cigarettes and cannabis among people with HIV: Results from a randomized controlled smoking cessation trial

SIGNIFICANCE: People with HIV (PWH) who smoke cigarettes have lower cessation rates than the general population. This study investigated whether changes in cannabis use frequency impedes cigarette cessation among PWH who are motivated to quit. METHODS: Between 2016-2020, PWH who smoked cigarettes we...

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Autores principales: Ozga, Jenny E., Shuter, Jonathan, Chander, Geetanjali, Graham, Amanda L., Kim, Ryung S., Stanton, Cassandra A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10277428/
https://www.ncbi.nlm.nih.gov/pubmed/37342512
http://dx.doi.org/10.1016/j.dadr.2023.100172
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author Ozga, Jenny E.
Shuter, Jonathan
Chander, Geetanjali
Graham, Amanda L.
Kim, Ryung S.
Stanton, Cassandra A.
author_facet Ozga, Jenny E.
Shuter, Jonathan
Chander, Geetanjali
Graham, Amanda L.
Kim, Ryung S.
Stanton, Cassandra A.
author_sort Ozga, Jenny E.
collection PubMed
description SIGNIFICANCE: People with HIV (PWH) who smoke cigarettes have lower cessation rates than the general population. This study investigated whether changes in cannabis use frequency impedes cigarette cessation among PWH who are motivated to quit. METHODS: Between 2016-2020, PWH who smoked cigarettes were enrolled in a randomized controlled trial for cigarette cessation. Analyses were limited to PWH who reported on their past 30-day (P30D) cannabis use during four study visits (baseline, 1-month, 3-month, and 6-month) (N=374). Descriptive statistics and multivariable logistic regression were used to evaluate changes in cannabis use frequency from baseline to 6 months and associations with cigarette abstinence at 6 months among PWH who reported no use during all four visits (n=176), as well as those who reported use during at least one visit and who increased (n=39), decreased (n=78), or had no change (n=81) in use frequency. RESULTS: Among those who reported cannabis use during at least one visit (n=198), at baseline, 18.2% reported no use. At 6 months, 34.3% reported no use. Controlling for covariates, increased cannabis use frequency from baseline was associated with reduced odds of cigarette abstinence at 6 months versus decreased use frequency (aOR=0.22, 95% CI=0.03, 0.90) or no use at either time-point (aOR=0.25, 95% CI=0.04, 0.93). CONCLUSIONS: Increased cannabis use over 6 months was associated with reduced odds of cigarette smoking abstinence among PWH who were motivated to quit. Additional factors that influence cannabis use and cigarette cessation simultaneously are in need of further study.
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spelling pubmed-102774282023-06-20 Co-use of cigarettes and cannabis among people with HIV: Results from a randomized controlled smoking cessation trial Ozga, Jenny E. Shuter, Jonathan Chander, Geetanjali Graham, Amanda L. Kim, Ryung S. Stanton, Cassandra A. Drug Alcohol Depend Rep Full Length Report SIGNIFICANCE: People with HIV (PWH) who smoke cigarettes have lower cessation rates than the general population. This study investigated whether changes in cannabis use frequency impedes cigarette cessation among PWH who are motivated to quit. METHODS: Between 2016-2020, PWH who smoked cigarettes were enrolled in a randomized controlled trial for cigarette cessation. Analyses were limited to PWH who reported on their past 30-day (P30D) cannabis use during four study visits (baseline, 1-month, 3-month, and 6-month) (N=374). Descriptive statistics and multivariable logistic regression were used to evaluate changes in cannabis use frequency from baseline to 6 months and associations with cigarette abstinence at 6 months among PWH who reported no use during all four visits (n=176), as well as those who reported use during at least one visit and who increased (n=39), decreased (n=78), or had no change (n=81) in use frequency. RESULTS: Among those who reported cannabis use during at least one visit (n=198), at baseline, 18.2% reported no use. At 6 months, 34.3% reported no use. Controlling for covariates, increased cannabis use frequency from baseline was associated with reduced odds of cigarette abstinence at 6 months versus decreased use frequency (aOR=0.22, 95% CI=0.03, 0.90) or no use at either time-point (aOR=0.25, 95% CI=0.04, 0.93). CONCLUSIONS: Increased cannabis use over 6 months was associated with reduced odds of cigarette smoking abstinence among PWH who were motivated to quit. Additional factors that influence cannabis use and cigarette cessation simultaneously are in need of further study. Elsevier 2023-06-08 /pmc/articles/PMC10277428/ /pubmed/37342512 http://dx.doi.org/10.1016/j.dadr.2023.100172 Text en © 2023 The Authors. Published by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Full Length Report
Ozga, Jenny E.
Shuter, Jonathan
Chander, Geetanjali
Graham, Amanda L.
Kim, Ryung S.
Stanton, Cassandra A.
Co-use of cigarettes and cannabis among people with HIV: Results from a randomized controlled smoking cessation trial
title Co-use of cigarettes and cannabis among people with HIV: Results from a randomized controlled smoking cessation trial
title_full Co-use of cigarettes and cannabis among people with HIV: Results from a randomized controlled smoking cessation trial
title_fullStr Co-use of cigarettes and cannabis among people with HIV: Results from a randomized controlled smoking cessation trial
title_full_unstemmed Co-use of cigarettes and cannabis among people with HIV: Results from a randomized controlled smoking cessation trial
title_short Co-use of cigarettes and cannabis among people with HIV: Results from a randomized controlled smoking cessation trial
title_sort co-use of cigarettes and cannabis among people with hiv: results from a randomized controlled smoking cessation trial
topic Full Length Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10277428/
https://www.ncbi.nlm.nih.gov/pubmed/37342512
http://dx.doi.org/10.1016/j.dadr.2023.100172
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