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A brief tobacco dependence intervention for people living with HIV in Nepal: results of a quasi-experimental study

Published online by Cambridge University Press:  24 June 2019

Krishna C. Poudel ,
Kalpana Poudel-Tandukar ,
Basu Dev Pandey ,
Erica Letson  and
Paula H. Palmer
Krishna C. Poudel*
Affiliation:
Department of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst, MA, USA
Kalpana Poudel-Tandukar
Affiliation:
College of Nursing, University of Massachusetts Amherst, MA, USA
Basu Dev Pandey
Affiliation:
National Center for AIDS and STD Control, Kathmandu, Nepal
Erica Letson
Affiliation:
Department of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst, MA, USA
Paula H. Palmer
Affiliation:
School of Community and Global Health, Claremont Graduate University, Claremont, CA, USA
*
Author for correspondence: Krishna C. Poudel, E-mail: krishna@schoolph.umass.edu
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Abstract

Introduction

There is evidence of increased morbidity, decreased quality of life, and premature mortality in people living with HIV (PLHIV) who smoke tobacco compared to PLHIV who do not smoke tobacco. Evidence-based screening for tobacco dependence, pharmacological treatment, and treatment monitoring and education into relapse prevention are not readily available in low- and middle-income countries (LMIC). We evaluated the effects of a brief tobacco dependence intervention in improving knowledge on the health effects of smoking and intention to quit smoking in PLHIV in Nepal, a low-income country in south Asia.

Methods

Using a quasi-experimental design, we assigned 59 smokers to participate in the intervention and 67 in the control group. The 1.5 h smoking cessation intervention emphasized harms of smoking, reasons for smoking and quitting, causes of relapse in previous quit attempts, and quitting strategies. We collected data at baseline and immediately post-intervention.

Results

Findings indicate that a brief smoking cessation intervention produced a significant increase in smoking-related knowledge and intention to quit among PLHIV. The positive effects of our intervention remained significant after adjusting for potential confounders.

Conclusions

Our brief tobacco dependence intervention was effective in improving knowledge on the health effects of smoking and intention to quit among PLHIV. Further studies are required to evaluate the effectiveness of our intervention in increasing smoking cessation among PLHIV in LMIC.

Keywords

HIV/AIDSintention to quitNepaltobacco dependence
Type
Original Articles
Information
Journal of Smoking Cessation , Volume 14 , Issue 4 , December 2019 , pp. 221 - 228
Copyright
Copyright © The Author(s) 2019 Published by Cambridge University Press 

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