February 21, 2013
You are more likely to convince HIV-infected smokers to use condoms, take HIV meds faithfully and even abstain from their beloved Mountain Dew than do battle with their tobacco addiction. A recently published study from a national cohort of HIV-infected Danes supplies a bunch of new facts that you can use to scare -- er, counsel -- your patients afflicted with tobaccoism:
But we also must do our part by setting such patients up for success. Facts alone won't do it, and we need to be recommending evidence-based smoking cessation interventions (such as those recommended by the U.S. Centers for Disease Control and Prevention, or those explored by Rafael Laniado-Laborin in a 2010 study). Other than prescribe antiretroviral therapy, it just may be the most life-saving thing we do for our patients.
The Study: Helleberg M, Afzal S, Kronborg G, et al. Mortality Attributable to Smoking Among HIV-1Infected Individuals: A Nationwide, Population-Based Cohort Study. Clin Infect Dis. 2013; 56(5): 727-734.
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