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Interventions for tobacco use cessation in people living with HIV

Title: Interventions for tobacco use cessation in people living with HIV
Authors: Mdege, Noreen Dadirai; Shah, Sarwat; Dogar, Omara; Pool, Erica R.M.; Weatherburn, Peter; Siddiqi, Kamran; Zyambo, Cosmas; Livingstone-Banks, Jonathan
Publication Year: 2024
Collection: White Rose Research Online (Universities of Leeds, Sheffield & York)
Description: Background: The prevalence of tobacco use among people living with HIV (PLWH) is up to four times higher than in the general population. Unfortunately, tobacco use increases the risk of progression to AIDS and death. Individual-/group-level and system change interventions that are effective in helping PLWH stop using tobacco can markedly improve the health and quality of life of this population. However, clear evidence to guide policy and practice is lacking, which hinders the integration of tobacco cessation interventions into routine HIV care. This is an update of a review that was published in 2016. We include 11 new studies. Objectives: To assess the benefits, harms and tolerability of interventions for tobacco use cessation among PLWH. To compare the benefits, harms and tolerability of interventions for tobacco use cessation that are tailored to the needs of PLWH with that of non‐tailored cessation interventions. Search methods: We searched the Cochrane Tobacco Addiction Group's Specialised Register, Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, and PsycINFO in December 2022. Selection criteria: Randomised controlled trials (RCTs) of individual-/group-level behavioural and/or pharmacological interventions for tobacco use cessation delivered directly to PLWH aged ≥ 18 years who use tobacco were included. RCTs, quasi-RCTs, other non-randomised controlled studies (e.g., controlled before and after studies), and interrupted time series studies of system change interventions for tobacco use cessation among PLWH were also included. For system change interventions, participants could be PLWH receiving care, or staff working in healthcare settings and providing care to PLWH; but studies where intervention delivery was by research personnel were excluded. For both individual-/group-level and system change interventions, any comparator was eligible. Data collection and analysis: We followed standard Cochrane methods, and used GRADE to assess certainty of the evidence. The primary measure ...
Document Type: article in journal/newspaper
File Description: text
Language: English
ISSN: 1469-493X
Relation: https://eprints.whiterose.ac.uk/id/eprint/212987/8/Mdege_et_al-2024-Cochrane_Database_of_Systematic_Reviews.pdf; Mdege, Noreen Dadirai orcid.org/0000-0003-3189-3473 , Shah, Sarwat orcid.org/0000-0002-5957-2842 , Dogar, Omara orcid.org/0000-0002-7122-8403 et al. (5 more authors) (2024) Interventions for tobacco use cessation in people living with HIV. Cochrane Database of Systematic Reviews. CD011120. ISSN: 1469-493X
DOI: 10.1002/14651858.CD011120.pub3
Availability: https://eprints.whiterose.ac.uk/id/eprint/212987/; https://doi.org/10.1002/14651858.CD011120.pub3
Accession Number: edsbas.6CF3255D
Database: BASE