IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i7p3859-d778451.html
   My bibliography  Save this article

Tobacco Use among HIV-Positive and HIV-Negative Women and Men in Zambia—Demographic and Health Survey, 2018

Author

Listed:
  • Alissa C. Kress

    (Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA)

  • Carlen Stadnik

    (Oak Ridge Institute for Science and Education, Oak Ridge, TN 37830, USA)

  • Masauso Moses Phiri

    (Center for Primary Care Research, School of Medicine, University of Zambia, Lusaka 10101, Zambia)

  • Fastone M. Goma

    (Centre for Primary Care Research, Lusaka 10101, Zambia)

  • Evelyn Twentyman

    (Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA)

Abstract

Country-specific estimates of tobacco use among people living with HIV (PLWH) are lacking for much of sub-Saharan Africa. We aim to evaluate the association between the HIV status and tobacco product use status, frequency, and intensity, using nationally representative data from Zambia. We analyzed data from the 2018 Demographic and Health Survey conducted in Zambia among women aged 15–49 years and men aged 15–59 years. We performed logistic regression to assess the associations of HIV status, selected sociodemographic, and other characteristics with indicators of tobacco use (i.e., status, frequency, and intensity). Among women, 14.3% tested positive for HIV and 2.7% reported current smoking or tobacco use; women living with HIV were more likely to report currently smoking or using tobacco than women living without HIV (4.4% vs. 2.4%; aPR: 1.46). Among men, 8.4% tested positive for HIV and 19.5% reported current smoking; men living with HIV were more likely than men living without HIV to report current smoking (27.8% vs. 18.7%; aPR: 1.22). Several sociodemographic characteristics were associated with tobacco use, including age, residence (urban/rural), education level, employment status, and wealth index. The frequency and intensity of smoking among men who currently smoked did not differ by HIV status. Tobacco use was more likely in PLWH than those without HIV in Zambia. Our findings highlight the need to encourage and support tobacco cessation among PLWH, possibly by offering cessation services at existing intersections with health care or integrating cessation support into mHealth and other alternative models of care.

Suggested Citation

  • Alissa C. Kress & Carlen Stadnik & Masauso Moses Phiri & Fastone M. Goma & Evelyn Twentyman, 2022. "Tobacco Use among HIV-Positive and HIV-Negative Women and Men in Zambia—Demographic and Health Survey, 2018," IJERPH, MDPI, vol. 19(7), pages 1-16, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:3859-:d:778451
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/7/3859/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/7/3859/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Pampel, Fred, 2008. "Tobacco use in sub-Sahara Africa: Estimates from the demographic health surveys," Social Science & Medicine, Elsevier, vol. 66(8), pages 1772-1783, April.
    2. Emmanuel Peprah & Mari Armstrong-Hough & Stephanie H. Cook & Barbara Mukasa & Jacquelyn Y. Taylor & Huichun Xu & Linda Chang & Joyce Gyamfi & Nessa Ryan & Temitope Ojo & Anya Snyder & Juliet Iwelunmor, 2021. "An Emerging Syndemic of Smoking and Cardiopulmonary Diseases in People Living with HIV in Africa," IJERPH, MDPI, vol. 18(6), pages 1-12, March.
    3. Pampel, F.C., 2005. "Patterns of tobacco use in the early epidemic stages: Malawi and Zambia, 2000-2002," American Journal of Public Health, American Public Health Association, vol. 95(6), pages 1009-1015.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lindsay C. Kobayashi & Sarah Frank & Carlos Riumallo-Herl & David Canning & Lisa Berkman, 2019. "Socioeconomic gradients in chronic disease risk behaviors in a population-based study of older adults in rural South Africa," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(1), pages 135-145, January.
    2. Fred Pampel & Justin Denney, 2011. "Cross-National Sources of Health Inequality: Education and Tobacco Use in the World Health Survey," Demography, Springer;Population Association of America (PAA), vol. 48(2), pages 653-674, May.
    3. Frida Ngalesoni & George Ruhago & Mary Mayige & Tiago Cravo Oliveira & Bjarne Robberstad & Ole Frithjof Norheim & Hideki Higashi, 2017. "Cost-effectiveness analysis of population-based tobacco control strategies in the prevention of cardiovascular diseases in Tanzania," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-20, August.
    4. Yudhie Andriyana & Rinda Fitriani & Bertho Tantular & Neneng Sunengsih & Kurnia Wahyudi & I Gede Nyoman Mindra Jaya & Annisa Nur Falah, 2023. "Modeling the Cigarette Consumption of Poor Households Using Penalized Zero-Inflated Negative Binomial Regression with Minimax Concave Penalty," Mathematics, MDPI, vol. 11(14), pages 1-13, July.
    5. Katharina Reiss & Reinhard Schunck & Oliver Razum, 2015. "Effect of Length of Stay on Smoking among Turkish and Eastern European Immigrants in Germany—Interpretation in the Light of the Smoking Epidemic Model and the Acculturation Theory," IJERPH, MDPI, vol. 12(12), pages 1-12, December.
    6. Jayanta Kumar Bora & Nandita Saikia, 2015. "Gender Differentials in Self-Rated Health and Self-Reported Disability among Adults in India," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-14, November.
    7. Juliet Addo & Liam Smeeth & David A. Leon, 2009. "Smoking Patterns in Ghanaian Civil Servants: Changes Over Three Decades," IJERPH, MDPI, vol. 6(1), pages 1-9, January.
    8. Rebecca Katz & Sangeeta Mookherji & Morgan Kaminski & Vibhuti Haté & Julie E. Fischer, 2012. "Urban Governance of Disease," Administrative Sciences, MDPI, vol. 2(2), pages 1-13, April.
    9. Hadii M. Mamudu & Pooja Subedi & Ali E. Alamin & Sreenivas P. Veeranki & Daniel Owusu & Amy Poole & Lazarous Mbulo & A.E. Ogwell Ouma & Adekunle Oke, 2018. "The Progress of Tobacco Control Research in Sub-Saharan Africa in the Past 50 Years: A Systematic Review of the Design and Methods of the Studies," IJERPH, MDPI, vol. 15(12), pages 1-15, December.
    10. Ahmad Reza Hosseinpoor & Lucy Anne Parker & Edouard Tursan d'Espaignet & Somnath Chatterji, 2011. "Social Determinants of Smoking in Low- and Middle-Income Countries: Results from the World Health Survey," PLOS ONE, Public Library of Science, vol. 6(5), pages 1-7, May.
    11. Emmanuel Peprah & Bronwyn Myers & Andre-Pascal Kengne & Nasheeta Peer & Omar El-Shahawy & Temitope Ojo & Barbara Mukasa & Oliver Ezechi & Juliet Iwelunmor & Nessa Ryan & Fatoumata Sakho & John Patena , 2022. "Using a Syndemics Framework to Understand How Substance Use Contributes to Morbidity and Mortality among People Living with HIV in Africa: A Call to Action," IJERPH, MDPI, vol. 19(3), pages 1-12, January.
    12. Annalijn I Conklin & Ninez A Ponce & John Frank & Arijit Nandi & Jody Heymann, 2016. "Minimum Wage and Overweight and Obesity in Adult Women: A Multilevel Analysis of Low and Middle Income Countries," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-14, March.
    13. Ameerah M.N. Qattan & Micheal Kofi Boachie & Mustapha Immurana & Mohammed Khaled Al-Hanawi, 2021. "Socioeconomic Determinants of Smoking in the Kingdom of Saudi Arabia," IJERPH, MDPI, vol. 18(11), pages 1-15, May.
    14. Sreenivas P. Veeranki & Rijo M. John & Abdallah Ibrahim & Divya Pillendla & James F. Thrasher & Daniel Owusu & Ahmed E. O. Ouma & Hadii M. Mamudu, 2017. "Age of smoking initiation among adolescents in Africa," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(1), pages 63-72, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:3859-:d:778451. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.