Changes in Smoking Status Among a Longitudinal Cohort of Gay, Bisexual, and Other Men Who Have Sex With Men in Vancouver, Canada

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dc.contributor.authorShariati, Helia
dc.contributor.authorArmstrong, Heather L.
dc.contributor.authorCui, Zishan
dc.contributor.authorLachowsky, Nathan J.
dc.contributor.authorZhu, Julia
dc.contributor.authorAnand, Praney
dc.contributor.authorRoth, Eric A.
dc.contributor.authorHogg, Robert S.
dc.contributor.authorOudman, Greg
dc.contributor.authorTonella, Christina
dc.contributor.authorMoore, David M.
dc.date.accessioned2022-08-29T21:35:56Z
dc.date.available2022-08-29T21:35:56Z
dc.date.copyright2017en_US
dc.date.issued2017
dc.descriptionWe would like to thank the Momentum Health Study participants, office staff, community advisory board, and our community agency partners: Health Initiative for Men, YouthCO HIV and Hep C Society, and Positive Living Society of BC.en_US
dc.description.abstractBackground—Cigarette smoking is common among gay, bisexual, and other men who have sex with men (GBMSM) and most of the mortality gap between HIV-positive and HIV-negative individuals is attributable to smoking. Methods—We recruited sexually active HIV-positive and HIV-negative GBMSM age ≥16 years using respondent-driven sampling. Study visits occurred every six months for up to four years and included a computer-assisted self-interview and clinical assessment. We conducted bivariate analyses to compare factors associated with “never”, “former”, “daily”, or “non-daily” smoking at baseline and longitudinal mixed effects models to examine factors associated with cessation and (re)initiation. Results—774 participants completed a baseline visit and 525 enrolled in the cohort and completed at least one follow-up visit. At baseline, the median age was 34 years and 31.5% were daily smokers. In follow-up (median=2.5 years), 116 daily or non-daily smokers (41%) quit at least once and of these, 101 (87%) remained former smokers at their last visit. Smoking cessation was positively associated with incomes ≥$60,000 and self-reported excellent health. Alcohol use, ecstasy use, and having a partner who smokes were associated with decreased odds of cessation. Substance use (cannabis, GHB, and crystal methamphetamine) and having a partner who smokes were positively associated with increasing to/resuming daily smoking. HIV-positive GBMSM were more likely to smoke but not more likely to quit. Conclusions—Targeted, culturally relevant smoking cessation resources are needed, especially for HIV-positive GBMSM. Engaging couples in cessation interventions may be useful.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThis work was supported by the National Institute on Drug Abuse (R01DA031055-01A1) and the Canadian Institutes of Health Research (MOP-107544). We would also like to thank Biolytical Laboratories who provided the HIV test kits. HS was supported by a Summer Student Research Award from the UBC Faculty of Medicine. NJL was supported by a CANFAR/CTN Postdoctoral Fellowship Award. HLA is supported by a Postdoctoral Fellowship Award from the Canadian Institutes of Health Research (Grant # MFE-152443). DMM is supported by a Michael Smith Foundation for Health Research Scholar Award.en_US
dc.identifier.citationShariati, H., Armstrong, H. L., Cui, Z., Lachowsky, N. J., Zhu, J., Anand, P., Roth, E. A., Hogg, R. S., Oudman, G., Tonella, C., & Moore, D. M. (2017). “Changes in Smoking Status Among a Longitudinal Cohort of Gay, Bisexual, and Other Men Who Have Sex With Men in Vancouver, Canada.” Drug and Alcohol Dependence, 179, 370–378. https://doi.org/10.1016/j.drugalcdep.2017.07.025en_US
dc.identifier.urihttps://doi.org/10.1016/j.drugalcdep.2017.07.025
dc.identifier.urihttp://hdl.handle.net/1828/14150
dc.language.isoenen_US
dc.publisherDrug and Alcohol Dependenceen_US
dc.subjectsmoking cessation
dc.subjectmen who have sex with men
dc.subjectHIV
dc.subjectlongitudinal
dc.subjectrespondent-driven sampling
dc.subjecthealth promotion
dc.subjectCentre for Addictions Research of BC (CARBC)
dc.subjectCanadian Institute for Substance Use Research (CISUR)
dc.subject.departmentSchool of Public Health and Social Policy
dc.subject.departmentDepartment of Anthropology
dc.titleChanges in Smoking Status Among a Longitudinal Cohort of Gay, Bisexual, and Other Men Who Have Sex With Men in Vancouver, Canadaen_US
dc.typePostprinten_US

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