Introduction

Cigarette smoking prevalences are very high in persons living with HIV (PLWH). Identifying variables among PLWH that are linked to smoking in community samples (e.g., self-control) can inform smoking treatments for PLWH. The current study examined the association of self-reported self-control and smoking (e.g., smoking status, cigarette dependence) in a sample of PLWH.

Methods

Adult PLWH were recruited from the Center for Positive Living (Montefiore Medical Center, Bronx, New York, US). All participants completed measures of demographics, cigarette smoking, and self-control. Participants who reported current cigarette smoking completed measures of cigarette dependence; intolerance for smoking abstinence; and motivation, confidence, and desire to quit smoking.

Results

The overall sample included 285 PLWH (49.1% cigarette users, 55.4% male, 52.7% Black race, 54.8% Latino/a ethnicity). PLWH with current cigarette smoking reported lower self-control than PLWH with no current cigarette smoking (M = 116.88, SD = 17.07 versus M = 127.39, SD = 20.32; t = −4.15, df = 211, p < 0.001). Among PLWH with current cigarette smoking, lower self-control was associated with greater cigarette dependence (ρ = −0.272, p < 0.01), and lower confidence in quitting smoking cigarettes (ρ = 0.214, p < 0.05). Lower self-control was associated with greater overall smoking abstinence intolerance (ρ = −0.221, p < 0.05) and withdrawal intolerance (ρ = −0.264, p < 0.01).

Discussion

Among a sample of PLWH, lower self-control was related to cigarette smoking (versus no smoking), greater cigarette dependence, lower confidence in quitting smoking, and greater intolerance for smoking abstinence. It may be useful to target self-control among PLWH to increase confidence in quitting and abstinence intolerance with the goal of improving smoking cessation outcomes.

中文翻译：

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艾滋病毒/艾滋病成人样本中的自我控制和吸烟：一项横断面调查

介绍

HIV 感染者 ( PLWH )的吸烟率非常高。识别与社区样本中吸烟相关的 PLWH 变量（例如自我控制）可以为 PLWH 的吸烟治疗提供信息。目前的研究在 PLWH 样本中检查了自我报告的自我控制与吸烟（例如，吸烟状况、香烟依赖）之间的关联。

方法

从积极生活中心（Montefiore Medical Center，Bronx，New York，US）招募成人 PLWH。所有参与者都完成了人口统计、吸烟和自我控制的测量。报告当前吸烟的参与者完成了对香烟依赖的测量；对戒烟不耐受；以及戒烟的动力、信心和愿望。

结果

总体样本包括 285 名 PLWH（49.1% 的卷烟使用者、55.4% 的男性、52.7% 的黑人、54.8% 的拉丁裔/a 种族）。目前吸烟的 PLWH 报告的自我控制低于目前不吸烟的 PLWH（M = 116.88，SD = 17.07 对比 M = 127.39，SD = 20.32；t = -4.15，df = 211，p < 0.001）。在当前吸烟的 PLWH 中，较低的自我控制与较大的香烟依赖（ρ = -0.272，p < 0.01）和戒烟信心降低（ρ = 0.214，p < 0.05）相关。较低的自我控制与更大的整体戒烟不耐受（ρ = -0.221，p < 0.05）和戒断不耐受（ρ = -0.264，p < 0.01）相关。

讨论

在 PLWH 样本中，较低的自我控制与吸烟（相对于不吸烟）、更大的香烟依赖、更低的戒烟信心和更大的戒烟不耐受有关。以 PLWH 中的自我控制为目标，以提高对戒烟和戒烟不耐受的信心，从而改善戒烟结果，这可能是有用的。