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- Original Article Prevalence and trends of cigarette smoking among adults with HIV infection compared with the general population in Korea
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Boyoung Park1,2
, Yoonyoung Jang1,3
, Taehwa Kim1,4
, Yunsu Choi1
, Kyoung Hwan Ahn1
, Jung Ho Kim5,6
, Hye Seong7
, Jun Yong Choi5,6
, Hyo Youl Kim8
, Joon Young Song7
, Shin-Woo Kim9
, Hee Jung Choi10
, Dae Won Park6
, Young Kyung Yoon6
, Sang Il Kim11
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Epidemiol Health 2024;46e2024097-0
DOI: https://doi.org/10.4178/epih.e2024097
Published online: December 16, 2024
2Institute of Bioscience and Biotechnology, Hanyang University, Seoul, Korea
3Department of Agricultural Economics and Rural Development, Seoul National University, Seoul, Korea
4Department of Psychology, Sungkyunkwan University, Seoul, Korea
5Division of Infectious Diseases, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
6AIDS Research Institute, Yonsei University College of Medicine, Seoul, Korea
7Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea
8Division of Infectious Diseases, Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
9Department of Internal Medicine, Kyungpook National University School of Medicine, Deagu, Korea
10Department of Internal Medicine, Ewha Womans University College of Medicine, Ewha Womans University Mokdong Hospital, Seoul, Korea
11Division of Infectious Disease, Department of Internal Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
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Corresponding author:
Boyoung Park,
Email: hayejine@hanyang.ac.kr
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Abstract
OBJECTIVES
This study compared the current smoking prevalence among adults with human immunodeficiency virus (HIV) infection to that of the general Korean population and analyzed changes in smoking prevalence and cessation rates from 2009 to 2020.
METHODS
The study included a total of 10,980 adults with HIV infection who underwent a health screening examination (National Health Insurance Service-National Health Information Database; NHIS-NHID), 1,230 individuals with HIV infection who participated in the Korea HIV/AIDS Cohort (KoCosHIV), and 76,783 participants from the Korea National Health and Nutrition Examination Survey (KNHANES). We estimated the current smoking prevalence and the quit ratio, defined as the ratio of former smokers to ever-smokers.
RESULTS
In the NHIS-NHID and KoCosHIV studies, the prevalence of current and former smoking among adults with HIV was 44.2% (95% confidence interval [CI], 43.2 to 45.1) and 15.6% (95% CI, 14.9 to 16.3), and 47.7% (95% CI, 43.7 to 51.8) and 16.9% (95% CI, 11.8 to 22.0), respectively. In the KNHANES, these rates were 22.5% and 18.1%, respectively. The standardized prevalence ratio of current smoking among adults with HIV was 1.76 in the NHIS-NHID and 1.97 in the KoCosHIV. Furthermore, the likelihood of quitting smoking was lower among adults with HIV than in the general population (NHIS-NHID: 26.1%; 95% CI, 25.0 to 27.1; KoCosHIV: 26.2%; 95% CI, 20.2 to 32.1; KNHANES: 44.6%; 95% CI, 44.5 to 44.6). Among HIV-positive adults, there was a 1.53% decline in the current smoking rate and a 2.86% increase in the quit ratio.
CONCLUSIONS
Adults with HIV were more likely to smoke and less likely to quit smoking than the general adult population. Tobacco screening and cessation strategies should specifically target this population.
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