Background Knowing that Tobacco is a big health issue, killing 5.4 millions of people each year. Hypothesis: among PLWH, smokers have more health problems than non smokers.
Objectives To analyse the impact of tobacco in people living with HIV (PLWH), degree of ARV side effects for smokers and non smokers, relevance of literacy on tobacco as public health problem on attitude of PLWH regarding tobacco use.
Methods Retrospective and prospective study realised in GOMA/DRC. Target: PLWH. Our sample is 200 PLWH constituted by aleatory method taking 2 people among 13 with interval of 6 after the first choice. Prospective: this was to determine the attitude of PLWH regarding tobacco: Statistic test: “comparison of two proportions”.
Results Sample of 200 PLWH: 125 females and 75 males; Smokers: 90 (45%) Non smokers: 110 (55%). Among 90 smokers: 56 males (62.2%) and 34 females (37.8%). Smokers have more risk of decreasing immunity than non smokers. Smokers have more risk to develop chronic lung diseases than non smokers. Side effects of ARVs are increased for smokers than non smokers. Smokers have more risk to develop opportunistic infections than people who don't smoke. PLWH are engaged to quit smoking when informed (aware) of bad effects of tobacco but some need assistance for quitting. PLWH who smoke industrial tobacco have more difficulty to quit smoking than people who smoke traditional tobacco.
Conclusions Tobacco use is more dangerous for PLWH than others (HIV−). It is very important to start new approach of collaboration between tobacco activists and HIV activists. Activities anti-tobacco could be integrated to HIV services at all levels: prevention, screening, treatment, etc. Assistance for quitting smoking could be provided to PLWH as well as ARVs. To spread the information that smoking is dangerous to PLWH motivate them to quit smoking.
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