Smoking cessation for clients who are HIV-positive
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Smoking cessation for clients who are HIV-positive

Denise Cummins Clinical nurse consultant, HIV/AIDS, Central Sydney Community Nursing Service, Redfern
Garry Trotter Clinical nurse consultant
Marry Moussa Clinical nurse specialist
Geoff Turham Registered nurse, Immunology Ambulatory Care, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia

Aim To identify smoking prevalence and behaviour in clients who are human immunodeficiency virus (HIV)-positive and to enrol those wanting to stop smoking in a smoking cessation programme.

Method A questionnaire consisting of 28 questions on smoking behaviour was developed. Over an eight-week period at the Immunology Clinic, Royal Prince Alfred Hospital, New South Wales, Australia, 68 clients were asked to complete the questionnaire; 23 were ineligible because they were non-smokers. Of the 45 respondents who completed the questionnaire, 39 were current smokers and six were ex-smokers. Twenty seven clients enrolled in the smoking cessation programme.

Results Smoking behaviour did not change due to a diagnosis of HIV or living with HIV. Stress was the main reason for recommencing smoking. At the end of the programme, 22 per cent (n=6) had ceased smoking and 40 per cent (n=11) had reduced nicotine intake.

Conclusion Smoking behaviour is complex and the reasons clients continue to smoke are multifactorial. Therefore, smoking cessation programmes should reflect this complexity.

Nursing Standard. 20, 12, 41-47. doi: 10.7748/ns2005.


Peer review

This article has been subject to double blind peer review