与吸烟相关的因素和对中国HIV患者的行为咨询和信使服务戒烟干预的看法:卡塔尔世界杯8强波胆分析定性研究%A Yang, %A Huang,Jiegang %A Ye,Li %A Lin,Jianyan %A Xie,Zhiman %A Guo,宝东%A Li,Yanjun %A Liang,Bingyu %A Zheng,Zhigang %A Lunze,Karsten %A Abdullah,Abu S %A Liang,Hao %A Quintiliani,Lisa M %+波士顿大学医学院医学系,邮编:02118,美国马萨诸塞州波士顿协和街72号,1 617 638 2777,lisa.quintiliani@bmc.org %K移动健康%K移动健康%K中国%K吸烟%K戒烟%K艾滋病毒%K定性研究%K短信%K微信%D 2022 %7 12.10.2022 %9原始论文%J JMIR形式Res %G英语%X背景:中国有一半的成年男性吸烟,是全球吸烟负担最高的国家之一。艾滋病毒携带者的吸烟率甚至更高。吸烟会在多种方面影响艾滋病毒感染者,包括更严重的艾滋病毒相关症状和更糟糕的抗逆转录病毒治疗结果。然而,在中国,针对艾滋病毒感染者的戒烟服务并没有被常规纳入艾滋病毒护理。鉴于手机的广泛使用,对中国吸烟的艾滋病毒感染者吸烟相关因素的探索,可以为针对这一弱势群体的需求设计和实施移动戒烟干预措施提供信息。目的:本研究旨在探讨吸烟的视角、戒烟的障碍和促进因素,以及通过行为咨询课程和每日简讯服务(微信)传递的戒烟干预的相关认知。方法:我们从中国广西南宁市人民第四医院招募艾滋病毒感染者,进行半结构化面对面访谈。所有的采访都被录音,用中文逐字转录,并翻译成英语进行数据分析。 We conducted a thematic analysis using a codebook, which was guided by a team-based consensus approach to identify 5 main themes. We also explored themes according to the demographic groups. Results: A total of 24 participants were enrolled in the study. The mean age was 37.2 (SD=13.5) years. The participants had lived with HIV for a mean of 2.4 years. The majority were male (18/24, 75%) and lived in urban or metropolitan settings (19/24, 79%). We identified five main themes: variable knowledge of the harms of smoking, both related and unrelated to HIV; willpower perceived as the primary quitting strategy; a duality of the effect of social factors on quitting; perceptions about optimal features of the smoking cessation intervention (eg, messages should be brief and most frequent during the first few weeks); and the largely negative impact of their HIV diagnosis on smoking behaviors. In addition, some themes differed according to participant demographic characteristics such as age, sex, and education level. Conclusions: We identified barriers to and facilitators of smoking cessation among people with HIV in China by conducting semistructured qualitative interviews. Owing to the adverse impact of smoking on HIV outcomes, targeting cessation interventions to the unique needs and preferences of people with HIV in China may be needed to increase the effectiveness of future interventions. A pilot clinical trial will be conducted in the future to evaluate this behavioral counseling and brief daily messenger service (WeChat)–delivered messages approach among people with HIV who smoke in China. %M 36222795 %R 10.2196/35923 %U https://formative.www.mybigtv.com/2022/10/e35923 %U https://doi.org/10.2196/35923 %U http://www.ncbi.nlm.nih.gov/pubmed/36222795
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