دورية أكاديمية

Risk of smoking-related cancers among women and men living with and without HIV.

التفاصيل البيبلوغرافية
العنوان: Risk of smoking-related cancers among women and men living with and without HIV.
المؤلفون: Hessol, Nancy A, Barrett, Benjamin W, Margolick, Joseph B, Plankey, Michael, Hussain, Shehnaz K, Seaberg, Eric C, Massad, L Stewart
المصدر: AIDS, vol 35, iss 1
بيانات النشر: eScholarship, University of California
سنة النشر: 2021
المجموعة: University of California: eScholarship
مصطلحات موضوعية: Tobacco, Cancer, Substance Misuse, Clinical Research, Prevention, Infectious Diseases, HIV/AIDS, Tobacco Smoke and Health, Cohort Studies, Female, HIV Infections, Humans, Male, Neoplasms, Prospective Studies, Risk Factors, Smoking, United States, HIV infection, incidence, sex differences, Biological Sciences, Medical and Health Sciences, Psychology and Cognitive Sciences, Virology
جغرافية الموضوع: 101 - 114
الوصف: ObjectivesWe investigated whether the effect of smoking on the incidence of smoking-related cancers differs by HIV-infection status, if sex modifies the impact of risk factors for smoking-related cancers, and the sex-specific attributable risk of smoking on cancer incidence.DesignData from two large prospective studies in the United States were analyzed: 6789 men in the Multicenter AIDS Cohort Study from 1984 through 2018 and 4423 women in the Women's Interagency HIV Study from 1994 through 2018.MethodsIncidence rates, relative risks, and adjusted population attributable fractions (PAFs) were calculated for smoking-related cancers.ResultsDuring study follow-up, there were 214 incident smoking-related cancers in the men and 192 in the women. The age-adjusted incidence ratess for smoking-related cancers were higher in the women (392/100 000) than for the men (198/100 000; P < 0.01) and higher for people living with HIV (PLWH, 348/100 000) than for those without HIV (162/100 000; P < 0.01). Unadjusted incidence rates in PLWH were higher than in those without HIV when stratifying by cumulative pack-years of smoking (all P values <0.01). In adjusted interaction models, the effects of cumulative pack-years of smoking were significantly stronger in women. The adjusted PAFs for smoking-related cancers were nonsignificantly higher in the women than in the men (39 vs. 28%; P = 0.35).ConclusionHIV looks to be an independent risk factor for smoking-related cancers and women appear to have a greater risk than men. These results highlight the need for interventions to help PLWH, especially women, quit smoking and sustain cessation to reduce their risk of smoking-related cancers.
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: unknown
العلاقة: qt8dt46984; https://escholarship.org/uc/item/8dt46984Test
الإتاحة: https://escholarship.org/uc/item/8dt46984Test
حقوق: public
رقم الانضمام: edsbas.7E42660
قاعدة البيانات: BASE