Abstract：
People with HIV smoke cigarettes at a high prevalence, and it is important to identify modifiable variables related to smoking in this population. Race/ethnicity-based discrimination is common among people with HIV from minoritized racial and ethnic groups and results in significant adverse effects. The goal of this study was to examine the relationship between race/ethnicity-based discrimination, depression, and smoking-related variables among people with HIV who smoke. This was a secondary analysis of data from a prospective, randomized controlled smoking cessation trial for people with HIV. Participants were recruited from three HIV clinical care sites and randomly assigned to an HIV-tailored group therapy intervention or a control condition. Participants completed measures of demographics, smoking-related variables, race/ethnicity-based discrimination, and depressive symptoms at baseline and were followed up 3- and 6-months after study completion. Depressive symptoms had an indirect effect on the relationship between race/ethnicity-based discrimination and self-efficacy to quit smoking at 3-month follow-up. Depressive symptoms mediated the relationship between race/ethnicity-based discrimination and both nicotine dependence and self-efficacy to quit smoking at 6-month follow-up. Findings highlight the importance of considering race/ethnicity-based discrimination and depressive symptoms in the development and implementation of smoking cessation treatment interventions for people with HIV.
摘要：
艾滋病毒感染者吸烟的患病率很高，在这一人群中，确定与吸烟相关的可修改变量是很重要的。基于种族/族裔的歧视在少数族裔和族裔群体的艾滋病毒感染者中很常见，并导致严重的不利影响。这项研究的目的是研究基于种族/民族的歧视之间的关系，抑郁症,以及与吸烟相关的变量。这是对前瞻性数据的二次分析，针对HIV感染者的随机对照戒烟试验。参与者从三个HIV临床护理站点招募，并随机分配到HIV量身定制的小组治疗干预或对照条件。参与者完成了人口统计数据的测量，吸烟相关变量，基于种族/族裔的歧视，基线时出现抑郁症状，并在研究完成后3个月和6个月进行随访。在3个月的随访中，抑郁症状对基于种族/民族的歧视与戒烟自我效能感之间的关系有间接影响。在6个月的随访中，抑郁症状介导了基于种族/民族的歧视与尼古丁依赖和戒烟自我效能之间的关系。研究结果强调了在制定和实施针对艾滋病毒感染者的戒烟治疗干预措施时考虑基于种族/族裔的歧视和抑郁症状的重要性。
