Findings in HIV/AIDS co-infection reported from Institute of Health Research

AIDSWEEKLY Plus; Monday, December 11, 2006
Staff Medical Writers

"Of 7482 employees, 6111 (82%) consented to interview and anonymous HIV serology; 88% were male; median age was 34 years. HIV prevalence was 19%. Current (median 6 cigarettes per day) and former smoking were reported by 17% and 7%, respectively. Smoking (current or former) was more common among HIV-positive (27%) than -negative participants (17%; p<0.001). Factors significantly associated with being a smoker on multivariate analysis were being HIV-infected (OR 1.5, 95% CI 1.4-1.7), older age (p <0.001), non-Christian (OR 1.6, 95% CI 1.2-2.2) and manual job (OR 1.4, 95% CI 1.2-1.6). Women (OR 0.05, 95% CI 0.03-0.11) and the better educated (OR 0.7, 95% CI 0.5-0.9) were significantly less likely to smoke. HIV-positive smokers had the highest risk of reporting poor health (adjusted OR compared to HIV-negative non-smokers 3.4, 95% CI 2.3-5.0). Smoking was significantly more common among HIV-positive than -negative employees in this predominantly male workforce," wrote S.S. Munyati and colleagues, Institute of Health Research.

The researchers concluded: "There was evidence of a combined effect on self-rated poor health, a variable shown to be a strong independent predictor of mortality in industrialised countries. to encourage smoking cessation may be an important component of HIV care in Southern Africa."

Munyati and colleagues published their study in The International Journal of Tuberculosis and Lung Disease (Human immunodeficiency virus, smoking and self-rated health in Harare, Zimbabwe. The International Journal of Tuberculosis and Lung Disease, 2006;10(11):1279-85).

For additional information, contact S.S. Munyati, National Institute of Health Research (former Blair Research Institute), Harare, Zimbabwe.

Publisher contact information for the The International Journal of Tuberculosis and Lung Disease is: International Union Against Tuberculosis Lung Disease (I U a T L D), 68 Boulevard Saint-Michel, 75006 Paris, France.

Keywords: Zimbabwe, Harare, HIV/AIDS Co-Infection, AIDS, Acquired Immune Deficiency Syndrome, Acquired Immunodeficiency Syndrome, HIV, Human Immunodeficiency Virus Bacterial Infection, Immunology, Sexually Transmitted Disease, Smoking, Viral, Virology.

This article was prepared by AIDS Weekly editors from staff and other reports.

Reference

Munyati SS, Redzo N, Dauya E, et al., “Human immunodeficiency virus, smoking and self-rated health in Harare, Zimbabwe”, Int J Tuberc Lung Dis. 2006 Nov;10(11):1279-85.

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