Vaporized nicotine use among patients in HIV care who smoke tobacco: perceived health effects and effectiveness as a smoking cessation tool

• Published in: AIDS care Vol. 35; no. 11; pp. 1741 - 1748
• Main Authors: Fredericksen, R. J., Fitzsimmons, E., Drumright, L. N., Loo, S., Dougherty, S., Brown, S., Pearce, J., Nance, R. M., Whitney, B. M., Ruderman, S., O'Cleirigh, C., Cropsey, K., Mayer, K. H., Mugavero, M. J., Delaney, J. A. C., Crane, H. M., Hahn, A.
• Format: Journal Article
• Language: English
• Published: England Taylor & Francis 02-11-2023; Taylor & Francis Ltd
• Subjects: Cigarette smoking; Cigarettes; Drug addiction; Durability; e-cigarettes; Effectiveness; Efficacy; Health behavior; Health beliefs; Health risks; Health Status; HIV; HIV Infections - drug therapy; HIV Infections - etiology; HIV-infected patients; Human immunodeficiency virus; Humans; Morbidity; Nicotine; Patients; Satiety; Side effects; Smoke; Smoking; Smoking - adverse effects; Smoking - epidemiology; Smoking Cessation; Tobacco; Tobacco cessation; Tobacco Use Cessation Devices - adverse effects; Vaping; e-cigarettes; HIV-infected patients; Tobacco cessation
• ISSN: 0954-0121; 1360-0451; 1360-0451
• DOI: 10.1080/09540121.2023.2180476

Evidence suggests adverse health effects from vaporized nicotine (VN) use, such as electronic "e" cigarettes, and limited efficacy to aid tobacco cessation. People with HIV (PWH) smoke tobacco at higher rates than the general population, with greater morbidity, highlighting the necessity of effective tobacco cessation tools. PWH may be more vulnerable to adverse effects of VN. Using semi-structured 1:1 interviews, we examined health beliefs regarding VN, patterns of use, and perceived effectiveness for tobacco cessation among PWH in HIV care at three geographically diverse U.S. sites. PWH (n = 24) had limited understanding of VN product content or health effects, presuming VN less harmful than tobacco cigarettes (TC). VN failed to adequately replicate the psychoactive effects or desired ritual of smoking TC. Concurrent TC use, and continuous VN use throughout the day, was common. Satiety using VN was elusive, and consumption quantity was difficult to track. VN had limited desirability and durability as a TC cessation tool among the interviewed PWH.