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ASH Scotland

Taking action on smoking and health

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    • Excluding the tobacco industry
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  • What we do  
    • Providing information on tobacco, health and inequality
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  4. Briefings
  5. Tobacco use, HIV and hepatitis C

Tobacco use, HIV and hepatitis C

ASH Scotland briefing on tobacco use, HIV and hepatitis C (April 2016)

Key points:

  • people who are HIV positive are significantly more likely to smoke than HIV negative individuals
  • higher smoking rates in people who are HIV positive mean a higher burden of tobacco-related disease and mortality
  • HIV positive smokers are at a higher risk than HIV negative smokers of developing chronic health problems including heart attacks and strokes, cancers, respiratory diseases, and degenerative brain disorders
  • exposure to other people’s tobacco smoke is also a health hazard
  • smoking further impairs the health of people with HIV, late-stage HIV and hepatitis C so cessation should be a key part of health care provision
  • smoking can interfere with the way in which some HIV and hepatitis C medications are processed by the liver.
NEW:
In a setting where HIV care is well organized and antiretroviral therapy is free of charge, HIV infected smokers lose more life-years to smoking than to HIV. The excess mortality of smokers is tripled and the population-attributable risk of death associated with smoking is doubled among HIV patients compared to the background population.
Helleberg M et al.  Mortality Attributable to Smoking Among HIV-1–Infected Individuals: A Nationwide, Population-Based Cohort Study.  Clinical Infectious Diseases. 

Smoking is the biggest single risk factor for acute heart disease in people with HIV
. 
Development of effective smoking cessation strategies should be prioritized to prevent cardiovascular disease in HIV-positive adults.
Sanchez-Calvo M et al. Differences between HIV-infected and uninfected adults in the contributions of smoking, diabetes and hypertension to acute coronary syndrome: two parallel case-control studies. HIV Med, online edition. DOI: 10.1111/j.1468-1293.2012.01057.x, 2012


Further information and support

HIV Scotland: www.hivscotland.com
HIV Scotland is a national voluntary agency that seeks to improve the health and wellbeing of people living with HIV, and to prevent the spread of HIV.
Telephone: 0131 558 3713, e-mail: info@hivscotland.com

Hepatitis Scotland: www.hepatitisscotland.org.uk Hepatitis Scotland is a national voluntary organisation that seeks to help improve responses to viral hepatitis prevention, treatment and support through training, capacity building and patient involvement services.                                                                                             Telephone: 0141 225 0419, e-mail: enquiries@hepatitisscotland.org.uk

Waverley Care: www.waverleycare.org
Waverley Care offers services that allow people diagnosed with HIV or hepatitis C to be cared for and supported throughout their illness. 
Telephone: 0131 558 1425, e-mail: info@waverleycare.org

Terrence Higgins Trust: www.tht.org.uk
Terrence Higgins Trust Scotland is a leading HIV and sexual health charity which provides a range of services across Scotland.                            Telephone: 0808 802 1221,e-mail: info.scotland@tht.org.uk

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