Is smoking tobacco an independent risk factor for HIV infection and progression to AIDS? A systemic review
Identifieur interne : 000C16 ( Pmc/Curation ); précédent : 000C15; suivant : 000C17Is smoking tobacco an independent risk factor for HIV infection and progression to AIDS? A systemic review
Auteurs : A S Furber ; R. Maheswaran ; J N Newell ; C. CarrollSource :
- Sexually Transmitted Infections [ 1368-4973 ] ; 2006.
Abstract
To systematically review the evidence of the relation between smoking tobacco and HIV seroconversion and progression to AIDS.
A systematic review was undertaken of studies to look at tobacco smoking as a risk factor for either HIV seroconversion or progression to AIDS.
Six studies were identified with HIV seroconversion as an outcome measure. Five of these indicated that smoking tobacco was an independent risk factor after adjusting for important confounders with adjusted odds ratios ranging from 1.6 to 3.5. 10 studies were identified using progression to AIDS as an end point of which nine found no relation with tobacco smoking.
Tobacco smoking may be an independent risk factor for HIV infection although residual confounding is another possible explanation. Smoking did not appear to be related to progression to AIDS although this finding may not be true in developing countries or with the longer life expectancies seen with highly active antiretroviral therapy.
Url:
DOI: 10.1136/sti.2005.019505
PubMed: 16923740
PubMed Central: 2598585
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PMC:2598585Le document en format XML
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<author><name sortKey="Furber, A S" sort="Furber, A S" uniqKey="Furber A" first="A S" last="Furber">A S Furber</name>
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<author><name sortKey="Maheswaran, R" sort="Maheswaran, R" uniqKey="Maheswaran R" first="R" last="Maheswaran">R. Maheswaran</name>
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<author><name sortKey="Newell, J N" sort="Newell, J N" uniqKey="Newell J" first="J N" last="Newell">J N Newell</name>
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<author><name sortKey="Carroll, C" sort="Carroll, C" uniqKey="Carroll C" first="C" last="Carroll">C. Carroll</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Is smoking tobacco an independent risk factor for HIV infection and progression to AIDS? A systemic review</title>
<author><name sortKey="Furber, A S" sort="Furber, A S" uniqKey="Furber A" first="A S" last="Furber">A S Furber</name>
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<author><name sortKey="Maheswaran, R" sort="Maheswaran, R" uniqKey="Maheswaran R" first="R" last="Maheswaran">R. Maheswaran</name>
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<author><name sortKey="Newell, J N" sort="Newell, J N" uniqKey="Newell J" first="J N" last="Newell">J N Newell</name>
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<author><name sortKey="Carroll, C" sort="Carroll, C" uniqKey="Carroll C" first="C" last="Carroll">C. Carroll</name>
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<series><title level="j">Sexually Transmitted Infections</title>
<idno type="ISSN">1368-4973</idno>
<idno type="eISSN">1472-3263</idno>
<imprint><date when="2006">2006</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Objectives</title>
<p>To systematically review the evidence of the relation between smoking tobacco and HIV seroconversion and progression to AIDS.</p>
</sec>
<sec><title>Methods</title>
<p>A systematic review was undertaken of studies to look at tobacco smoking as a risk factor for either HIV seroconversion or progression to AIDS.</p>
</sec>
<sec><title>Results</title>
<p>Six studies were identified with HIV seroconversion as an outcome measure. Five of these indicated that smoking tobacco was an independent risk factor after adjusting for important confounders with adjusted odds ratios ranging from 1.6 to 3.5. 10 studies were identified using progression to AIDS as an end point of which nine found no relation with tobacco smoking.</p>
</sec>
<sec><title>Conclusions</title>
<p>Tobacco smoking may be an independent risk factor for HIV infection although residual confounding is another possible explanation. Smoking did not appear to be related to progression to AIDS although this finding may not be true in developing countries or with the longer life expectancies seen with highly active antiretroviral therapy.</p>
</sec>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Sex Transm Infect</journal-id>
<journal-title>Sexually Transmitted Infections</journal-title>
<issn pub-type="ppub">1368-4973</issn>
<issn pub-type="epub">1472-3263</issn>
<publisher><publisher-name>BMJ Group</publisher-name>
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<article-meta><article-id pub-id-type="pmid">16923740</article-id>
<article-id pub-id-type="pmc">2598585</article-id>
<article-id pub-id-type="publisher-id">st19505</article-id>
<article-id pub-id-type="doi">10.1136/sti.2005.019505</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>HIV/AIDS</subject>
</subj-group>
</article-categories>
<title-group><article-title>Is smoking tobacco an independent risk factor for HIV infection and progression to AIDS? A systemic review</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Furber</surname>
<given-names>A S</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Maheswaran</surname>
<given-names>R</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Newell</surname>
<given-names>J N</given-names>
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<contrib contrib-type="author"><name><surname>Carroll</surname>
<given-names>C</given-names>
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<aff><bold>A S Furber</bold>
, South East Sheffield Primary Care Trust, 9 Orgreave Road, Sheffield S13 9LQ, UK</aff>
<aff><bold>R Maheswaran</bold>
, Public Health GIS Unit, School of Health and Related Research, University of Sheffield, Regents Court, 30 Regent Street, Sheffield S1 4DA, UK</aff>
<aff><bold>J N Newell</bold>
, Institute of Health Sciences and Public Health Research, 71‐75 Clarendon Road, University of Leeds, Leeds LS2 9PL, UK</aff>
<aff><bold>C Carroll</bold>
, School of Health and Related Research, University of Sheffield, Regents Court, 30 Regent Street, Sheffield S1 4DA, UK</aff>
<author-notes><corresp>Correspondence to: Dr Andrew Furber<break></break>
South East Sheffield Primary Care Trust, 9 Orgreave Road, Sheffield S13 9LQ, UK; a.furber@sheffield.ac.uk</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>2</month>
<year>2007</year>
</pub-date>
<pub-date pub-type="epub"><day>21</day>
<month>8</month>
<year>2006</year>
</pub-date>
<volume>83</volume>
<issue>1</issue>
<fpage>41</fpage>
<lpage>46</lpage>
<history><date date-type="accepted"><day>29</day>
<month>7</month>
<year>2006</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2007 BMJ Publishing Group</copyright-statement>
</permissions>
<abstract><sec><title>Objectives</title>
<p>To systematically review the evidence of the relation between smoking tobacco and HIV seroconversion and progression to AIDS.</p>
</sec>
<sec><title>Methods</title>
<p>A systematic review was undertaken of studies to look at tobacco smoking as a risk factor for either HIV seroconversion or progression to AIDS.</p>
</sec>
<sec><title>Results</title>
<p>Six studies were identified with HIV seroconversion as an outcome measure. Five of these indicated that smoking tobacco was an independent risk factor after adjusting for important confounders with adjusted odds ratios ranging from 1.6 to 3.5. 10 studies were identified using progression to AIDS as an end point of which nine found no relation with tobacco smoking.</p>
</sec>
<sec><title>Conclusions</title>
<p>Tobacco smoking may be an independent risk factor for HIV infection although residual confounding is another possible explanation. Smoking did not appear to be related to progression to AIDS although this finding may not be true in developing countries or with the longer life expectancies seen with highly active antiretroviral therapy.</p>
</sec>
</abstract>
<kwd-group><kwd>HIV</kwd>
<kwd>AIDS</kwd>
<kwd>tobacco</kwd>
<kwd>seroconversion</kwd>
</kwd-group>
</article-meta>
</front>
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</record>
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