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Lynne Stauff
Farid J Shamo
Sheyonna Waltson

1. MDHHS, Tobacco Control Progam, United States
2. Evaluation and Epidemiology Consultant
3. TTS and HIV Test Counselor

Title: Tobacco Use Reduction in People Living with HIV: A Systems Approach to Saving Lives

Biography

Biography: Lynne Stauff
Farid J Shamo
Sheyonna Waltson

Abstract

People Living with HIV (PLWH) in Michigan smoke cigarettes at 50% or more than 2 times the general population (21.4%). Although HIV disease has become a chronic disease when treated appropriately with HIV medications, PLWH are dying 12 years sooner from tobacco related illness before AIDS complications. They are dying from heart disease, diabetes and cancer all diseases caused by smoking. Learning of these alarming health disparities, the Tobacco Control Program (TCP) approached Michigan’s HIV Care and Prevention Section with a project concept and a funding request. The request was granted and the TCP now contracts with 14 AIDS Service Organizations (ASO) statewide to improve health outcomes in the HIV care population. Learn about the new Tobacco Reduction in PLWH Pilot Project which include results from an ASO employee assessment, a HIV client survey and client focus groups. ASO direct service providers are trained to deliver tobacco dependence treatment and to document the client encounters. The Project’s goal is to increase the number of HIV client tobacco quit attempts using evidence-based tobacco clinical practice guidelines and to incorporate those guidelines into routine provider practice. The project has highlighted the high tobacco use rates and poor health outcomes for PLWH. ASO providers are now aware of this health disparity and consistently ask HIV clients if they use tobacco and offer treatment. ASO service provider challenges and improvement opportunities will be discussed. Education, reliable data and consistent use of tobacco treatment guidelines will decrease the high smoking rate in PLWH ultimately improving health outcomes.