Barriers and Facilitators of Smoking Cessation among Latinos Living with HIV: Perspectives from Key Leaders of Community-Based Organizations and Clinics

Francisco Cartujano-Barrera, Michelle Lee D’Abundo, Evelyn Arana-Chicas, Surina Chock, Pamela Valera, Charles S. Kamen and Ana Paula Cupertino
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Francisco Cartujano-Barrera: James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY 14642, USA
Michelle Lee D’Abundo: Department of Interprofessional Health Sciences and Health Administration, Seton Hall University, Nutley, NJ 07110, USA
Evelyn Arana-Chicas: James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY 14642, USA
Surina Chock: James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY 14642, USA
Pamela Valera: Department of Urban-Global Public Health, Rutgers University, Newark, NJ 07102, USA
Charles S. Kamen: James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY 14642, USA
Ana Paula Cupertino: James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY 14642, USA

IJERPH, 2021, vol. 18, issue 7, 1-20

Abstract: The purpose of this study was to identify the perspectives from key leaders of community-based organizations (CBOs) and clinics serving people living with HIV on barriers and facilitators of smoking cessation among Latino smokers living with HIV. Semi-structured interviews were conducted in English and Spanish with 10 key leaders. Using a social ecological model, qualitative theoretical analysis was used to analyze the results. Participants identified barriers at the individual (e.g., low education level, HIV, and financial stress), interpersonal (e.g., language barriers, low social support), organizational (e.g., lack of smoking cessation resources and targeted interventions), community (e.g., HIV and mental health stigma), and policy (e.g., paperwork for insurance) level. Participants identified facilitators at the individual (e.g., high participation in trials, good medication adherence), interpersonal (e.g., no smoking in social circles), organizational (e.g., bilingual staff, culturally competent care), community (e.g., providing transportation, the coronavirus disease 2019 as an opportunity for smoking cessation), and policy level (e.g., existence of funding, comprehensive insurance programs). These results provide operational strategies to address smoking disparities among Latino smokers living with HIV. Further research is needed on how to integrate these perspectives into effective smoking cessation interventions.

Keywords: smoking; smoking cessation; Latinos; people living with HIV; HIV (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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