{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T16:23:37Z","timestamp":1772814217123,"version":"3.50.1"},"reference-count":37,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2016,7,19]],"date-time":"2016-07-19T00:00:00Z","timestamp":1468886400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of the study was to assess the prevalence and characteristics associated with current smoking in an Asian <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010positive cohort, to calculate the predictive risks of cardiovascular disease (<jats:styled-content style=\"fixed-case\">CVD<\/jats:styled-content>), coronary heart disease (<jats:styled-content style=\"fixed-case\">CHD<\/jats:styled-content>) and myocardial infarction (<jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>), and to identify the impact that simulated interventions may have.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Logistic regression analysis was used to distinguish associated current smoking characteristics. Five\u2010year predictive risks of <jats:styled-content style=\"fixed-case\">CVD<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> CHD<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content> and the impact of simulated interventions were calculated utilizing the Data Collection on Adverse Effects of Anti\u2010<jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> Drugs Study (D:A:D) algorithm.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Smoking status data were collected from 4274 participants and 1496 of these had sufficient data for simulated intervention calculations. Current smoking prevalence in these two groups was similar (23.2% <jats:italic>vs<\/jats:italic>. 19.9%, respectively). Characteristics associated with current smoking included age <jats:styled-content>&gt;\u00a0<\/jats:styled-content>50\u00a0years compared with 30\u201339\u00a0years [odds ratio (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>) 0.65; 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 0.51\u20130.83], <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> exposure through injecting drug use compared with heterosexual exposure (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 3.03; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 2.25\u20134.07), and receiving antiretroviral therapy (<jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content>) at study sites in Singapore, South Korea, Malaysia, Japan and Vietnam in comparison to Thailand (all <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0&gt;\u00a02). Women were less likely to smoke than men (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 0.11; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.08\u20130.14). In simulated interventions, smoking cessation demonstrated the greatest impact in reducing <jats:styled-content style=\"fixed-case\">CVD<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">CHD<\/jats:styled-content> risk and closely approximated the impact of switching from abacavir to an alternate antiretroviral in the reduction of 5\u2010year <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content> risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Multiple interventions could reduce <jats:styled-content style=\"fixed-case\">CVD<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> CHD<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content> risk in Asian <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010positive patients, with smoking cessation potentially being the most influential.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.12358","type":"journal-article","created":{"date-parts":[[2016,7,19]],"date-time":"2016-07-19T11:11:12Z","timestamp":1468926672000},"page":"542-549","source":"Crossref","is-referenced-by-count":11,"title":["Smoking and projected cardiovascular risk in an <scp>HIV<\/scp>\u2010positive Asian regional cohort"],"prefix":"10.1111","volume":"17","author":[{"given":"TC","family":"Do","sequence":"first","affiliation":[{"name":"HIVNAT\/Thai Red Cross AIDS Research Center Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Boettiger","sequence":"additional","affiliation":[{"name":"The Kirby Institute UNSW Australia Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Law","sequence":"additional","affiliation":[{"name":"The Kirby Institute UNSW Australia Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Pujari","sequence":"additional","affiliation":[{"name":"Institute of Infectious Diseases Pune India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F","family":"Zhang","sequence":"additional","affiliation":[{"name":"Beijing Ditan Hospital Capital Medical University Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Chaiwarith","sequence":"additional","affiliation":[{"name":"Research Institute for Health Sciences Chiang Mai Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Kiertiburanakul","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Ramathibodi Hospital Mahidol University Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MP","family":"Lee","sequence":"additional","affiliation":[{"name":"Queen Elizabeth Hospital Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Ditangco","sequence":"additional","affiliation":[{"name":"Research Institute for Tropical Medicine Manila Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"WW","family":"Wong","sequence":"additional","affiliation":[{"name":"Taipei Veterans General Hospital Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"KV","family":"Nguyen","sequence":"additional","affiliation":[{"name":"National Hospital for Tropical Diseases Hanoi Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"TP","family":"Merati","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Udayana University &amp; 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