{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T20:38:12Z","timestamp":1783024692140,"version":"3.54.6"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["T32CA05771"],"award-info":[{"award-number":["T32CA05771"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["U01CA261614"],"award-info":[{"award-number":["U01CA261614"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007301","name":"Harvard University Center for AIDS Research","doi-asserted-by":"publisher","award":["NIH\/NIAID 5P30AI060354-14"],"award-info":[{"award-number":["NIH\/NIAID 5P30AI060354-14"]}],"id":[{"id":"10.13039\/100007301","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Tob Use Insights"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:p>Introduction: Multiple tobacco product (MTP) use may intensify nicotine dependence and reduce the chances of quitting success. Characterizing MTP use in people with HIV (PWH) in low- and middle-income countries (LMICs) is needed to guide cessation approaches in this group. This study aimed to identify patterns and correlates of MTP use among PWH in a single clinic. Methods: This study was conducted among PWH at a clinic in Chennai, India. Participants completed an in-person survey providing information on tobacco use, demographics, and cessation-related factors. This analysis focused on PWH who reported current tobacco use. We used Fisher\u2019s exact test (categorical variables) and the Wilcoxon rank-sum test (continuous variables) to assess statistical differences in demographics and cessation-related factors between PWH who used single vs multiple tobacco products. Results: Of 154 PWH adults surveyed, 58 (37.7%) reported current tobacco use. Most PWH currently using tobacco were male (n = 49\/58, 84%), with a median age of 21\u00a0years (IQR: 10). Forty-six percent (n = 27\/58; 95% CI: 33% - 60%) reported MTP use, combining three products (IQR: 3) on average. Those who used multiple products were more likely to have a higher education level (n = 12\/27, 44%; 95% CI: 25% - 65%) compared to those who used a single product (n = 2\/16, 12%; 95% CI: 1% - 38%) ( P-value = 0.03). A lower proportion of participants who reported MTP use were unemployed (n = 1\/27, 97%; 95% CI: 0% - 19%) compared to those who used a single product (n = 5\/16, 31%; 95% CI: 11% - 59%) ( P-value = 0.04). All other factors, including gender, primary language, marital status, and cessation-related factors, were comparable between PWH who used a single tobacco product and those who used multiple products. Conclusion: Among PWH who currently smoke, almost half use tobacco combined multiple products. MTP use in PWH was linked to higher education levels and employment in this single clinical setting.<\/jats:p>","DOI":"10.1177\/1179173x241303587","type":"journal-article","created":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T15:53:31Z","timestamp":1733759611000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Patterns and Correlates of Multiple tobacco Product use Among people With HIV in India"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7761-118X","authenticated-orcid":false,"given":"Catherine S.","family":"Nagawa","sequence":"first","affiliation":[{"name":"Tobacco Research and Treatment Center, Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA"},{"name":"Department of Social and Behavioral Sciences, Harvard T.H Chan School of Public Health, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Poongulali","family":"Selvamuthu","sequence":"additional","affiliation":[{"name":"VHS Infectious Diseases Medical Center, CART Clinical Research Site, Voluntary Health Services, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nagalingeswaran","family":"Kumarasamy","sequence":"additional","affiliation":[{"name":"VHS Infectious Diseases Medical Center, CART Clinical Research Site, Voluntary Health Services, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faith Beulah","family":"Balakrishnan","sequence":"additional","affiliation":[{"name":"VHS Infectious Diseases Medical Center, CART Clinical Research Site, Voluntary Health Services, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy A.","family":"Rigotti","sequence":"additional","affiliation":[{"name":"Tobacco Research and Treatment Center, Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA"},{"name":"Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gina R.","family":"Kruse","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, University of Colorado, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,12,9]]},"reference":[{"key":"bibr1-1179173X241303587","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30752-2"},{"key":"bibr2-1179173X241303587","unstructured":"Commar A, Prasad V, d\u2019Espaignet ET, et al. WHO global report on trends in prevalence of tobacco use 2000-2025. World Health Organization. 2021."},{"key":"bibr3-1179173X241303587","first-page":"19","volume":"7","author":"Rai B","year":"2021","journal-title":"Tob Prev Cessat"},{"key":"bibr4-1179173X241303587","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69249-0"},{"key":"bibr5-1179173X241303587","volume-title":"Smokeless Tobacco and Public Health in India","author":"Gupta PC","year":"2016"},{"key":"bibr6-1179173X241303587","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntaa033"},{"key":"bibr7-1179173X241303587","doi-asserted-by":"publisher","DOI":"10.1111\/odi.12457"},{"key":"bibr8-1179173X241303587","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-024-04279-1"},{"key":"bibr9-1179173X241303587","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntw111"},{"key":"bibr10-1179173X241303587","first-page":"47","volume":"17","author":"Calvo M","year":"2015","journal-title":"AIDS Rev"},{"key":"bibr11-1179173X241303587","first-page":"15","volume":"130","author":"Kumar SR","year":"2009","journal-title":"Indian J Med Res"},{"key":"bibr12-1179173X241303587","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntt107"},{"key":"bibr13-1179173X241303587","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/nty050"},{"key":"bibr14-1179173X241303587","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2018.05.007"},{"key":"bibr15-1179173X241303587","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntab084"},{"key":"bibr16-1179173X241303587","unstructured":"Centers for Disease Control Prevention, Global adult tobacco survey collaborative group.\n                      Tobacco Questions for Surveys (GATS)\n                      . Atlanta, GA: Centers for Disease Control and Prevention Available from,\/entfitqspdf; 2011. [Last accessed on Apr 2023]."},{"key":"bibr17-1179173X241303587","first-page":"ZE04","volume":"10","author":"Raja M","year":"2016","journal-title":"J Clin Diagn Res"},{"key":"bibr18-1179173X241303587","doi-asserted-by":"publisher","DOI":"10.1111\/j.1349-7006.1999.tb00679.x"},{"key":"bibr19-1179173X241303587","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntz132"},{"key":"bibr20-1179173X241303587","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2005.12.015"},{"key":"bibr21-1179173X241303587","doi-asserted-by":"publisher","DOI":"10.4278\/0890-1171-12.1.38"},{"key":"bibr22-1179173X241303587","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntx218"},{"key":"bibr23-1179173X241303587","doi-asserted-by":"publisher","DOI":"10.5395\/rde.2017.42.2.152"},{"key":"bibr24-1179173X241303587","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e31827f53d7"},{"key":"bibr25-1179173X241303587","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2022.10.023"},{"key":"bibr26-1179173X241303587","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2016.03.020"},{"key":"bibr27-1179173X241303587","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2020.106377"},{"key":"bibr28-1179173X241303587","doi-asserted-by":"publisher","DOI":"10.1007\/s10389-019-01091-3"}],"container-title":["Tobacco Use Insights"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1179173X241303587","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1179173X241303587","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1179173X241303587","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:36:03Z","timestamp":1777692963000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1179173X241303587"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2]]},"references-count":28,"alternative-id":["10.1177\/1179173X241303587"],"URL":"https:\/\/doi.org\/10.1177\/1179173x241303587","relation":{},"ISSN":["1179-173X","1179-173X"],"issn-type":[{"value":"1179-173X","type":"print"},{"value":"1179-173X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2]]},"article-number":"1179173X241303587"}}