{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:07:35Z","timestamp":1777853255794,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["3R01DA044112"],"award-info":[{"award-number":["3R01DA044112"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p>Background: Youth with HIV (YWH) aged 18\u201324 are overburdened by tobacco, with half also using cannabis recreationally. Increasing tobacco cessation necessitates exploring providers\u2019 approaches to cessation. Methods: Grounded in social cognitive theory, we explored cognitive, socioenvironmental, and behavioral factors impacting providers\u2019 approaches to tobacco use among recreational cannabis users. Virtual interviews were conducted among healthcare providers caring for YWH in Washington (legalized cannabis), Massachusetts (legalized cannabis), and Alabama (cannabis not legal). Interviews were transcribed and analyzed via deductive and exploratory, thematic approaches using NVivo 12 Plus. Results: Twelve providers participated; 80% were subspecialist physicians. All providers ( N\u2009=\u200912) reported discussing tobacco use; none reported discussing tobacco use in conjunction with cannabis use. Identified themes included competing demands including cannabis co-use, prioritization of social determinants of health, and need for youth-tailored tools. Conclusions: YWH disproportionately use tobacco and recreational cannabis. Optimizing clinical visits to identify opportunities to address tobacco is crucial.<\/jats:p>","DOI":"10.1177\/23259582231163125","type":"journal-article","created":{"date-parts":[[2023,4,3]],"date-time":"2023-04-03T03:58:09Z","timestamp":1680494289000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cYou Almost Feel Out of Touch [For Saying] \u2026 \u2018Oh, and by the way, Stop Smoking.\u2019\u201d A Qualitative Exploration of Provider Perspectives About Discussing Tobacco  and Cannabis Use With 18-24-Year-Old  Young Adults With HIV"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4103-9329","authenticated-orcid":false,"given":"Samantha V.","family":"Hill","sequence":"first","affiliation":[{"name":"Department of Pediatrics, The University of Alabama, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paige","family":"Palenski","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, The University of Alabama, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heidi M.","family":"Crane","sequence":"additional","affiliation":[{"name":"Department of Medicine, The University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Conall","family":"O\u2019Cleirigh","sequence":"additional","affiliation":[{"name":"Department of Psychology, Massachusetts General Hospital, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6167-6328","authenticated-orcid":false,"given":"Lynn T.","family":"Matthews","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease, The University of Alabama, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Cropsey","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, The University of Alabama, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,4,3]]},"reference":[{"key":"bibr1-23259582231163125","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6946a4"},{"key":"bibr2-23259582231163125","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-019-01525-2"},{"key":"bibr3-23259582231163125","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0081355"},{"key":"bibr4-23259582231163125","doi-asserted-by":"publisher","DOI":"10.1097\/ADM.0000000000000172"},{"key":"bibr5-23259582231163125","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-017-1915-2"},{"key":"bibr6-23259582231163125","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2017.04.023"},{"key":"bibr7-23259582231163125","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2018.3535"},{"key":"bibr8-23259582231163125","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2016.06.016"},{"key":"bibr9-23259582231163125","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2015.0351"},{"key":"bibr10-23259582231163125","doi-asserted-by":"publisher","DOI":"10.1080\/17425255.2020.1814737"},{"key":"bibr11-23259582231163125","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-012-9458-5"},{"key":"bibr12-23259582231163125","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.17m11522"},{"key":"bibr13-23259582231163125","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2019.107756"},{"key":"bibr14-23259582231163125","doi-asserted-by":"publisher","DOI":"10.1089\/can.2020.0037"},{"key":"bibr15-23259582231163125","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph10062471"},{"key":"bibr16-23259582231163125","author":"Hutzler A","year":"2019","journal-title":"Newsweek"},{"key":"bibr17-23259582231163125","volume-title":"Health Behavior: Theory, Research, and Practice","author":"Glanz KRB","year":"2015"},{"key":"bibr18-23259582231163125","unstructured":"Office of Disease Prevention and Health Promotion. Healthy People 2030: Social Determinants of Health. [cited 2022 February 21]; Available from: https:\/\/health.gov\/healthypeople\/objectives-and-data\/social-determinants-health."},{"issue":"5","key":"bibr19-23259582231163125","doi-asserted-by":"crossref","first-page":"S214","DOI":"10.1016\/j.amepre.2012.07.032","volume":"43","year":"2012","journal-title":"Am J Prev Med"},{"key":"bibr20-23259582231163125","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2017.02.012"},{"key":"bibr21-23259582231163125","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-011-9891-4"},{"key":"bibr22-23259582231163125","unstructured":"Clinical Info HIV.gov.\n                      Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents Living with HIV\n                      . Guidelines 2021 June 3, 2021 [cited 2022 February 21]; Available from: https:\/\/clinicalinfo.hiv.gov\/en\/guidelines\/adult-and-adolescent-arv\/substance-use-disorders-and-hiv?view=full."},{"key":"bibr23-23259582231163125","unstructured":"US Preventive Services Task Force.\n                      Tobacco Smoking Cessation in Adults, Including Pregnant Persons: Interventions. 2021 [cited 2022 February 21]\n                      ; Available from: https:\/\/www.uspreventiveservicestaskforce.org\/uspstf\/document\/RecommendationStatementFinal\/tobacco-use-in-adults-and-pregnant-women-counseling-and-interventions."},{"key":"bibr24-23259582231163125","doi-asserted-by":"publisher","DOI":"10.1521\/aeap.2009.21.3_supp.14"},{"key":"bibr25-23259582231163125","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2019.1576847"},{"key":"bibr26-23259582231163125","unstructured":"Reddy KP, Kruse GR, Lee S, Shuter J, Rigotti NA. Tobacco use and treatment of tobacco dependence among people with HIV: a practical guide for clinicians. Clin Infect Dis. 2022;15(1):37\u201347."},{"key":"bibr27-23259582231163125","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2022"}],"container-title":["Journal of the International Association of Providers of AIDS Care (JIAPAC)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259582231163125","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23259582231163125","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259582231163125","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:50:13Z","timestamp":1777503013000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23259582231163125"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":27,"alternative-id":["10.1177\/23259582231163125"],"URL":"https:\/\/doi.org\/10.1177\/23259582231163125","relation":{},"ISSN":["2325-9582","2325-9582"],"issn-type":[{"value":"2325-9582","type":"print"},{"value":"2325-9582","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"article-number":"23259582231163125"}}