{"id":282,"date":"2021-09-12T19:28:59","date_gmt":"2021-09-12T19:28:59","guid":{"rendered":"https:\/\/ubwp.buffalo.edu\/enable\/?page_id=282"},"modified":"2025-03-30T15:58:38","modified_gmt":"2025-03-30T15:58:38","slug":"hiv-and-tobacco-use","status":"publish","type":"page","link":"https:\/\/ubwp.buffalo.edu\/enable\/our-research\/hiv-and-tobacco-use\/","title":{"rendered":"Tobacco Use among People with HIV"},"content":{"rendered":"\n<p>Our work in tobacco use and HIV evaluates the mechanisms and outcomes of tobacco use among people with HIV (PWH), a population with disproportionately high smoking rates. Coupled with the widespread use of antiretroviral therapy \u2013 which has substantially reduced mortality rates \u2013 <strong>PWH actually lose more life years to tobacco use than to HIV.<\/strong><\/p>\n\n\n\n<p>Dr. Ashare\u2019s work addresses this problem from three perspectives to better understand: (1) the mechanisms that underlie high smoking rates; (2) why existing treatments are less effective and relapse rates are higher among PWH; and (3) how HIV and smoking may act synergistically and ultimately lead to worse clinical outcomes including cancer and impaired immune function. These translational studies incorporate biological (e.g., nicotine metabolism, inflammation), behavioral, and cognitive assessments address these questions.<\/p>\n\n\n\n<p>In collaboration with Dr. Roger Vilardaga at Wake Forest University, we are currently conducting a clinical trial to test a digital therapeutic as a novel intervention to improve smoking cessation rates among PWH.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-accent-color has-text-color\">Selected Publications<\/h2>\n\n\n\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31834620\/\">Bidirectional Associations among Nicotine and Tobacco Smoke, NeuroHIV, and Antiretroviral Therapy.<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/journals.lww.com\/jaids\/Abstract\/9900\/HIV_Infection_Does_Not_Explain_Higher_Nicotine.106.aspx\">HIV Infection Does Not Explain Higher Nicotine Metabolism<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32686950\/\">Patterns of Lapses and Recoveries During a Quit Attempt using Varenicline and Behavioral Counseling among Smokers with and without HIV.&nbsp;<\/a><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7125016\/\">The effect of varenicline on mood and cognition in smokers with HIV.&nbsp;<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31082665\/\">A Placebo-Controlled Randomized Clinical Trial Testing the Efficacy and Safety of Varenicline for Smokers with HIV.&nbsp;<\/a><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30946162\/\">Differences in the rate of nicotine metabolism among smokers with and without HIV.&nbsp;<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5623102\/\">The nature and consequences of cognitive deficits among tobacco smokers with HIV: a comparison to tobacco smokers without HIV.<\/a><\/p>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading has-accent-color has-text-color\">This work is supported by:<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>R01-DA042682 (Ashare, PI)<\/strong><\/li>\n\n\n\n<li><strong>R01-DA044906 (Ashare\/Collman, MPI)<\/strong><\/li>\n\n\n\n<li><strong>R01 HL151292 (Gross\/Ashare, MPI)<\/strong><\/li>\n\n\n\n<li><strong>R01-CA285331 (Vilardaga\/Ashare, MPI)<\/strong><\/li>\n<\/ul>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Our work in tobacco use and HIV evaluates the mechanisms and outcomes of tobacco use among people with HIV (PWH), a population with disproportionately high smoking rates. Coupled with the [&hellip;]<\/p>\n","protected":false},"author":470,"featured_media":286,"parent":649,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-282","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/ubwp.buffalo.edu\/enable\/wp-json\/wp\/v2\/pages\/282","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ubwp.buffalo.edu\/enable\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ubwp.buffalo.edu\/enable\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ubwp.buffalo.edu\/enable\/wp-json\/wp\/v2\/users\/470"}],"replies":[{"embeddable":true,"href":"https:\/\/ubwp.buffalo.edu\/enable\/wp-json\/wp\/v2\/comments?post=282"}],"version-history":[{"count":10,"href":"https:\/\/ubwp.buffalo.edu\/enable\/wp-json\/wp\/v2\/pages\/282\/revisions"}],"predecessor-version":[{"id":700,"href":"https:\/\/ubwp.buffalo.edu\/enable\/wp-json\/wp\/v2\/pages\/282\/revisions\/700"}],"up":[{"embeddable":true,"href":"https:\/\/ubwp.buffalo.edu\/enable\/wp-json\/wp\/v2\/pages\/649"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ubwp.buffalo.edu\/enable\/wp-json\/wp\/v2\/media\/286"}],"wp:attachment":[{"href":"https:\/\/ubwp.buffalo.edu\/enable\/wp-json\/wp\/v2\/media?parent=282"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}