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ARTICLE |

HIV Infection and Smoking Behavior FREE

Ronald M. Davis, MD; Jonathan M. Samet, MD
JAMA. 1992;268(12):1539-1539. doi:10.1001/jama.1992.03490120053019
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To the Editor.  —The interesting study by Halsey et al1 showed an association between smoking and an increased risk of human immunodeficiency virus type 1 (HIV-1) infection in Haitian women. We would like to add a few comments to the authors' discussion of their findings.The authors investigated the risk of HIV infection among "women who reported during the first interview that they had ever smoked." Presumably, every smoker in this case included current and former smokers. The authors did not report the percentage of ever smokers in their study who were former smokers. The observation that 29 (33%) of the 89 smokers at the first interview had stopped smoking by the second interview implies that a substantial proportion of the smokers at the first interview may have been former smokers.If the risk of HIV infection declines after smoking cessation—as do the risks of most smoking-related diseases2—the

REFERENCES

Halsey NA, Coberly JS, Holt E, et al.  Sexual behavior, smoking, and HIV-1 infection in Haitian women. JAMA . 1992;;267:2062-2066.
Centers for Disease Control. The Health Benefits of Smoking Cessation: A Report of the Surgeon General, 1990 . Rockville, Md: US Public Health Service, Office on Smoking and Health; 1990;. US Dept of Health and Human Services publication CDC 90-8416.
Public Health Service. The Health Consequences of Smoking: Cancer: A Report of the Surgeon General, 1982 . Rockville, Md: US Public Health Service, Office on Smoking and Health; 1982;. US Dept of Health and Human Services publication PHS 82-50179.
Brinton LA, Schairer C, Haenszel W, et al.  Cigarette smoking and invasive cervical cancer. JAMA . 1986;;255:3265-3269.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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Halsey NA, Coberly JS, Holt E, et al.  Sexual behavior, smoking, and HIV-1 infection in Haitian women. JAMA . 1992;;267:2062-2066.
Centers for Disease Control. The Health Benefits of Smoking Cessation: A Report of the Surgeon General, 1990 . Rockville, Md: US Public Health Service, Office on Smoking and Health; 1990;. US Dept of Health and Human Services publication CDC 90-8416.
Public Health Service. The Health Consequences of Smoking: Cancer: A Report of the Surgeon General, 1982 . Rockville, Md: US Public Health Service, Office on Smoking and Health; 1982;. US Dept of Health and Human Services publication PHS 82-50179.
Brinton LA, Schairer C, Haenszel W, et al.  Cigarette smoking and invasive cervical cancer. JAMA . 1986;;255:3265-3269.
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