The primary specific aims are to:
1. Assess the relationship between HIV disease events/stages (i.e., HIV-care initiation, stable disease, and progressive disease) and smoking outcomes (i.e., intention to quit, number of quit attempts, and cessation outcomes).
Hypothesis 1. HIV disease events/stages will be associated with smoking outcomes.The strongest intentions to quit smoking and highest rates of smoking cessation will be observed at the time of the initiation of HIV-care, followed by points in time when the disease is actively progressing. The weakest intentions to quit and lowest cessation rates will be observed during periods of stable HIV disease.
2. Evaluate perceived impact of HIV as a potential mediator of the association between disease event/stage and smoking outcomes.
Hypothesis 2. Perceived impact of HIV will significantly mediate the relationship between disease events/stages and smoking outcomes.
3. Evaluate potential mediators (i.e., attitudes about smoking) and moderators (i.e., perceived control and social norms) of the relationship between perceived impact of HIV-disease and smoking outcomes.
Hypothesis 3a. Attitudes about smoking (i.e., quit motivation, outcome expectancies, and risk perceptions) will significantly mediate the relationship between perceived impact of HIV and smoking outcomes (i.e., intentions to quit and cessation outcomes).
Hypothesis 3b. Subjective norms and perceived control over quitting smoking will be significant moderators of the relationship between perceived impact of HIV and smoking outcomes. |