Evidence map›Paper›PMID 42763466›Full record

ArticleDiscover public health2026

A qualitative investigation of tobacco use and cessation experiences among people living with HIV in Botswana.

Megan E Mansfield, Florence Bada, Selebaleng V Mokonopi, Natalia Blanco, Kaizer Ikgopoleng, Lillian Okui, Carlo DiClemente, Roy Tapera, Bontle Mbongwe, Jessica Magidson and 2 more

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In one paragraph

Article in Discover public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Megan E MansfieldDivision of Epidemiology and Prevention, Institute of Human Virology, University of Maryland School of Medicine, 725 W. Lombard Street, Baltimore, MD 21201 USA.
Florence BadaDivision of Epidemiology and Prevention, Institute of Human Virology, University of Maryland School of Medicine, 725 W. Lombard Street, Baltimore, MD 21201 USA.
Selebaleng V MokonopiBotswana University of Maryland Medicine Health Initiative, Gaborone, Botswana.
Natalia BlancoDivision of Epidemiology and Prevention, Institute of Human Virology, University of Maryland School of Medicine, 725 W. Lombard Street, Baltimore, MD 21201 USA.
Kaizer IkgopolengBotswana University of Maryland Medicine Health Initiative, Gaborone, Botswana.
Lillian OkuiBotswana University of Maryland Medicine Health Initiative, Gaborone, Botswana.
Carlo DiClementeDepartment of Psychology, University of Maryland Baltimore County, Catonsville, MD USA.
Roy TaperaSchool of Public Health, University of Botswana, Gaborone, Botswana.
Bontle MbongweSchool of Public Health, University of Botswana, Gaborone, Botswana.
Jessica MagidsonDepartment of Psychology and the Center for Substance Use, Addiction & Health Research (CESAR), University of Maryland, College Park, MD USA.
Seth HimelhochDepartment of Psychiatry and Behavioral Neuroscience, The University of Chicago, Chicago, IL USA.
Manhattan CharuratDivision of Epidemiology and Prevention, Institute of Human Virology, University of Maryland School of Medicine, 725 W. Lombard Street, Baltimore, MD 21201 USA.

Funding

The Botswana Cancer-HIV Care Assistance and Monitoring using Peers (CHAMPS)U01CA275048 · NCI · UNIVERSITY OF MARYLAND BALTIMORE · PI Manhattan E Charurat, Seth S Himelhoch · 2022 to 2026
$3.9M
NCI NIH HHS U01 CA275048
6 · The paper itself

Abstract

Background: Tobacco use is a leading cause of premature mortality among people living with HIV (PLWH), especially in Botswana, where high smoking rates coincide with successful HIV control. There is a need for evidence-based interventions to support smoking cessation among PLWH, but research on smoking cessation in Botswana is limited. Therefore, to address this gap, a qualitative study was conducted in Botswana to understand the experiences of PLWH who smoke and identify barriers and facilitators to quitting in preparation for a larger implementation trial. Methods: In 2024, 36 interviews were conducted with adult patients who smoke from five HIV care sites in Botswana. Participants were purposively sampled by cessation outcome: successfully quit ( Findings: Results showed notable differences in the reasons for starting and continuing to smoke. Despite strong motivations to quit, such as reducing financial, health, and social burdens, participants encountered obstacles such as withdrawal symptoms and life stressors. Participants also identified various strategies to aid quitting like eating candies and attending church, and expressed readiness to use medical services such as cessation medications. Conclusion: Overall, participants expressed a strong desire for interventions to help them quit smoking. Effective interventions could focus on managing withdrawal symptoms and utilizing existing patient motivations and social supports. Supplementary Information: The online version contains supplementary material available at https://doi.org/10.1186/s12982-026-02813-1.

Indexed as

BotswanaPLWHQualitative researchSmoking cessationThematic analysisTobacco use

Identifiers

PMID42763466
PMCPMC13588883

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.