# Implementing Tobacco Use Treatment in HIV Clinics In Viet Nam

> **NIH NIH R01** · NEW YORK UNIVERSITY · 2021 · $97,565

## Abstract

Project Summary
This supplement proposes a longitudinal study that will extend the parent’s grant current portfolio to examine
the difference in household food insecurity among people living with HIV (PLWH) and the relationship between
food insecurity and tobacco use in Vietnam. The supplement focuses on how decreased food insecurity may
have significant impact in the health disparities experienced on PLWH as chronic and infectious diseases
intersect; and the study is powered to assess the potential impact of smoking cessation on food insecurity. The
study aims are 1) to estimate the difference in household food insecurity among PLWH who smoke compared
with PLWH who are non-smokers at baseline, and 2) to examine mechanisms linking smoking and household
food insecurity among PLWH at baseline and 6-months follow-up, and 3) to assess the impact of a reduction in
tobacco use and tobacco cessation on measures of food Insecurity at 6-month follow-up. Using a longitudinal
design with a matched comparison population we will assess and compare the prevalence of food insecurity at
the household level among individual HIV+ smokers and non-smokers and explore mechanisms associated
with food insecurity among PLWH (smokers and non-smokers); and assess the potential impact of smoking
cessation on food insecurity. We hypothesize that HIV+ smokers who have quit smoking or reduced cigarettes
smoked per day by more than 50% will on average experience lower food insecurity than HIV+ smokers who
continued to smoke. Findings from this study will help to better understand how screening for food insecurity
may be incorporated in multipronged treatment programs in a resource poor setting, thereby identifying food
insecure patients, which may help to alleviate the negative impact of co-occurring conditions and to inform
policies and programs that address cessation interventions. The supplement builds on the parent grant
which addresses the high prevalence of smoking in Viet Nam among PLWH. The long-term goal of the grant is
to develop a scalable model for implementing evidence-based tobacco use treatment in health care settings
treating PLWH in LMICs. The objective the grant is to conduct a 3-arm randomized controlled trial that
compares the effectiveness and cost-effectiveness of three practical multilevel, multicomponent tobacco
cessation interventions in outpatient clinics (OPC). The three arms are: 1) 3As+R (Standard Care): Ask
(screen all patients), Advise (advice to quit), Assist (brief counseling), and Refer to Viet Nam’s national
Quitline; 2) SC+Counsel: Counsel= 6-session onsite cessation counseling intervention tailored to PLWH
and delivered by trained, onsite clinic staff; and 3) SC+Counsel+N: N= 4 weeks of nicotine replacement
therapy. Patients (n=672) will be recruited at 14 HIV OPCs in Viet Nam and randomized into one of the three
study arms. The study will compare the 3As+R (standard care (SC) with Quitline referral) to SC plus two
tobacco treatment model e...

## Key facts

- **NIH application ID:** 10357093
- **Project number:** 3R01CA240481-02S2
- **Recipient organization:** NEW YORK UNIVERSITY
- **Principal Investigator:** Nam Truong Nguyen
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $97,565
- **Award type:** 3
- **Project period:** 2020-05-01 → 2025-04-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10357093

## Citation

> US National Institutes of Health, RePORTER application 10357093, Implementing Tobacco Use Treatment in HIV Clinics In Viet Nam (3R01CA240481-02S2). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10357093. Licensed CC0.

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