Electronic Cigarettes as a Harm Reduction Strategy Among People Living With HIV/AIDS

This is a research study to understand and determine the effectiveness of electronic cigarettes versus nicotine replacement therapy in adults who smoke and also live with HIV/AIDS in effort to reduce cigarette smoking.

Inclusion Criteria: * Current Combustible Cigarette (CC) smokers (more than 5 packs in a lifetime; smokes 4 or more days/week), * Smokes at least 10 cigarettes per day on days they smoke CC. * Motivated to quit smoking (at least a 5 on a 10-point Likert scale). * Must be able to provide consent * Agree to be randomized and followed-up with, * Reside in New York City * Be willing to use an e-cigarette or NRT for 12 weeks. Exclusion Criteria: * Are pregnant (as determined by urine test) or breastfeeding (self-reported), * State diagnosis of any medical condition (angina/heart disease) precluding use of nicotine patch or gum, or by self-report in screening questionnaire * Reporting using NRTs or e-cigarettes or within the last 30 days * Have untreated/are undergoing current treatment for psychiatric illness or cognitive impairment at time of initial screening as determined by the subjects' primary care doctor or a licensed study team member in screening * Report a history of severe or untreated cardiopulmonary disease such as asthma or emphysema.