title: Primary and Secondary HIV Prevention Among Persons with Severe Mental Illness: Recent Findings.
abstract: Persons with severe mental illness (SMI) have been disproportionately affected by the HIV epidemic, with higher rates of HIV prevalence and morbidity than the general population. Recent research has advanced our understanding of the complex factors that influence primary and secondary HIV prevention for those with SMI. Sex risk in this population is associated with socioeconomic factors (e.g., low income, history of verbal violence) and other health risk behaviors (e.g., substance use, no prior HIV testing). Several interventions are effective at reducing risk behavior, and reviews highlight the need for more well-controlled studies that assess long-term outcomes. Recent research has elucidated barriers that interfere with HIV treatment for SMI populations, including individual (e.g., apathy, substance use), social (e.g., stigma), and system factors (e.g., transportation, clinic wait times). Interventions that coordinate HIV care for individuals with SMI show promise as cost-effective methods for improving medication adherence and quality of life.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Box 90519, Durham, NC, 27708, USA. Andrea.Hobkirk@duke.edu.
authors.forename: Andréa L
authors.initials: AL
authors.lastname: Hobkirk
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Box 90519, Durham, NC, 27708, USA. Sheri.Towe@duke.edu.
authors.forename: Sheri L
authors.initials: SL
authors.lastname: Towe
authors.affiliation: Duke Global Health Institute, Duke University, 310 Trent Drive, Trent Hall, Durham, NC, 27708, USA. Ryan.Lion@duke.edu.
authors.forename: Ryan
authors.initials: R
authors.lastname: Lion
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Box 90519, Durham, NC, 27708, USA. Christina.Meade@duke.edu.|Duke Global Health Institute, Duke University, 310 Trent Drive, Trent Hall, Durham, NC, 27708, USA. Christina.Meade@duke.edu.
authors.forename: Christina S
authors.initials: CS
authors.lastname: Meade
mesh_terms: D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D001523:Mental Disorders / Q000150:complications*; D012307:Risk Factors; D012959:Socioeconomic Factors; D047568:Unsafe Sex / Q000517:prevention & control*
keywords: AIDS; HIV; Prevention; Serious mental illness; Sex risk