Primary and Secondary HIV Prevention Among Persons with Severe Mental Illness: Recent Findings.

Journal Article (Journal Article;Review)

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.

Full Text

Duke Authors

Cited Authors

  • Hobkirk, AL; Towe, SL; Lion, R; Meade, CS

Published Date

  • December 2015

Published In

Volume / Issue

  • 12 / 4

Start / End Page

  • 406 - 412

PubMed ID

  • 26428958

Pubmed Central ID

  • PMC4812670

Electronic International Standard Serial Number (EISSN)

  • 1548-3576

Digital Object Identifier (DOI)

  • 10.1007/s11904-015-0294-4


  • eng

Conference Location

  • United States