Substance abuse as a risk factor for HIV sexual risk behavior among persons with severe mental illness: Review of evidence and exploration of mechanisms

Journal Article (Review;Journal)

Persons with severe mental illness (SMI) comprise a growing proportion of the HIV-infected population, likely fueled by high rates of substance abuse. This article documents the rate of HIV infection among persons dually diagnosed with SMI and substance use disorders (SUDs) and reviews empirical studies examining the association between substance abuse and sexual risk behavior. It then discusses potential mechanisms through which substance abuse might relate to sexual risk behavior, including additive/synergistic effects of SMI and SUD. The evidence suggests that dually diagnosed persons are at high risk for HIV, yet little is known about how substance abuse contributes to sexual risk behavior. Directions for future research and recommendations for clinical practice are outlined. © 2007 American Psychological Association.

Full Text

Duke Authors

Cited Authors

  • Meade, CS; Weiss, RD

Published Date

  • March 1, 2007

Published In

Volume / Issue

  • 14 / 1

Start / End Page

  • 23 - 33

Electronic International Standard Serial Number (EISSN)

  • 1468-2850

International Standard Serial Number (ISSN)

  • 0969-5893

Digital Object Identifier (DOI)

  • 10.1111/j.1468-2850.2007.00059.x

Citation Source

  • Scopus