The impact of mental health and substance abuse factors on HIV prevention and treatment

被引：73
|
作者：
Walkup, James [1 ,2 ]
Blank, Michael B. [3 ,4 ]
Gonzalez, Jeffrey S. [5 ]
Safren, Steven [5 ,6 ]
Schwartz, Rebecca [5 ,7 ]
Brown, Larry [8 ]
Wilson, Ira [9 ]
Knowlton, Amy [10 ]
Lombard, Frank [11 ]
Grossman, Cynthia [12 ]
Lyda, Karen [13 ]
Schumacher, Joseph E. [14 ]
机构：
[1] Rutgers State Univ, Inst Hlth Hlth Care Policy, New Brunswick, NJ USA
[2] Rutgers State Univ, Grad Sch Appl & Profess Psychol, New Brunswick, NJ USA
[3] Univ Penn, Sch Med, Dept Psychiat, Ctr Mental Hlth Policy, Philadelphia, PA 19104 USA
[4] Univ Penn, Sch Med, Dept Psychiat, Res Serv, Philadelphia, PA 19104 USA
[5] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Boston, MA 02115 USA
[6] Fenway Community Hlth, Boston, MA USA
[7] SUNY Stony Brook, Downstate Med Ctr, New York, NY USA
[8] Brown Univ, Rhode Isl Hosp, Warren Alpert Med Sch, Bradley Hasbro Childrens Res Ctr, Providence, RI 02903 USA
[9] Tufts Univ New England Med Ctr, Inst Clin Res & Hlth Policy Studies, Boston, MA USA
[10] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Hlth Behav & Soc, Baltimore, MD USA
[11] Duke Univ, Ctr Hlth Policy, Durham, NC USA
[12] NIMH, NIH, Bethesda, MD 20892 USA
[13] Univ Colorado, Univ Colorado Hosp, Infect Dis Grp Practice, Denver, CO 80202 USA
[14] Univ Alabama Birmingham, Ctr AIDS Res, Div Prevent Med, Birmingham, AL USA
来源：
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES | 2008年 / 47卷
关键词：
D O I：
10.1097/QAI.0b013e3181605b26
中图分类号：
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号：
100102 ;
摘要：
The convergence of HIV, substance abuse (SA), and mental illness (MI) represents a distinctive challenge to health care providers, policy makers, and researchers. Previous research with the mentally ill and substance-abusing populations has demonstrated high rates of psychiatric and general medical comorbidity. Additionally, persons living with HIV/AIDS have dramatically elevated rates of MI and other physical comorbidities. This pattern of co-occurring conditions has been described as a syndemic. Syndemic health problems occur when linked health problems involving 2 or more afflictions interact synergistically and contribute to the excess burden of disease in a population. Evidence for syndemics arises when health-related problems cluster by person, place, or time. This article describes a research agenda for beginning to understand the complex relations among MI, SA, and HIV and outlines a research agenda for the Social and Behavioral Science Research Network in these areas.
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页码：S15 / S19
页数：5
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