HIV testing among individuals with a severe mental illness: review, suggestions for research, and clinical implications
HIV testing among individuals with a severe mental illness: review, suggestions for research, and clinical implications
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DOI：
10.1017/s0033291708003930
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发表时间：
2009-03-01
影响因子：
6.9
通讯作者：
Carey, M. P.
中科院分区：
文献类型：
--
作者：
Senn, T. E.;Carey, M. P.
背景。患有严重精神疾病 (SMI) 的人中人类免疫缺陷病毒 (HIV) 的患病率较高。由于 HIV 检测的好处，对于 SMI 患者来说，定期接受检测非常重要。本综述的目标是： 总结有关 SMI 个体中 HIV 检测流行率、相关性和干预措施的知识；确定研究需求；并讨论所审查研究的临床意义。方法。使用 PsycINFO、PubMed 和 Medline 进行文献检索。其他文章是从相关文章的参考列表中获得的。结果。去年，只有不到一半的 SMI 患者接受过 HIV 检测。从事性行为或吸毒危险行为是艾滋病毒检测唯一一致的相关因素。在 SMI 患者中促进 HIV 检测的干预措施尚未得到很好的制定或评估。结论。需要对 SMI 患者进行 HIV 检测研究。精神卫生机构可能是艾滋病毒检测的合适场所，尽管提供者在这些机构中实施检测项目时面临道德挑战。
Background. The prevalence of human immunodeficiency virus (HIV) is elevated among individuals with a severe mental illness (SMI). Because of the benefits of HIV testing, it is important for individuals with SMI to have routine access to testing. The goals of this review are: to summarize knowledge about HIV testing prevalence, correlates, and interventions among individuals with an SMI; to identify research needs; and to discuss clinical implications of the studies reviewed.Method. Literature searches were conducted using PsycINFO, PubMed, and Medline. Additional articles were obtained from reference lists of relevant articles.Results. Fewer than one-half of individuals with an SMI have been tested for HIV in the past year. Engaging in sex or drug risk behavior was the only consistent correlate of HIV testing. Interventions for promoting HIV testing among individuals with an SMI have not been well developed or evaluated.Conclusions. Research on HIV testing among individuals with an SMI is needed. Mental health settings may be opportune venues for HIV testing, even though providers face ethical challenges when implementing testing programs in these settings.