A descriptive analysis of HIV prevalence, HIV service uptake, and HIV-related risk behaviour among patients attending a mental health clinic in Rural Malawi.
A descriptive analysis of HIV prevalence, HIV service uptake, and HIV-related risk behaviour among patients attending a mental health clinic in Rural Malawi.
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DOI：
10.1371/journal.pone.0072171
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发表时间：
2013
期刊：
影响因子：
3.7
通讯作者：
Lund C
中科院分区：
文献类型：
--
作者：
Lommerse K;Stewart RC;Chilimba Q;van den Akker T;Lund C
人类免疫缺陷病毒（艾滋病毒）和精神疾病是相互关联的健康问题;精神疾病可能构成感染艾滋病毒的风险，艾滋病毒阳性个体患精神疾病的风险更高。然而，在艾滋病毒流行率高的国家，与艾滋病毒有关的保健方案的主要重点通常是预防和治疗艾滋病毒的躯体并发症，精神疾病没有得到高度重视。我们研究了马拉维农村精神卫生诊所的艾滋病毒感染率、艾滋病毒服务的接受情况以及与艾滋病毒相关的危险行为。半结构化的采访进行了与患者能够同意（94%），并与那些陪同一个有能力的照顾者谁同意。向参与者提供了艾滋病毒咨询和检测。在174名参与者中，我们收集了162份HIV检测结果（91%）。艾滋病毒感染率为14.8%。妇女感染艾滋病毒的可能性是男子的三倍。三分之二的参与者报告在本研究之前接受了艾滋病毒检测。艾滋病毒阳性患者接受艾滋病毒服务的比例很低：35%的患者没有使用推荐的预防性治疗，44%的未接受抗逆转录病毒治疗的患者从未接受过抗逆转录病毒治疗资格评估。报告的性活动率为61%，9%的性活跃参与者有多个伴侣。与稳定性伴侣（89%）和偶尔性伴侣（79%）不一致使用避孕套，以及不了解这些性伴侣的艾滋病毒状况（53%，63%）表明性风险行为的程度很高。在一项人口调查中，到诊所就诊的人，特别是男子的艾滋病毒感染率低于一般人口。艾滋病毒检测率很高，但预防措施和抗逆转录病毒疗法的使用率很低，这表明患有精神疾病或癫痫的艾滋病毒抗体阳性者是弱势群体。艾滋病毒方案应包括那些患有神经精神疾病的人。
Human immunodeficiency virus (HIV) and mental illness are interlinked health problems; mental illness may pose a risk for contracting HIV and HIV-positive individuals are at higher risk of mental illness. However, in countries with high HIV prevalence, the main focus of HIV-related health programmes is usually on prevention and treatment of somatic complications of HIV, and mental illness is not given high priority. We examined HIV prevalence, uptake of HIV services, and HIV-related risk behaviour among people attending a mental health clinic in rural Malawi. Semi-structured interviews were performed with patients capable to consent (94%), and with those accompanied by a capable caregiver who consented. HIV counselling and testing was offered to participants. Among 174 participants, we collected 162 HIV test results (91%). HIV prevalence was 14.8%. Women were three times as likely to be HIV-positive compared to men. Two-thirds of participants reported having been tested for HIV prior to this study. The uptake of HIV-services among HIV-positive patients was low: 35% did not use recommended prophylactic therapy and 44% of patients not receiving antiretroviral treatment (ART) had never been assessed for ART eligibility. The reported rate of sexual activity was 61%, and 9% of sexually active participants had multiple partners. Inconsistent condom use with stable (89%) and occasional (79%) sexual partners, and absence of knowledge of the HIV status of those partners (53%, 63%) indicate high levels of sexual risk behaviour. HIV-prevalence among persons attending the clinic, particularly men, was lower than among the general population in a population survey. The rate of HIV testing was high, but there was low uptake of preventive measures and ART. This illustrates that HIV-positive individuals with mental illness or epilepsy constitute a vulnerable population. HIV programmes should include those with neuropsychiatric illness.
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影响因子：
1.4
作者：
Chandra, PS;Carey, MP;Thomas, T
通讯作者：
Thomas, T
影响因子：
6.9
作者：
Senn, T. E.;Carey, M. P.
通讯作者：
Carey, M. P.
影响因子：
3.3
作者：
Bemelmans, Marielle;van den Akker, Thomas;Massaquoi, Moses
通讯作者：
Massaquoi, Moses
DOI：
10.1097/qad.0b013e32834ed814
发表时间：
2012-01-28
期刊：
AIDS (London, England)
影响因子：
--
作者：
Weigel R;Estill J;Egger M;Harries AD;Makombe S;Tweya H;Jahn A;Keiser O
通讯作者：
Keiser O
影响因子：
1.7
作者：
Collins PY;Berkman A;Mestry K;Pillai A
通讯作者：
Pillai A