The impact of mental health and substance abuse factors on HIV prevention and treatment
The impact of mental health and substance abuse factors on HIV prevention and treatment
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DOI：
10.1097/qai.0b013e3181605b26
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发表时间：
2008-03-01
影响因子：
3.6
通讯作者：
Schumacher, Joseph E.
中科院分区：
文献类型：
--
作者：
Walkup, James;Blank, Michael B.;Schumacher, Joseph E.
艾滋病毒，药物滥用（SA）和精神疾病（MI）的融合代表了卫生保健提供者，政策制定者和研究人员的独特挑战。以前对精神病患者和药物滥用人群的研究表明，精神病和一般医学合并症的发生率很高。此外，艾滋病毒/艾滋病感染者的心肌梗死和其他身体合并症的发病率显著升高。这种同时发生的疾病模式被描述为一种综合流行病。当涉及两种或两种以上疾病的相关健康问题协同作用并导致人口中疾病负担过重时，就会出现综合性健康问题。当与健康有关的问题按个人、地点或时间聚集在一起时，就会出现综合征的证据。本文介绍了一个研究议程，开始了解MI，SA和艾滋病毒之间的复杂关系，并概述了在这些领域的社会和行为科学研究网络的研究议程。
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.