The HIV epidemic among individuals with mental illness in the United States.

Sheri D. Weiser, William R. Wolfe, David Bangsberg

Research output: Contribution to journalReview article

31 Citations (Scopus)

Abstract

People with depression and other mental illness comprise a growing proportion of individuals living with HIV in the United States; at the same time, the prevalence of HIV among mentally ill individuals is at least seven times higher than in the general population. Individuals with mental illness are particularly vulnerable to infection with HIV because of several factors, including the higher prevalence of poverty, homelessness, high-risk sexual activities, drug abuse, sexual abuse, and social marginalization found in this population. Nevertheless, mentally ill individuals are often not screened for HIV and may not be appropriately targeted in current HIV prevention efforts. Moreover, despite widespread access to antiretroviral treatment in the United States, HIV outcomes among mentally ill individuals continue to be poor. This disparity can be explained by several interrelated factors, including lower rates of highly active antiretroviral therapy (HAART) utilization, lower rates of adherence to HAART, and immunologic changes associated with mental illness itself. We need to improve our design of prevention, screening, and treatment programs to better reach individuals with comorbid HIV and mental illness.

Original languageEnglish (US)
Pages (from-to)186-192
Number of pages7
JournalCurr HIV/AIDS Rep
Volume1
Issue number4
StatePublished - Dec 2004
Externally publishedYes

Fingerprint

HIV
Mentally Ill Persons
Highly Active Antiretroviral Therapy
Social Marginalization
Homeless Persons
Sex Offenses
Poverty
Sexual Behavior
Population
HIV Infections
Substance-Related Disorders
Depression
Therapeutics

ASJC Scopus subject areas

  • Virology
  • Infectious Diseases

Cite this

The HIV epidemic among individuals with mental illness in the United States. / Weiser, Sheri D.; Wolfe, William R.; Bangsberg, David.

In: Curr HIV/AIDS Rep, Vol. 1, No. 4, 12.2004, p. 186-192.

Research output: Contribution to journalReview article

Weiser, Sheri D. ; Wolfe, William R. ; Bangsberg, David. / The HIV epidemic among individuals with mental illness in the United States. In: Curr HIV/AIDS Rep. 2004 ; Vol. 1, No. 4. pp. 186-192.
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