TY - JOUR
T1 - The impact of mental health and substance abuse factors on HIV prevention and treatment
AU - Walkup, James
AU - Blank, Michael B.
AU - Gonzalez, Jeffrey S.
AU - Safren, Steven
AU - Schwartz, Rebecca
AU - Brown, Larry
AU - Wilson, Ira
AU - Knowlton, Amy
AU - Lombard, Frank
AU - Grossman, Cynthia
AU - Lyda, Karen
AU - Schumacher, Joseph E.
PY - 2008/3
Y1 - 2008/3
N2 - 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.
AB - 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.
KW - Addiction
KW - Depression
KW - Health services
KW - Mental illness
KW - Substance abuse
UR - http://www.scopus.com/inward/record.url?scp=40049090198&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=40049090198&partnerID=8YFLogxK
U2 - 10.1097/QAI.0b013e3181605b26
DO - 10.1097/QAI.0b013e3181605b26
M3 - Article
C2 - 18301129
AN - SCOPUS:40049090198
SN - 1525-4135
VL - 47
SP - S15-S19
JO - Journal of Acquired Immune Deficiency Syndromes
JF - Journal of Acquired Immune Deficiency Syndromes
IS - SUPPL. 1
ER -