Higher rates of HIV diagnoses found among mentalhealth service users kingscollegelon BMJ_Open
The researchers, at King's College London, found that 2.5% of people who have had contact with mental health services had a recorded diagnosis of HIV. This equates to a diagnosed HIV rate of 24.7 people per 1,000 people. The prevalence of HIV in the general population living in Lambeth, Southwark, Lewisham and Croydon in 2019 was approximately 10 per 1,000.
Dr. Margaret Heslin, Senior Lecturer in Health Economics and Epidemiology, Institute of Psychiatry, Psychology & Neuroscience at King's College London, and first author, said,"The relationship between HIV andis a complex one. The increased prevalence could be a real increase resulting from people with mental health needs being more at risk of acquiring HIV, or from people with HIV being more likely to develop a mental illness, or a combination of both.
"Future work should include examination of risk factors for HIV in people in contact with mental health services so we can think about how to reduce the risk in this group. Additionally, we know that people with mental illness often receive worse physical health care than the, so we need to examine whether people with mental illness and HIV get the same standard of HIV care as the rest of the population.
The researchers explored the prevalence of documented Human Immunodeficiency Virus infection in people who have had contact with mental health services, by linking electronic data. They used the Clinical Record Interactive Search tool at the NIHR Maudsley Biomedical Research Centre to match data collected routinely by mental health services in South London with pseudonymized national HIV data held by the UK Health Security Agency .
Although all people in the cohort had contact with secondary mental health services, 27% of people identified with HIV had no formal mental health diagnosis.followed by
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