Journal
AIDS AND BEHAVIOR
Volume 14, Issue 2, Pages 252-262Publisher
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-009-9650-y
Keywords
HIV prevention; Mental health; Secondary HIV prevention; Positive prevention; Methodology
Funding
- NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES [P30AI064518] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE OF MENTAL HEALTH [R01MH078731, K23MH076671, R25MH080916] Funding Source: NIH RePORTER
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Secondary HIV prevention, or positive prevention, is concerned with reducing HIV transmission risk behavior and optimizing the health and quality of life of people living with HIV/AIDS (PLWHA). The association between mental health and HIV transmission risk (i.e., sexual risk and poor medication adherence) is well established, although most of this evidence is observational. Further, a number of efficacious mental health treatments are available for PLWHA yet few positive prevention interventions integrate mental health treatment. We propose that mental health treatment, including behavioral and pharmacologic interventions, can lead to reductions in HIV transmission risk behavior and should be a core component of secondary HIV prevention. We present a conceptual model and recommendations to guide future research on the effect of mental health treatment on HIV transmission risk behavior among PLWHA.
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