Rahim Faraan O, Kannan Kavya, Katyal Meghna, Wang Velda, Basrai Zavera K, Lartey Henry S Q, Jain Bhav, Hammond Alessandro, Patel Tej, Knettel Brandon A
Duke Global Health Institute, Duke University, Durham, NC.
University of Texas at Dallas, Dallas, TX.
Ethn Dis. 2025 May 7;35(2):53-57. doi: 10.18865/EthnDis-2023-46. eCollection 2025 May.
People living with HIV in sub-Saharan Africa bear a disproportionate burden of mental and behavioral health disorders compared with the general population. Several health care systems throughout the region have made efforts to integrate HIV and mental health care, but these systems have met challenges in long-term sustainability due to limited care continuity and insufficient attention to social determinants of health. In this commentary, we propose evidence-based recommendations for integrating HIV and mental health care that may overcome these barriers. These strategies include mental health screenings and referrals during routine HIV clinic visits, community-based mobile clinics and telemedicine to expand access to mental health services, concurrent mental health and HIV education within schools, and models for future health care innovation. These approaches have the potential to offer an entire continuum of care for people living with HIV and co-occurring mental health disorders, mitigating the dual burden of these conditions in sub-Saharan Africa.
与普通人群相比，撒哈拉以南非洲地区的艾滋病毒感染者承受着不成比例的精神和行为健康障碍负担。该地区的几个医疗保健系统已努力将艾滋病毒和精神卫生保健相结合，但由于护理连续性有限以及对健康的社会决定因素关注不足，这些系统在长期可持续性方面面临挑战。在这篇评论中，我们提出了基于证据的将艾滋病毒和精神卫生保健相结合的建议，这些建议可能会克服这些障碍。这些策略包括在常规艾滋病毒诊所就诊期间进行心理健康筛查和转诊、基于社区的流动诊所和远程医疗以扩大获得心理健康服务的机会、在学校同时开展心理健康和艾滋病毒教育以及未来医疗保健创新模式。这些方法有可能为艾滋病毒感染者和并发精神健康障碍者提供一整套连续护理，减轻撒哈拉以南非洲地区这些疾病的双重负担。
