Understanding the sexual risk behaviours of people living with different mental illnesses and their vulnerability to HIV infection.

Abstract

This study was primarily carried out in order to assess the sexual risk behaviours of people living with mental illnesses as well as their vulnerability to HIV infection. It sets out the basic realities of the interaction between mental illness and HIV/AIDS and its impact on individuals and communities. This study explores the implications for health policy and practice, and suggests how to provide better support and assistance in the empowerment of people living with mental illness as far as HIV and AIDS is concerned, including community support. It was also the aim of this study to look into the factors that expose this group of people to HIV infection as well as to understand the link between HIV/AIDS and mental illness. It also tested the inclusion of people with mental disabilities in HIV and AIDS prevention and education programmes. The research was conducted on the basis of a qualitative research design. A semi-structured interview schedule was used in broad based interviews to gather information from caregivers or guardians of people with mental disabilities as well as the professionals in the mental health sector. The results of the research revealed that people who are living with mental illnesses are a vulnerable group as regards HIV infection. It also conveys that this group of people presents with sexual risk behaviours, which increase their vulnerability to HIV and AIDS. In addition, there are many barriers against the inclusion of this group of people in HIV and AIDS prevention and education programmes and, as a result, they are often excluded from participating in such programmes. Importantly, the findings of this study acknowledge that there is a two-fold relationship between mental illness and HIV/AIDS. It indicates that mental illnesses are still regarded as mysterious in the community and there is much stigma and discrimination towards the mentally ill, increasing their vulnerability to HIV infection.