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dc.contributor.authorHIGGINS, AGNESen
dc.date.accessioned2017-04-19T12:23:49Z
dc.date.available2017-04-19T12:23:49Z
dc.date.created2015en
dc.date.issued2015en
dc.date.submitted2015en
dc.identifier.citationPandor Abdullah, Kaltenthaler Eva, Higgins Agnes, Lorimer Karen, Smith Shubulade, Wylie Kevan, Wong Ruth, Sexual health risk reduction interventions for people with severe mental illness: a systematic review, BMC public health, 15, 1, 2015, 138 -en
dc.identifier.issn1471-2458en
dc.identifier.otherYen
dc.identifier.urihttp://hdl.handle.net/2262/79857
dc.descriptionPUBLISHEDen
dc.description.abstractBackground Despite variability in sexual activity among people with severe mental illness, high-risk sexual behavior (e.g. unprotected intercourse, multiple partners, sex trade and illicit drug use) is common. Sexual health risk reduction interventions (such as educational and behavioral interventions, motivational exercises, counselling and service delivery), developed and implemented for people with severe mental illness, may improve participants’ knowledge, attitudes, beliefs behaviors or practices (including assertiveness skills) and could lead to a reduction in risky sexual behavior. This systematic review evaluates the effectiveness of sexual health risk reduction interventions for people with severe mental illness. Methods Thirteen electronic databases (including MEDLINE, EMBASE and PsycINFO) were searched to August 2014, and supplemented by hand-searching relevant articles and contacting experts. All controlled trials (randomized or non-randomized) comparing the effectiveness of sexual health risk reduction interventions with usual care for individuals living in the community with severe mental illness were included. Outcomes included a range of biological, behavioral and proxy endpoints. Narrative synthesis was used to combine the evidence. Results Thirteen controlled trials (all from the USA) were included. Although there was no clear and consistent evidence that interventions reduce the total number of sex partners or improved behavioral intentions in sexual risk behavior, positive effects were generally observed in condom use, condom protected intercourse and on measures of HIV knowledge, attitudes to condom use and sexual behaviors and practices. However, the robustness of these findings is low due to the large between study variability, small sample sizes and low-to-moderate quality of included studies. Conclusions There is insufficient evidence at present to fully support or reject the identified sexual health risk reduction interventions for people with severe mental illness. Given the serious consequences of high-risk sexual behaviors, there is an urgent need for well-designed UK based trials, as well as training and support for staff implementing sexual health risk reduction interventions.en
dc.format.extent138en
dc.publisherBioMed Centralen
dc.relation.ispartofseriesBMC public healthen
dc.relation.ispartofseries15en
dc.relation.ispartofseries1en
dc.rightsYen
dc.subjectSystematic reviewen
dc.titleSexual health risk reduction interventions for people with severe mental illness: a systematic reviewen
dc.typeJournal Articleen
dc.type.supercollectionscholarly_publicationsen
dc.type.supercollectionrefereed_publicationsen
dc.identifier.peoplefinderurlhttp://people.tcd.ie/ahigginsen
dc.identifier.rssinternalid158700en
dc.rights.ecaccessrightsopenAccess
dc.identifier.orcid_id0000-0002-0631-1884en


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