Evidence map›Paper›PMID 37185201›Full record

ArticleBMJ open2023

Prevalence of HIV in mental health service users: a retrospective cohort study.

Margaret Heslin, Amelia Jewell, Sara Croxford, Cuong Chau, Shubulade Smith, Rudiger Pittrof, Elana Covshoff, Ann Sullivan, Valerie Delpech, Alison Brown and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Social Support as a Mediator in the Relationship Between Stigma and Mental Health in Adults Living with HIV.International journal of environmental research and public health · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Margaret HeslinInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK margaret.heslin@kcl.ac.uk.ORCID 0000-0002-3094-9255
Amelia JewellSouth London and Maudsley NHS Foundation Trust, London, UK.ORCID 0000-0002-0887-2159
Sara CroxfordUK Health Security Agency, London, UK.ORCID 0000-0003-2220-623X
Cuong ChauUK Health Security Agency, London, UK.
Shubulade SmithInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Rudiger PittrofGuy's and St Thomas' NHS Foundation Trust, London, UK.
Elana CovshoffGuy's and St Thomas' NHS Foundation Trust, London, UK.
Ann SullivanUK Health Security Agency, London, UK.
Valerie DelpechUK Health Security Agency, London, UK.
Alison BrownUK Health Security Agency, London, UK.
Helena P KingSchool of Health, Wellbeing and Social Care, The Open University, Milton Keynes, UK.
Mina KakaiyaKing's College London, London, UK.
Lucy CampbellKing's College London, London, UK.
Elizabeth HughesSchool of Health and Social Care, Edinburgh Napier University, Edinburgh, UK.
Robert StewartInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

Funding

Academy of Medical Sciences MR/W014386Department of HealthMedical Research Council MC_PC_17214Medical Research Council MR/T045302/1Medical Research Council MR/V049879/1Medical Research Council MR/W014386/1
6 · The paper itself

Abstract

objectiveTo examine the prevalence of HIV in a cohort of people who have used secondary mental health services in the UK.

designRetrospective cohort study.

settingRoutinely collected clinical data from secondary mental health services in South London, UK available for research through the Clinical Record Interactive Search tool at the National Institute for Health and Care Research Maudsley Biomedical Research Centre were matched with pseudonymised national HIV surveillance data held by the UK Health Security Agency using a deterministic matching algorithm.

participantsAll adults aged 16+ who presented for the first time to mental health services in the South London and Maudsley (SLaM) National Health Service Trust between 1 January 2007 and 31 December 2018 were included. PRIMARY OUTCOME: Point prevalence of HIV.

resultsThere were 181 177 people who had contact with mental health services for the first time between 2007 and 2018 in SLaM. Overall, 2.47% (n=4481) of those had a recorded HIV diagnosis in national HIV surveillance data at any time (before, during or after contact with mental health services), 24.73 people per 1000. HIV point prevalence was highest in people with a diagnosed substance use disorder at 3.77% (n=784). A substantial percentage of the sample did not have a formal mental health diagnosis (27%), but even with those excluded, the point prevalence remained high at 2.31%. Around two-thirds of people had their diagnosis of HIV before contact with mental health services (67%; n=1495).

conclusionsThe prevalence of HIV in people who have had contact with mental health services was approximately 2.5 times higher than the general population in the same geographical area. Future work should investigate risk factors and disparities in HIV outcomes between those with and without mental health service contact.

Indexed as

HIV InfectionsMental DisordersMental Health ServicesSubstance-Related DisordersAdultHumansPrevalenceRetrospective StudiesState MedicineHIV & AIDSMENTAL HEALTHSEXUAL MEDICINE

Identifiers

PMID37185201
PMCPMC10186409

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.