Equity in HIV mental health research: a call to action.

Journal: Molecular psychiatry

Volume: 27

Issue: 12

Year of Publication: 2022

Affiliated Institutions:  Edinburgh Neuroscience, School of Biomedical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK. Arish.MudraRakshasa@ed.ac.uk.

Abstract summary 

The brain remains a key reservoir of latent HIV infection, and people living with HIV (PLWH) face a high risk for cognitive impairment and psychiatric disorders. Although the burden of HIV infection and co-morbidities is greatest in the Global South, a large proportion of HIV mental health research is carried out in the Global North. Large, well-funded observational cohort studies exploring HIV-associated psychopathology generally involve participant groups from WEIRD (Western, educated, industrialised, rich and democratic) settings. The socioeconomic status and institutional access afforded to these participant groups on average does not reflect those of the majority of beneficiaries of HIV mental health research. This misalignment may lead to limitations in generalising findings and developing effective interventions to improve the mental health of PLWH. Here, I offer recommendations to actively cultivate authentic diversity and inclusion in the field, with four focus points: (1) for funding bodies, to actively invest in neuroscientists in the Global South for investigations of HIV-related psychopathology; (2) for scientific publishers, to fund professional support services for researchers in the Global South; (3) for academic institutions, to facilitate meaningful, equitable collaborations with researchers in the Global South and incentivise studies with diverse participant groups; and (4) for individual neuroscientists, to actively cite and converse with colleagues in the Global South, tackle personal biases in those conversations, and avoid overgeneralising findings from primarily WEIRD participant groups.

Authors & Co-authors:  Mudra Rakshasa-Loots Arish A

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Wallace DR. HIV-associated neurotoxicity and cognitive decline: therapeutic implications. Pharmacol Ther. 2021;234:108047.
Authors :  1
Identifiers
Doi : 10.1038/s41380-022-01748-8
SSN : 1476-5578
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Study Design
Cohort Study,Cross Sectional Study
Study Approach
Country of Study
Publication Country
England