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The intersection of intellectual and developmental disabilities and HIV: A scoping review
Authors:James K. H. Jung  Marina Heifetz  Anna Durbin
Affiliation:1. Adult Neurodevelopmental Services, Centre for Addiction and Mental Health, Toronto, Ontario, Canada;2. Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada;3. Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada;4. Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada;5. Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
Abstract:Background: HIV among individuals with intellectual and developmental disabilities (IDD) is rarely studied. This scoping review examined the HIV prevalence, health service use, prevention and risk behaviours among individuals with IDD.

Method: Journal articles, book chapters and theses written in English and published from 1991 to 2017 in four academic databases (PubMed, PsycINFO, CINAHL and Web of Science) were eligible for inclusion.

Results: From 1636 unique records, 32 documents were included in this review. They contained limited information on HIV prevalence and health service use by individuals with IDD and HIV. Most studies identified a poor understanding of HIV and high-risk behaviours, such as inconsistent condom use, among individuals with IDD. While HIV education programs were effective for this population, no studies identified educational interventions for their service providers.

Conclusion: There is a need for educational programs and policies on HIV for both service providers and individuals with IDD.

Keywords:HIV/AIDS  sexually transmitted diseases  intellectual and developmental disability  service use  primary care  sexual abuse
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