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The relative contributions of psychiatric symptoms and AIDS knowledge to HIV risk behaviors among people with severe mental illness

, : The relative contributions of psychiatric symptoms and AIDS knowledge to HIV risk behaviors among people with severe mental illness. Journal of Clinical Psychiatry 57(11): 506-513

Background: This study was designed to determine whether psychiatric symptoms and acquired immunodeficiency syndrome (AIDS) knowledge predict human immunodeficiency virus (HIV) risk behavior among people with severe mental illness. Method: We interviewed 178 psychiatric patients to determine Axis I diagnosis, level of functioning, severity of psychiatric symptoms, knowledge about AIDS, sexual risk behaviors in the previous 6 months, and drug injection since 1978. Severity of psychiatric symptoms was rated on the Positive and Negative Syndrome Scale within the classification of positive, negative, cognitive, excited, and depressed/anxious symptoms. Results: Ninety-two patients (51.7%) reported being sexually active in the previous 6 months. Of sexually active patients for whom data were available, 44 (47.8%) of 92 had multiple sex partners; 32 (35.2%) of 91 used drugs during sex; 27 (29.7%) of 91 traded sex for drugs, money, or other goods; and 50 (58.1%) of 86 never used condoms. Thirty-one patients (17.5%) had drug-injection histories. The median AIDS knowledge score was 23 (82.1%) of 28. Although AIDS knowledge was negatively correlated with cognitive and negative symptoms and positively correlated with excitement, knowledge alone did not predict any risk behavior. However, when AIDS knowledge was taken together with age and excited symptoms, the odds of being sexually active versus abstinent were three times higher among patients with better AIDS knowledge and twice higher among patients with greater excited symptoms. Having multiple sex partners was nearly three times as likely among patients with greater positive symptoms. Trading sex was more than three times as likely among patients with schizophrenia than among those with other diagnoses and more than five times as likely among those with more excitement symptoms. Conclusion: Patients, particularly those who were sexually active, were well informed about AIDS. Specific psychiatric conditions, including the presence of positive and excited symptoms and a diagnosis of schizophrenia, predicted certain sexual risk behaviors and must be the focus of innovative prevention efforts.


PMID: 8968298

Other references

Lutz, S., 1991: Inpatient bias keeps ambulatory growth modest; rehabilitation, sports medicine increase their pace. Modern Healthcare 21(20): 103-4, 106

Mbaya,A.W.; Aliyu,M.M.; Nwosu,C.O.; Ibrahim,U.I., 2008: Captive wild animals as potential reservoirs of haemo and ectoparasitic infections of man and domestic animals in the arid-region of Northeastern Nigeria. Haematological examination of 114 captive wild animals belonging to 3 groups revealed blood infection with one or more haemo or ecto-parasites per animal. The carnivores harboured infections with mainly <i>Babesia canis</i>, <i>B...

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Pinker, R., 1983: Sineugraphe Brsn. carvalhoi n. sp. (Lep., Noctuidae). Zeitschrift der Arbeitsgemeinschaft Oesterreichischer Entomologen, 351-2: 13

Wiehart, U.I.M.; Klein, G.; Steels, P.; Nicolson, S.W.; Van Kerkhove, E., 2003: K(+) transport in Malpighian tubules of Tenebrio molitor L: is a K(ATP) channel involved?. The presence of ATP-regulated K(+) (K(ATP)) channels in Tenebrio molitor Malpighian tubules was investigated by examining the effect of glibenclamide on both fluid secretion and basolateral membrane potentials (V(bl)). Glibenclamide, a K(ATP) chan...

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D'Agostino, L.; D'Argenio, G.; Ciacci, C.; Daniele, B.; Macchia, V.; Mazzacca, G., 1984: Diamine oxidase in rat small bowel: distribution in different segments and cellular location. Diamine oxidase (DAO) is an enzyme with high activity found in the small bowel mucosa of the rat and man, and only with very low activity in all other tissues. The present study was designed to investigate the enzymatic distribution along 8 consec...

Glimcher, M.E.; Flynn, E.A.; Szabo, G., 1979: Ultrastructure of normals and castrates and the effects of testosterone and ultraviolet (UVL-B) irradiation on scrotal skin of rats. The ultrastructure of the testosterone dependent epidermal melanocyte system of the scrotal skin of normals and castrates, with and without testosterone replacement therapy, and UVL-B (280-315 nm) radiation in black Long Evans rats is reported. UV...

Beardi B.; Opitz M., 1988: The area of the head in the cat auto immune and similar alterations. Kleintierpraxis 33(8): 309-313

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