TY - JOUR
T1 - HIV-risk behavior among outpatients at a state psychiatric hospital
T2 - Prevalence and risk modeling
AU - Carey, Michael P.
AU - Carey, Kate B.
AU - Maisto, Stephen A.
AU - Gleason, John R.
AU - Gordon, Christopher M.
AU - Brewer, Kristen K.
N1 - Funding Information:
This study was supported by a grant from the NIMH to the first author (R01-MH54929). The authors thank Kristin Barnes, Connie Basra, Susan Bland, Brian Borsari, Christopher Correia, Lauren Durant, Don Fredericks, Julie Fuller, JulieAnn Hartley, Deborah Kahkejian, Jaejin Kim, Pat Lewis, William Licurse, Jeanette Mattson, Teal Pedlow, David Peppel, Eileen Ryan, and Lance Weinhardt for their assistance with the Health Improvement Project.
PY - 1999
Y1 - 1999
N2 - The purpose of this archival study was to determine the prevalence and correlates of HIV-related risk behavior among adults with a severe and persistent mental illness (SPMI). Hospital records at a public psychiatric hospital were reviewed to obtain data on demographic and psychiatric characteristics, sexual behavior, and substance use. Data were available from 889 (73%) of 1,214 eligible outpatients. Of these 889 patients, 49% were sexually active, 52% used alcohol, and 18% used street drugs during the past year. Eleven percent were at high risk for HIV infection: 7% reported having three or more sexual partners, 3% had been infected with a sexually transmitted disease (STD), 3% had traded sex, and fewer than 1% had shared injection equipment. HIV-risk status was modeled with logistic regression using diagnosis, type of residence, drug and alcohol use, and demographic variables; five- and six-predictor models were derived for two HIV-risk indicators. A bootstrap simulation supported the reliability of each model. We concluded that approximately half of the adults living with a SPMI are sexually active, and a minority engages in behaviors that increase risk of HIV infection. Routine screening for HIV risk in psychiatric settings can identify patients who may benefit from risk-reduction programs.
AB - The purpose of this archival study was to determine the prevalence and correlates of HIV-related risk behavior among adults with a severe and persistent mental illness (SPMI). Hospital records at a public psychiatric hospital were reviewed to obtain data on demographic and psychiatric characteristics, sexual behavior, and substance use. Data were available from 889 (73%) of 1,214 eligible outpatients. Of these 889 patients, 49% were sexually active, 52% used alcohol, and 18% used street drugs during the past year. Eleven percent were at high risk for HIV infection: 7% reported having three or more sexual partners, 3% had been infected with a sexually transmitted disease (STD), 3% had traded sex, and fewer than 1% had shared injection equipment. HIV-risk status was modeled with logistic regression using diagnosis, type of residence, drug and alcohol use, and demographic variables; five- and six-predictor models were derived for two HIV-risk indicators. A bootstrap simulation supported the reliability of each model. We concluded that approximately half of the adults living with a SPMI are sexually active, and a minority engages in behaviors that increase risk of HIV infection. Routine screening for HIV risk in psychiatric settings can identify patients who may benefit from risk-reduction programs.
UR - http://www.scopus.com/inward/record.url?scp=0033498829&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0033498829&partnerID=8YFLogxK
U2 - 10.1016/S0005-7894(99)80017-3
DO - 10.1016/S0005-7894(99)80017-3
M3 - Article
AN - SCOPUS:0033498829
SN - 0005-7894
VL - 30
SP - 389
EP - 406
JO - Behavior Therapy
JF - Behavior Therapy
IS - 3
ER -