To review the published literature in relation to prevalence of HIV infection and risk behaviours for HIV among the mentally ill to assist in the development of appropriate strategies for public health policy, surveillance and clinical management of HIV and HIV risk in these groups.
A search of published literature was carried out using'Medline'in association with following up appropriate papers cited in the references of journals identified.
The North American literature shows an increased risk of HIV infection in psychiatric patients receiving treatment in both inpatient or community settings.
HIV infection is associated with a number of risk behaviours, particularly male homosexual sex and injecting drug use, and being the sexual partner of a person with a history of these.
Impulsivity, high levels of sexual activity during acute exacerbations of psychiatric illness, poor skills at negotiating safe sex, homelessness and drug abuse are all risk behaviours common among those affected by some mental illnesses.
The mentally ill also have a comparatively poorer knowledge of HIV/AIDS.
There is a dearth of published Australian data addressing the question of HIV seroprevalence or risk in the mentally ill.
Although there has been development and implementation of HIV risk-reduction programs overseas, the development and evaluation of any programs in Australia has not been published. (...)
Mots-clés Pascal : Trouble psychiatrique, Comportement sexuel, Prise risque, Facteur risque, SIDA, Virose, Infection, Immunodéficit, Hémopathie, Prévalence, Epidémiologie, Australie, Océanie, Homme, Article synthèse
Mots-clés Pascal anglais : Mental disorder, Sexual behavior, Risk taking, Risk factor, AIDS, Viral disease, Infection, Immune deficiency, Hemopathy, Prevalence, Epidemiology, Australia, Oceania, Human, Review
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0339345
Code Inist : 002B18C14. Création : 10/04/1997.