The relative contributions of psychiatric symptoms and AIDS knowledge to HIV risk behaviors among people with severe mental illness.
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.
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.
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. (...)
Mots-clés Pascal : Trouble psychiatrique, Grave, Prise risque, SIDA, Virose, Infection, Symptomatologie, Relation sexuelle, Voie intraveineuse, Toxicomanie, Connaissance, Homme, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : Mental disorder, Severe, Risk taking, AIDS, Viral disease, Infection, Symptomatology, Sexual intercourse, Intravenous administration, Drug addiction, Knowledge, Human, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0050138
Code Inist : 002B18C14. Création : 21/05/1997.