Patients with chronic mental illnesses constitute an important risk group for HIV infection overseas.
This study aimed to determine the prevalence of risk behaviours associated with HIV transmission and factors associated with HIV testing in psychiatric patients in Melbourne.
Inpatients and outpatients completed an interviewer-administered questionnaire which covered demographics, psychiatric diagnosis, risk behaviour, and HIV education and testing.
Of 145 participants, 60% were male and 55.2% had schizophrenia.
Injecting drug use (IDU) was reported by 15.9%, a figure approximately 10 times that found in other population surveys.
Most patients reported sex in the last decade and over 20% had multiple sexual partners in the last year.
Of males, 12.6% reported sex with another male (9.2% anal sex) ; 19.0% of females reported sex with a bisexual male.
Nearly half of the males reported sex with a prostitute, 2.5 times that in a population sample.
Only 15.9% reported ever having someone talk to them specifically about HIV and its transmission, although one-third had been tested for HIV.
In multivariate analysis, male-male sex, paying for sex, and IDU were associated with HIV testing, but those whose primary language was not English were less likely to be tested.
Those who had received HIV education were more likely to have used a condom last time they had sex (OR 4.52,95% CI 1.49-14.0). (...)
Mots-clés Pascal : Trouble psychiatrique, Chronique, Facteur risque, SIDA, Virose, Infection, Comportement sexuel, Prise risque, Association morbide, Toxicomanie, Prévalence, Epidémiologie, Homme, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : Mental disorder, Chronic, Risk factor, AIDS, Viral disease, Infection, Sexual behavior, Risk taking, Concomitant disease, Drug addiction, Prevalence, Epidemiology, Human, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0445920
Code Inist : 002B06D01. Création : 03/02/1998.