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1996-02-26
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Document 0837
DOCN M9620837
TI Predictors of high and low levels of HIV risk behavior among adults with
chronic mental illness.
DT 9602
AU Kelly JA; Murphy DA; Sikkema KJ; Somlai AM; Mulry GW; Fernandez MI;
Miller JG; Stevenson LY; Department of psychiatry and behavioral
medicine, Medical College; of Wisconsin, Milwaukee 53226, USA.
SO Psychiatr Serv. 1995 Aug;46(8):813-8. Unique Identifier : AIDSLINE
MED/96068232
AB OBJECTIVE: Several recent studies confirm elevated rates of human
immunodeficiency virus infection among acute and chronic mentally ill
adults in large urban areas. This research sought to characterize risk
for HIV infection among adults with chronic mental illness and to
examine psychosocial factors predictive of risk. METHODS: Two hundred
and twenty-five adults with chronic mental illness who were sexually
active in the past year outside of exclusive relationships were
individually interviewed in community mental health clinics using a
structured HIV risk assessment protocol. RESULTS: More than 50 percent
of the study participants were sexually active in the past month, and 25
percent had multiple sexual partners during that period. Fifteen percent
of the men had male sexual partners. In more than 75 percent of
occasions of sexual intercourse, condoms were not used. When
participants were categorized as at either high or lower risk for HIV
infection based on their pattern of condom use, psychosocial factors
that predicted risk level included measures of participants'
self-reported efficacy in using condoms, perceptions of social norms
related to safer sex among peers and sexual partners, and expectations
about outcomes associated with condom use, as well as participants'
level of objectively assessed behavioral skills in negotiation and
assertiveness in sexual situations. CONCLUSIONS: Interventions aimed at
prevention of HIV and AIDS are urgently needed in settings that provide
services to persons with chronic mental illness.
DE Adolescence Adult Chronic Disease Female *Health Behavior
Homosexuality, Male/PSYCHOLOGY Human HIV Infections/PREVENTION &
CONTROL/PSYCHOLOGY/*TRANSMISSION Knowledge, Attitudes, Practice Male
Mental Disorders/*PSYCHOLOGY/REHABILITATION Middle Age Patient
Education Sex Behavior Support, U.S. Gov't, P.H.S. JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).