       Document 0832
 DOCN  M9440832
 TI    Factors associated with risk for HIV infection among chronic mentally
       ill adults.
 DT    9404
 AU    Kalichman SC; Kelly JA; Johnson JR; Bulto M; Department of Psychiatry
       and Mental Health Sciences, Medical; College of Wisconsin, Milwaukee
       53226.
 SO    Am J Psychiatry. 1994 Feb;151(2):221-7. Unique Identifier : AIDSLINE
       MED/94127576
 AB    OBJECTIVE: Chronic mentally ill adults have been found to be at risk for
       HIV infection. The authors investigated the prevalence of HIV risk
       behaviors among psychiatric outpatients. Correlates of HIV risk factors
       and characteristics of patient relationships in which risk occurred were
       investigated. METHOD: Structured interviews were conducted with 95
       chronic mentally ill adults from urban community support service
       programs. The interviews focused on sexual and substance use behavior,
       history of HIV risk behaviors, and relationship characteristics related
       to risk. RESULTS: The study showed that 27% of all patients had had two
       or more sex partners in the previous year and 18% had received money or
       drugs for sex. High rates of illicit drug use were also found, with
       frequent use of drugs or alcohol in association with sexual activity.
       Multiple regression analyses showed that use of illicit drugs, meeting
       sex partners in psychiatric clinics, and meeting partners in bars
       accounted for a substantial proportion of the variance in HIV risk
       behavior. CONCLUSIONS: These results suggest an urgent need for HIV
       prevention programs targeted at urban chronic mentally ill adults.
       Risk-producing characteristics of patient relationships and social
       networks should be addressed in the development of prevention
       interventions.
 DE    Adult  Alcoholism/DIAGNOSIS/EPIDEMIOLOGY  Ambulatory Care  Chronic
       Disease  Female  Human  HIV Infections/*EPIDEMIOLOGY/ETIOLOGY/PREVENTION
       & CONTROL  Male  Mental Disorders/*COMPLICATIONS/DIAGNOSIS/PSYCHOLOGY
       Prevalence  Psychiatric Status Rating Scales  Regression Analysis  Risk
       Factors  *Risk-Taking  Sexual Partners  Social Support  Substance
       Abuse/DIAGNOSIS/EPIDEMIOLOGY  Support, U.S. Gov't, P.H.S.  Urban
       Population  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

