       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).

