HIV risk factors for persons with serious mental illness
Abstract
HIV risk factors were assessed among 120 persons in treatment for serious mental illness. Although subjects had good general knowledge regarding HIV, many engaged in high risk behaviors. Condom use was infrequent among those who had multiple sexual partners, and sharing needles was common for those who used i.v. drugs. Clearly, factual knowledge about HIV was not sufficient to prevent risky behavior. Nearly half of the sample was categorized as at medium to high risk, and almost half of the participants, especially those at medium risk, underestimated their own level of risk. The results suggest that education and intervention strategies should focus on increasing the accuracy of the individual's risk assessment as well as changing attitudes towards condoms and improving skills in using condoms. Assessing personal risk and adopting risk-reduction strategies are the keys to successful AIDS prevention for persons with serious mental illness.
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Fewer than half of individuals with SMI have been tested for HIV in the past year, with percentages ranging from 17% to 47%.
“However, studies investigating HIV testing rates among individuals with a SMI indicate that fewer than half of these patients (percentages ranging from 17% to 47%) have been tested in the past year (378-394).”
From Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care (2011) · cites this paper as [386]
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- Authors
- Knox, M. D., Boaz, T. L., Friedrich, M. A., & Dow, M. G.
- Affiliations
- University of South Florida (US)
- ORCID
- Dow, Michael G.
- Venue
- Community Mental Health Journal
- Published
- 1994-12
- Volume
- 30
- Issue
- 6
- Pages
- 551-563
- ISSN
- 0010-3853 (ISSN-L)
- 1573-2789
- OpenAlex
- W1964237169
- Cited by
- 45
- References
- 16
- Citations by year
- 2026: 1 · 2025: 1 · 2017: 1 · 2016: 2 · 2013: 1 · 2012: 4
- FWCI
- 1.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Community Mental Health Journal (publishedVersion)
- PubMed (publishedVersion)
- Digital Commons - University of South Florida (University of South Florida) (submittedVersion)
- Funders
- U.S. Public Health Service (91MF57230401D)
- Topics
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Keywords
- HIV risk factors, severe mental illness, HIV/AIDS knowledge, condom use, sexual risk behavior, multiple sexual partners, needle sharing, intravenous drug use, risk perception, risk assessment, HIV prevention, attitudes toward condoms
- MeSH terms
- Adult, Female, Health Education, HIV Seropositivity, Humans, Health Knowledge, Attitudes, Practice, Male, Patient Admission, Personality Assessment, Psychotic Disorders, Risk Factors, Sexual Behavior, HIV Infections, Condoms
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