Prevalence and Correlates of Human Immunodeficiency Virus Testing and Posttest Counseling Among Outpatients With Serious Mental Illness
Abstract
This study examined the prevalence and correlates of receipt of human immunodeficiency virus (HIV) testing, test results, and posttest counseling among outpatients with serious mental illness at 3 public-sector facilities in Connecticut (N = 487). A substantial proportion (41.9%) reported never having been tested for HIV, including fully one-third of those who were "very afraid" of getting acquired immune deficiency syndrome. Independent correlates of HIV testing included younger age, felony criminal history, stronger therapeutic alliance with one's primary clinician, and increased drug problems and psychological distress. Of those tested, nearly all (96.5%) reported receiving the test results; however, only half (50.5%) reported receiving any posttest counseling. Independent correlates of posttest counseling included higher educational level, felony criminal history, and receipt of community-based case management services. Greater efforts are needed to increase HIV testing and counseling among persons with serious mental illness to better identify and care for HIV-positive individuals and potentially reduce future transmission of the virus in this vulnerable, at-risk population.
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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 [380]
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Maj, M., Ïðåçèäåíò, È., Tasman, A., & Herrman, H. (2011)
- Authors
- Desai, M. M., Rosenheck, R. A., & Desai, R. A.
- Affiliations
- VA Connecticut Healthcare System (US)
- Corresponding author
- Desai, Mayur M.
- Rosenheck, Robert A.
- Desai, Rani A.
- Venue
- Journal of Nervous & Mental Disease
- Published
- 2007-09
- Volume
- 195
- Issue
- 9
- Pages
- 776-780
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W2008261784
- Cited by
- 20
- References
- 10
- Citations by year
- 2016: 3 · 2014: 1 · 2013: 4 · 2012: 3
- FWCI
- 1.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Keywords
- HIV testing, post-test counseling, severe mental illness, outpatients, HIV prevalence, therapeutic relationship, criminal history, drug-related problems, psychological distress, community-based case management, public mental health services, HIV prevention
- MeSH terms
- Adult, Ambulatory Care, Attitude to Health, Mental Disorders, Community Mental Health Services, Connecticut, Counseling, Cross-Sectional Studies, HIV, Humans, Male, United States, United States Department of Veterans Affairs, HIV Antibodies, AIDS Serodiagnosis, HIV Infections, Comorbidity, Prevalence, Diagnosis, Dual (Psychiatry), Case Management, Substance-Related Disorders
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