Blood-Borne Infections and Persons With Mental Illness: The Five-Site Health and Risk Study of Blood-Borne Infections Among Persons With Severe Mental Illness
Abstract
This article outlines the history and rationale of a multisite study of blood-borne infections among persons with severe mental illness reported in this special section of Psychiatric Services. The general problem of blood-borne diseases in the United States is reviewed, particularly as it affects people with severe mental illness and those with comorbid substance use disorders. The epidemiology and natural history of three of the most important infections are reviewed: the human immunodeficiency virus (HIV), the hepatitis B virus, and the hepatitis C virus. Current knowledge about blood-borne diseases among people with severe mental illness as well as information on current treatment advances for hepatitis C are summarized. A heuristic model, based on the pragmatic, empirical, and conceptual issues that influenced the final study design, is presented. The specific rationale of the five-site collaborative design is discussed, as well as the sampling frames, measures, and procedures used at the participating sites. Alternative strategies for analyzing data deriving from multisite studies that use nonrandomized designs are described and compared. Finally, each of the articles in this special section is briefly outlined, with reference to the overall hypotheses of the studies.
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Today, respiratory diseases are still more prevalent in people with SMI.
“Today, respiratory diseases are still more prevalent in people with SMI (8,(410)(411)(412)(413)(414)(415)(416)(417).”
From Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care (2011) · cites this paper as [410]
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- Authors
- Rosenberg, S. D., Swanson, J. W., Wolford, G. L., Osher, F. C., Swartz, M. S., Essock, S. M., Butterfield, M. I., Marsh, B. J., & the Five-Site Health and Risk Study Research Committee
- Affiliations
- Dartmouth Psychiatric Research Center (US)
- Venue
- Psychiatric Services
- Published
- 2003-06
- Volume
- 54
- Issue
- 6
- Pages
- 827-835
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W2021288827
- Cited by
- 58
- References
- 51
- Citations by year
- 2017: 1 · 2015: 2 · 2014: 2 · 2013: 3 · 2012: 4
- FWCI
- 5.87
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Dartmouth College
- National Institutes of Health (5r24mh054446-05, 5r01mh048103-08, 5p50mh051410-05, 5r01mh050094-03)
- National Institute of Mental Health (P50MH043703, P50-MH43703, R01 MH-52872, P50-MH51410-02, R01-MH-50094-03S2, R01-MH48103-05, R01MH052872, R24-MH54446-05)
- Topics
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Hepatology › Hepatitis C virus research
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Keywords
- bloodborne infections, severe mental illness, HIV, hepatitis B virus, hepatitis C virus, substance use disorders, hepatitis C treatment, risk factors
- MeSH terms
- Acute Disease, Adult, Mental Disorders, Female, Hepatitis B, Hepatitis C, Humans, Male, Middle Aged, Risk-Taking, United States, Health Behavior, HIV Infections, Comorbidity, Blood-Borne Pathogens, Risk Assessment, Substance-Related Disorders
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