Predictors of HIV and Hepatitis Testing and Related Service Utilization Among Individuals With Serious Mental Illness
Abstract
Two hundred mentally ill adults receiving community-based outpatient psychiatric services were surveyed. Although 59% received an HIV test, only 41% received a hepatitis test. Clinic location and reports of unprotected sex were associated with receipt of an HIV test. Although no behavioral risk factors were associated with hepatitis testing, those with a comorbid medical condition were more likely to be tested. Only 15% of the sample was immunized against hepatitis B. Medical hospitalization was the only factor related to immunization. These results indicate an urgent need to improve access to HIV and hepatitis testing and related treatment.
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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 [381]
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Self-citation
- Authors
- Goldberg, R. W., Himelhoch, S., Kreyenbuhl, J., Dickerson, F. B., Hackman, A., Fang, L. J., Brown, C. H., Wohlheiter, K. A., & Dixon, L. B.
- Affiliations
- University of Maryland, Baltimore (US)
- Corresponding author
- Goldberg, Richard W.
- ORCID
- Venue
- Psychosomatics
- Publisher
- Elsevier BV
- Published
- 2005-11
- Volume
- 46
- Issue
- 6
- Pages
- 573-577
- ISSN
- 0033-3182 (ISSN-L)
- OpenAlex
- W2073739606
- Cited by
- 21
- References
- 23
- Citations by year
- 2016: 1 · 2015: 1 · 2013: 3 · 2012: 3
- FWCI
- 1.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (K01MH066009)
- 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, hepatitis testing, hepatitis B vaccination, severe mental illness, psychiatric outpatient services, health care utilization, unprotected sex, comorbidities, access to preventive care
- MeSH terms
- Mental Disorders, Female, Hepatitis B, Hepatitis C, Humans, Immunization, Male, Mental Health Services, Predictive Value of Tests, Severity of Illness Index, United States, HIV Infections, Comorbidity, Hepatitis B Vaccines
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