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Am J Psychiatry 1992; 149:886-889
Copyright © 1992 by American Psychiatric Association
AIDS/HIV risk behavior among the chronic mentally ill
JA Kelly, DA Murphy, GR Bahr, TL Brasfield, DR Davis, AC Hauth, MG Morgan, LY Stevenson and MK Eilers
Department of Psychiatry and Mental Health Sciences, Medical College of Wisconsin, Milwaukee 53226.
OBJECTIVE: There is growing concern that chronic mentally ill adults living
in the community have a high risk for HIV infection. The purpose of this
study was to identify risk knowledge, high-risk behaviors, and risk-related
encounters of chronic psychiatric outpatients. METHOD: Detailed information
on high-risk behaviors and risk-related situations during the past 12
months was collected from 60 outpatients appearing for regular visits at
inner-city community mental health clinics. RESULTS: Of the 60 outpatients,
37 (62%) had been sexually active during the past year, and 42% of the men
and 19% of the women reported multiple sexual contacts and infrequent use
of condoms during intercourse. Assessments of the patients' knowledge of
AIDS risks revealed substantial deficits in their practical understanding
of AIDS and risk reduction measures. Although use of intravenous drugs was
uncommon in this group, many subjects reported histories of 1) trading sex
for money, drugs, or a place to stay, 2) coercion to engage in unwanted
sex, 3) causal sexual encounters, and 4) sexual activity after use of drugs
or intoxicants. Twenty percent of the subjects had met their sexual
partners on the streets, in parks, or in other public places. One-third had
been treated for sexually transmitted diseases other than AIDS.
CONCLUSIONS: These findings underscore the need for AIDS risk assessment,
counseling, and prevention programs for the chronic mentally ill.
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