|
| | |
|
Am J Psychiatry 1994; 151:228-232
Copyright © 1994 by American Psychiatric Association
Sexual activity and risk of HIV infection among patients with schizophrenia
F Cournos, JR Guido, S Coomaraswamy, H Meyer-Bahlburg, R Sugden and E Horwath
New York State Psychiatric Institute, NY 10032.
OBJECTIVE: This study sought to determine the frequency and types of sexual
behavior among patients with schizophrenia and to assess the behavior with
respect to risk of HIV infection. METHOD: Ninety-five inpatients and
outpatients with a research diagnosis of schizophrenia underwent a series
of face-to-face interviews to determine their sexual activity and correlate
it with demographic characteristics, psychopathology, and medication side
effects. RESULTS: Forty-four percent of the patients had been sexually
active in the preceding 6 months, and 62% of these had had multiple
partners. Sexual activity was associated with greater general
psychopathology. Having multiple sexual partners was associated with
younger age, a lower level of functioning, the presence of delusions, and
more positive symptoms. Of the sexually active patients, 12% reported at
least one partner who was HIV positive or injected drugs, or both, and 50%
had exchanged sex for money or goods. Ten percent of the patients had
engaged in homosexual activity in the preceding 6 months and 22% during
their lifetime; the frequency was similar among men and women. Consistent
condom use was uncommon. CONCLUSIONS: A substantial proportion of
schizophrenic patients had recent histories of sexual abstinence, but an
almost equal number were sexually active. Sexual activity was usually
accompanied by behavior related to HIV risk. Sexual activity and having
multiple partners were associated with certain measures of more severe
illness. Younger patients were more likely to have multiple partners but
were also more likely to use condoms. There is a need for aggressive
prevention strategies with this population.
This article has been cited by other articles:
|
|
|
|
 
S. Himelhoch, J. F. McCarthy, D. Ganoczy, D. Medoff, L. B. Dixon, and F. C. Blow
Understanding Associations Between Serious Mental Illness and HIV Among Patients in the VA Health System
Psychiatr Serv,
September 1, 2007;
58(9):
1165 - 1172.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. M. Fremont, A. S. Young, M. Chinman, P. Pantoja, S. Morton, P. Koegel, G. Sullivan, and D. Kanouse
Differences in HIV Care Between Patients With and Without Severe Mental Illness
Psychiatr Serv,
May 1, 2007;
58(5):
681 - 688.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. Koen, S. Uys, D. J.H. Niehaus, and R. A. Emsley
Negative Symptoms and HIV/AIDS Risk-Behavior Knowledge in Schizophrenia
Psychosomatics,
April 1, 2007;
48(2):
128 - 134.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. Y. Collins, K. Mestry, M. L. Wainberg, T. Nzama, and G. Lindegger
Training South African Mental Health Care Providers to Talk About Sex in the Era of AIDS
Psychiatr Serv,
November 1, 2006;
57(11):
1644 - 1647.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. T. Mueser, A. G. Crocker, L. B. Frisman, R. E. Drake, N. H. Covell, and S. M. Essock
Conduct Disorder and Antisocial Personality Disorder in Persons With Severe Psychiatric and Substance Use Disorders
Schizophr Bull,
October 1, 2006;
32(4):
626 - 636.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
F. B. Dickerson, C. H. Brown, J. Kreyenbuhl, R. W. Goldberg, L. J. Fang, and L. B. Dixon
Sexual and Reproductive Behaviors Among Persons With Mental Illness
Psychiatr Serv,
November 1, 2004;
55(11):
1299 - 1301.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. B. Rothbard, S. Metraux, and M. B. Blank
Cost of Care for Medicaid Recipients With Serious Mental Illness and HIV Infection or AIDS
Psychiatr Serv,
September 1, 2003;
54(9):
1240 - 1246.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. Ford, M. Rosenberg, M. Holsten, and T. Boudreaux
Managing Sexual Behavior on Adult Acute Care Inpatient Psychiatric Units
Psychiatr Serv,
March 1, 2003;
54(3):
346 - 350.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. H. Coverdale and S. H. Turbott
Risk Behaviors for Sexually Transmitted Infections Among Men With Mental Disorders
Psychiatr Serv,
February 1, 2000;
51(2):
234 - 238.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. F. Buckley and T. Robben
A Content Analysis of State Hospital Policies on Sex Between Inpatients
Psychiatr Serv,
February 1, 2000;
51(2):
243 - 245.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. G. Joseph, S. V. Joshi, A. B. Lewin, and M. Abrams
Characteristics and Perceived Needs of Mothers With Serious Mental Illness
Psychiatr Serv,
October 1, 1999;
50(10):
1357 - 1359.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. Sullivan, P. Koegel, D. E. Kanouse, F. Cournos, K. McKinnon, A. S. Young, and D. Bean
HIV and People With Serious Mental Illness: The Public Sector's Role in Reducing HIV Risk and Improving Care
Psychiatr Serv,
May 1, 1999;
50(5):
648 - 652.
[Abstract]
[Full Text]
[PDF]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 1994
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
