HIV prevalence among men and women admitted to a South African public psychiatric hospital.
HIV prevalence among men and women admitted to a South African public psychiatric hospital.
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DOI：
10.1080/09540120802626188
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发表时间：
2009-07
期刊：
影响因子：
1.7
通讯作者：
Pillai A
中科院分区：
文献类型：
--
作者：
Collins PY;Berkman A;Mestry K;Pillai A
在血清阳性率较低的环境中，严重精神疾病患者的艾滋病毒感染率高于一般人群。在南部非洲的高流行率国家，这一流行病占用了用于艾滋病毒预防、护理和治疗的资源，如果没有将精神病患者确定为易受感染者，他们的需求很容易被忽视。然而，很少有非洲研究调查了精神病患者的艾滋病毒血清阳性率。我们系统地研究了2003年7月27日至11月14日期间，南非夸祖鲁纳塔尔省一家公立精神病机构收治的精神病患者的HIV血清阳性率。我们对151名精神状况稳定并能够提供知情同意的患者进行了匿名测试。40例患者（26.5%）为HIV阳性;女性比男性更容易感染（OR 2.74; 95%CI = 1.25-6.04; P = 0.012）。我们的研究结果表明，在艾滋病普遍流行的情况下，精神疾病患者也很脆弱，必须将其纳入预防和治疗工作。这些结果强调了在机构和门诊心理健康环境中综合心理健康和艾滋病毒护理的重要性，并确认需要将详细的艾滋病毒风险评估作为精神病护理的常规部分。相应地，应向有精神症状的人提供艾滋病毒护理和治疗方案。
In settings with low seroprevalence, people with severe mental illness have a higher prevalence of HIV infection compared to the general population. In the high-prevalence countries of southern Africa, where the pandemic taxes resources for HIV prevention, care, and treatment, the needs of people with mental illness can be easily overlooked if they are not identified as vulnerable to infection. Yet, few African studies have investigated HIV seroprevalence in psychiatric settings. We systematically examined the HIV seroprevalence among psychiatric patients admitted to a public psychiatric institution in KwaZulu Natal province, South Africa, between 27 July and 14 November 2003. We conducted anonymous testing among 151 patients who were psychiatrically stable and able to give informed consent. Forty patients (26.5%) were HIV-positive; women were more likely to be infected than men (OR 2.74; 95% CI = 1.25–6.04; P = 0.012). Our findings demonstrate that in the midst of a generalized AIDS epidemic, people with mental illness are also vulnerable and must be included in prevention and treatment efforts. These results underscore the importance of integrated mental health and HIV care in institutional and outpatient mental health settings and affirm the need for detailed HIV risk assessment as a routine part of psychiatric care. Correspondingly, HIV care and treatment programs should be made available to people with psychiatric symptoms.