HIV-risk behavior and the public health context of HIV/AIDS among women living with a severe and persistent mental illness.

HIV-risk behavior and the public health context of HIV/AIDS among women living with a severe and persistent mental illness.
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患有严重和持续性精神疾病的妇女的艾滋病毒风险行为和艾滋病毒/艾滋病的公共卫生背景。

DOI:
10.1097/00005053-199805000-00003
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发表时间:
1998
期刊:
The Journal of nervous and mental disease
影响因子:
--
通讯作者:
Carey,KB
Carey,KB
中科院分区:
--
文献类型:
--
作者:
Weinhardt,LS;Carey,MP;Carey,KB

文献摘要

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我们记录了患有严重和持续性精神疾病的妇女的艾滋病毒风险行为和艾滋病的公共卫生背景。61名妇女从一家州立精神病医院的门诊和日间治疗项目中招募。他们完成了一项调查,其中包括与艾滋病毒相关的风险行为,包括艾滋病在内的11个公共卫生和社会问题的重要性,艾滋病毒/艾滋病相关知识,感知风险和行为意图的措施。38%的参与者在评估前2个月内至少有一种艾滋病毒风险行为,23%的人报告了两种或更多种风险因素,16%的人报告了三种或更多种风险因素。坚持使用避孕套的情况很少。报告1个或多个风险因素的参与者比那些报告没有风险的参与者更有可能报告酒精或药物治疗史,性传播疾病,HIV检测和更多的HIV感染风险。贫穷和失业被视为比艾滋病毒感染和艾滋病更严重的问题。迫切需要针对患有严重精神疾病的妇女的需要和优先事项采取艾滋病毒预防干预措施,以防止进一步感染。
We documented HIV-risk behavior and the public health context of AIDS in women living with a severe and persistent mental illness. Sixty-one women were recruited from outpatient clinics and day-treatment programs at a state psychiatric hospital. They completed a survey that included measures of HIV-related risk behavior, the perceived importance of 11 public health and social problems including AIDS, HIV/AIDS-related knowledge, perceived risk, and behavioral intentions. Thirty-eight percent of participants engaged in at least one type of HIV-risk behavior during the 2 months before assessment, 23% reported two or more risk factors, and 16% reported three or more risk factors. Consistent condom use was rare. Participants reporting 1 or more risk factors were more likely than those reporting no risk to report histories of alcohol or drug treatment, sexually transmitted diseases, HIV testing, and more perceived risk of HIV infection. Poverty and unemployment were viewed as more serious problems than HIV infection and AIDS. HIV-prevention interventions that are tailored to the needs and priorities of women with a severe mental illness are urgently needed to prevent further infections.