Negotiating risk: Knowledge and use of HIV prevention by persons with serious mental illness living in supportive housing
Negotiating risk: Knowledge and use of HIV prevention by persons with serious mental illness living in supportive housing
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DOI：
10.1007/s10464-005-8631-1
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发表时间：
2005-12-01
影响因子：
3.1
通讯作者：
Sikkema, KJ
中科院分区：
文献类型：
--
作者：
Kloos, B;Gross, SM;Sikkema, KJ
作为一个群体，患有严重精神疾病的人感染艾滋病毒的风险较高。然而，人们对艾滋病毒的风险如何影响他们的生活、重度精神病患者如何评估他们的艾滋病毒风险以及他们采取了哪些预防措施知之甚少。此外，由于大多数干预措施仅限于临床环境，因此对重度精神分裂症患者的社区艾滋病毒预防知之甚少。本报告介绍了与艾滋病毒相关的经验的人与SMI生活在支持性住房计划，一个可能的设置实施以社区为基础的艾滋病毒预防与这一人群的调查结果。定性调查采访了41名男子和妇女生活在五个支持性住房方案。深入的定性访谈引发了对研究参与者的讨论：（a）艾滋病毒的经历，（B）关于艾滋病毒和艾滋病毒预防的知识，（c）对自身风险的评估，（d）对如何应用预防知识的描述，以及（e）对艾滋病毒预防障碍的报告。研究参与者描述了与艾滋病毒感染者有大量接触的社交网络。然而，与重度精神障碍患者的一些期望相反，研究参与者报告说，他们在谈判感染艾滋病毒的风险时使用了艾滋病毒预防知识。这些研究结果的影响进行了讨论，其相关性实施以社区为基础的艾滋病毒预防与重度精神病患者。
As a population, persons with serious mental illness (SMI) have an elevated risk for HIV infection. However, relatively little is known about how the risk of HIV has affected their lives, how persons with SMI evaluate their HIV risk, and what preventive measures they undertake. Furthermore, relatively little is known about community-based HIV prevention for persons with SMI as most interventions have been restricted to clinical settings. This report presents findings on the HIV-related experiences of persons with SMI living in supportive housing programs, one possible setting for implementing community-based HIV prevention with this population. The qualitative investigation interviewed 41 men and women living in five supportive housing programs. In-depth, qualitative interviews elicited discussion of research participants' (a) experiences with HIV, (b) knowledge about HIV and HIV prevention, (c) assessments of their own risk, (d) descriptions of how they apply their prevention knowledge, and (e) reports of barriers for HIV prevention. Research participants describe social networks that have substantial contact with persons affected by HIV. However, contrary to some expectations of persons with SMI, research participants report using HIV prevention knowledge in negotiating their risk of contracting HIV. The implications of these findings are discussed in terms of their relevance for implementing community-based HIV prevention for persons with SMI.