Skip to main content
Top
Published in: Community Mental Health Journal 5/2010

01-10-2010 | Original Paper

Individual and Treatment Setting Predictors of HIV/AIDS Knowledge Among Psychiatric Patients and Their Implications In a National Multisite Study in Brazil

Authors: Ana Paula Souto Melo, Cibele Comini César, Francisco de Assis Acurcio, Lorenza Nogueira Campos, Maria das Graças Braga Ceccato, Milton L. Wainberg, Karen McKinnon, Mark Drew Crosland Guimarães

Published in: Community Mental Health Journal | Issue 5/2010

Login to get access

Abstract

The objective of this study is to measure HIV/AIDS knowledge among patients with mental illness in Brazil and to examine individual and treatment setting predictors of knowledge. We conducted a cross-sectional national multicenter study among 2,475 patients in 26 randomly selected mental health institutions throughout Brazil. We used Item Response Theory to standardize knowledge scores and multilevel multiple linear regression to determine the effect of individual and treatment setting characteristics on standardized knowledge score. Schizophrenia was the main diagnosis (48%) of participants. Mean knowledge score was 6.78 (range 1–10). Treatment setting characteristics were not associated with knowledge scores. Higher HIV/AIDS knowledge scores were significantly associated with a history of sexually transmitted disease (STD), previous HIV testing and consistent condom use; lower HIV/AIDS knowledge scores were significantly associated with specific sociodemographic, psychiatric, and HIV risk-perception factors. Psychiatric patients in Brazil lag behind the general population with knowledge scores comparable to those of nearly a decade ago. The mental health system in Brazil and elsewhere must consider strategies beyond dispensing information, for preventing HIV/AIDS transmission in the psychiatric population.
Literature
go back to reference Aruffo, A. F., Coverdale, J. H., Chacko, R. C., et al. (1990). Knowledge about AIDS among womem psychiatric outpatients. Hospital & Community Psychiatry, 41, 326–328. Aruffo, A. F., Coverdale, J. H., Chacko, R. C., et al. (1990). Knowledge about AIDS among womem psychiatric outpatients. Hospital & Community Psychiatry, 41, 326–328.
go back to reference Baer, J. W., Dwyer, P., & Lewitter-Koehler, S. (1988). Knowledge about AIDS among psychiatric inpatients. Hospital & Community Psychiatry, 39, 986–988. Baer, J. W., Dwyer, P., & Lewitter-Koehler, S. (1988). Knowledge about AIDS among psychiatric inpatients. Hospital & Community Psychiatry, 39, 986–988.
go back to reference Baker, F. B. (2001). The basics of item response theory. Boston: Lawrence Rudner. Baker, F. B. (2001). The basics of item response theory. Boston: Lawrence Rudner.
go back to reference Bartholomew, D. J., Steele, F., Moustaki, I., & Galbraith, J. I. (2002). The analysis and interpretation of multivariate data for social scientists. Boca Raton: Chapman & Hall. Bartholomew, D. J., Steele, F., Moustaki, I., & Galbraith, J. I. (2002). The analysis and interpretation of multivariate data for social scientists. Boca Raton: Chapman & Hall.
go back to reference Berkman, A., Cerwonka, E., Sohler, N., & Susser, E. (2006). A randomized trial of a brief HIV risk reduction intervention for men with severe mental illness. Psychiatric Services, 57, 407–409.CrossRefPubMed Berkman, A., Cerwonka, E., Sohler, N., & Susser, E. (2006). A randomized trial of a brief HIV risk reduction intervention for men with severe mental illness. Psychiatric Services, 57, 407–409.CrossRefPubMed
go back to reference Bonolo, P. F., Cesar, C. C., Acurcio, F. A., Ceccato, M. G. B., Padua, C. A. M., Alvares, J., et al. (2005). Non-adherence among patients initiating antiretroviral therapy: a challenge for health professionals in Brazil. AIDS, 19(Suppl 4), S5–S13.CrossRef Bonolo, P. F., Cesar, C. C., Acurcio, F. A., Ceccato, M. G. B., Padua, C. A. M., Alvares, J., et al. (2005). Non-adherence among patients initiating antiretroviral therapy: a challenge for health professionals in Brazil. AIDS, 19(Suppl 4), S5–S13.CrossRef
go back to reference Campos, L. N., Guimarães, M. D., Carmo, R. A., Melo, A. P. S., Oliveira, H. N., Elkington, K., et al. (2008). HIV, syphilis, and hepatitis B and C prevalence among patients with mental illness: A review of the literature. Cadernos Saúde Pública, 24(Suppl 4), S607–S620. Campos, L. N., Guimarães, M. D., Carmo, R. A., Melo, A. P. S., Oliveira, H. N., Elkington, K., et al. (2008). HIV, syphilis, and hepatitis B and C prevalence among patients with mental illness: A review of the literature. Cadernos Saúde Pública, 24(Suppl 4), S607–S620.
go back to reference Carey, M. P., Carey, K. B., & Kalichman, S. C. (1997a). Risk for human immunodeficiency virus (HIV) infection among persons with severe mental illnesses. Clinical Psychology Revision, 17, 271–291.CrossRef Carey, M. P., Carey, K. B., & Kalichman, S. C. (1997a). Risk for human immunodeficiency virus (HIV) infection among persons with severe mental illnesses. Clinical Psychology Revision, 17, 271–291.CrossRef
go back to reference Carey, M. P., Carey, K. B., Weinhardt, L. S., & Gordon, C. M. (1997b). Behavioral risk for HIV infection among adults with a severe and persistent mental illness: Patterns and psychological antecedents. Community Mental Health Journal, 33, 133–142.CrossRefPubMed Carey, M. P., Carey, K. B., Weinhardt, L. S., & Gordon, C. M. (1997b). Behavioral risk for HIV infection among adults with a severe and persistent mental illness: Patterns and psychological antecedents. Community Mental Health Journal, 33, 133–142.CrossRefPubMed
go back to reference Carey, M. P., Carey, K. B., Maisto, S. A., Gordon, C. M., Schroder, K. E. E., & Vanable, P. A. (2004). Reducing HIV risk behavior among adults receiving outpatient psychiatric treatment: Results from a randomized controlled trial. Journal of Consulting and Clinical Psychology, 72, 252–268.CrossRefPubMed Carey, M. P., Carey, K. B., Maisto, S. A., Gordon, C. M., Schroder, K. E. E., & Vanable, P. A. (2004). Reducing HIV risk behavior among adults receiving outpatient psychiatric treatment: Results from a randomized controlled trial. Journal of Consulting and Clinical Psychology, 72, 252–268.CrossRefPubMed
go back to reference Cates, J. A., & Graham, L. L. (1993). HIV and serious mental illness: Reducing the risk. Community Mental Health Journal, 29, 35–47.CrossRefPubMed Cates, J. A., & Graham, L. L. (1993). HIV and serious mental illness: Reducing the risk. Community Mental Health Journal, 29, 35–47.CrossRefPubMed
go back to reference Chuang, H. T., & Atkinson, M. (1996). AIDS knowledge and high-risk behaviour in the chronic mentally ill. Canadian Journal of Psychiatry, 41, 269–272. Chuang, H. T., & Atkinson, M. (1996). AIDS knowledge and high-risk behaviour in the chronic mentally ill. Canadian Journal of Psychiatry, 41, 269–272.
go back to reference Cournos, F., & McKinnon, K. (1997). HIV seroprevalence among people with severe mental illness in the United States: A critical review. Clinical Psychological Revision, 17, 259–269.CrossRef Cournos, F., & McKinnon, K. (1997). HIV seroprevalence among people with severe mental illness in the United States: A critical review. Clinical Psychological Revision, 17, 259–269.CrossRef
go back to reference Embretson, S. E., & Reise, S. P. (2000). Item response theory for psychologists. Mahwah, New Jersey: Lawrence Erlbaum Associates, Publishers. Embretson, S. E., & Reise, S. P. (2000). Item response theory for psychologists. Mahwah, New Jersey: Lawrence Erlbaum Associates, Publishers.
go back to reference Ferreira, M. P. (2008). Knowledge, risk perception on HIV/AIDS by Brazilian population, 1998 and 2005. Revista de Saude Publica, 42(Suppl 1), 65–71.PubMed Ferreira, M. P. (2008). Knowledge, risk perception on HIV/AIDS by Brazilian population, 1998 and 2005. Revista de Saude Publica, 42(Suppl 1), 65–71.PubMed
go back to reference Fisher, J. D., & Fisher, W. A. (1992). Changing AIDS-risk behavior. Psychological Bulletin, 111, 455–474.CrossRefPubMed Fisher, J. D., & Fisher, W. A. (1992). Changing AIDS-risk behavior. Psychological Bulletin, 111, 455–474.CrossRefPubMed
go back to reference Folstein, M. F., Folstein, S. E., & Mchugh, P. R. (1975). Minimental state: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.CrossRefPubMed Folstein, M. F., Folstein, S. E., & Mchugh, P. R. (1975). Minimental state: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.CrossRefPubMed
go back to reference Grassi, L., Peron, L., Ferri, S., & Pavanati, M. (1999). HIV-related risk behavior among Italian psychiatric inpatients. Comprehensive Psychiatry, 40, 126–130.CrossRefPubMed Grassi, L., Peron, L., Ferri, S., & Pavanati, M. (1999). HIV-related risk behavior among Italian psychiatric inpatients. Comprehensive Psychiatry, 40, 126–130.CrossRefPubMed
go back to reference Grassi, L., Biancosino, B., Righi, R., Finotti, L., & Perón, L. (2001). Knowledge about HIV transmission and prevention among Italian patients with psychiatric disorders. Psychiatric Services, 52, 679–681.CrossRefPubMed Grassi, L., Biancosino, B., Righi, R., Finotti, L., & Perón, L. (2001). Knowledge about HIV transmission and prevention among Italian patients with psychiatric disorders. Psychiatric Services, 52, 679–681.CrossRefPubMed
go back to reference Guimarães, M. D. C., Oliveira, H. N., Campos, L. N., Santos, C. A., Gomes, C. E. R., Oliveira, S. B., et al. (2008). Reliability and validity of a questionnaire on vulnerability to sexually transmitted infections among adults with chronic mental illness—PESSOAS. Brazilian Journal of Psychiatry, 30, 55–59.PubMed Guimarães, M. D. C., Oliveira, H. N., Campos, L. N., Santos, C. A., Gomes, C. E. R., Oliveira, S. B., et al. (2008). Reliability and validity of a questionnaire on vulnerability to sexually transmitted infections among adults with chronic mental illness—PESSOAS. Brazilian Journal of Psychiatry, 30, 55–59.PubMed
go back to reference Guimarães, M. D. C., Campos, L. N., Melo, A. P. S., Carmo, R. A., & Machado, C. J. (2009). Prevalence of HIV, syphilis, hepatitis B and C among adults with chronic mental illness: A national multicenter study in Brazil. Brazilian Journal of Psychiatry, 31, 43–47.PubMed Guimarães, M. D. C., Campos, L. N., Melo, A. P. S., Carmo, R. A., & Machado, C. J. (2009). Prevalence of HIV, syphilis, hepatitis B and C among adults with chronic mental illness: A national multicenter study in Brazil. Brazilian Journal of Psychiatry, 31, 43–47.PubMed
go back to reference Kalichman, S. C., Kelly, J. A., Johnson, J. R., & Bulto, M. (1994). Factors associated with risk for HIV infection among chronic mentally ill adults. American Journal of Psychiatry, 151, 221–227.PubMed Kalichman, S. C., Kelly, J. A., Johnson, J. R., & Bulto, M. (1994). Factors associated with risk for HIV infection among chronic mentally ill adults. American Journal of Psychiatry, 151, 221–227.PubMed
go back to reference Kalichman, S. C., Carey, M. P., & Carey, K. B. (1996). Human immunodeficiency virus (HIV) risk among the seriously mentally ill. Clinical Psychological: Science Practice, 3, 130–143.CrossRef Kalichman, S. C., Carey, M. P., & Carey, K. B. (1996). Human immunodeficiency virus (HIV) risk among the seriously mentally ill. Clinical Psychological: Science Practice, 3, 130–143.CrossRef
go back to reference Kalichman, S., Malow, R., De’vieux, J., Stein, J. A., & Piedman, F. (2005). HIV risk reduction for substance using seriously mentally ill adults: Test of the information-motivation-behavior skills (IMB) model. Community Mental Health Journal, 41, 277–290.CrossRefPubMed Kalichman, S., Malow, R., De’vieux, J., Stein, J. A., & Piedman, F. (2005). HIV risk reduction for substance using seriously mentally ill adults: Test of the information-motivation-behavior skills (IMB) model. Community Mental Health Journal, 41, 277–290.CrossRefPubMed
go back to reference Katz, R. C., Watts, C., & Santman, J. (1994). AIDS knowledge and high risk behaviors in the chronic mentally ill. Community Mental Health Journal, 30, 395–402.CrossRefPubMed Katz, R. C., Watts, C., & Santman, J. (1994). AIDS knowledge and high risk behaviors in the chronic mentally ill. Community Mental Health Journal, 30, 395–402.CrossRefPubMed
go back to reference Kelly, J. A., Murphy, D. A., Bahr, G. R., Brasfield, T. L., Davis, D. R., Hauth, A. C., et al. (1992). AIDS/HIV risk behavior among the chronic mentally ill. American Journal of Psychiatry, 149, 886–889.PubMed Kelly, J. A., Murphy, D. A., Bahr, G. R., Brasfield, T. L., Davis, D. R., Hauth, A. C., et al. (1992). AIDS/HIV risk behavior among the chronic mentally ill. American Journal of Psychiatry, 149, 886–889.PubMed
go back to reference Kelly, J. A., McAuliffe, T. L., Sikkema, K. J., Murphy, D. A., Somlai, A. M., Mulry, G., et al. (2007). Reduction in risk behavior among adults with severe mental illness who learned to advocate for HIV prevention. Psychiatric Services, 48, 1283–1288. Kelly, J. A., McAuliffe, T. L., Sikkema, K. J., Murphy, D. A., Somlai, A. M., Mulry, G., et al. (2007). Reduction in risk behavior among adults with severe mental illness who learned to advocate for HIV prevention. Psychiatric Services, 48, 1283–1288.
go back to reference Koen, L., Niehaus, D. J. H., & Emsley, R. A. (2007). Negative symptoms and HIV/AIDS risk-behavior knowledge in schizophrenia. Psychosomatics, 48, 128–134.CrossRefPubMed Koen, L., Niehaus, D. J. H., & Emsley, R. A. (2007). Negative symptoms and HIV/AIDS risk-behavior knowledge in schizophrenia. Psychosomatics, 48, 128–134.CrossRefPubMed
go back to reference McDermott, B. E., Sautter, F. J., Winstead, D. K., & Quirk, T. (1994). Diagnosis, health beliefs, and risk of HIV infection in psychiatric patients. Hospital & Community Psychiatry, 45, 580–585. McDermott, B. E., Sautter, F. J., Winstead, D. K., & Quirk, T. (1994). Diagnosis, health beliefs, and risk of HIV infection in psychiatric patients. Hospital & Community Psychiatry, 45, 580–585.
go back to reference Mckinnon, K., Cournos, F., Sugden, R., Guido, J. R., & Herman, R. (1996). The relative contributions of psychiatric symptoms and AIDS knowledge to HIV risk behaviors among people with severe mental illness. Journal of Clinical Psychiatry, 57, 506–513.PubMed Mckinnon, K., Cournos, F., Sugden, R., Guido, J. R., & Herman, R. (1996). The relative contributions of psychiatric symptoms and AIDS knowledge to HIV risk behaviors among people with severe mental illness. Journal of Clinical Psychiatry, 57, 506–513.PubMed
go back to reference Mckinnon, K., Cournos, F., Sugden, R., Guido, J. R., Herman, R., Satriano, J., et al. (1999). Aids-related services and training in outpatient mental health care agencies in New York. Psychiatric Service, 50, 1225–1228. Mckinnon, K., Cournos, F., Sugden, R., Guido, J. R., Herman, R., Satriano, J., et al. (1999). Aids-related services and training in outpatient mental health care agencies in New York. Psychiatric Service, 50, 1225–1228.
go back to reference Meade, C. S., & Sikkema, K. J. (2005). HIV risk behavior among adults with severe mental illness: A systematic review. Clinical Psychological Review, 25, 433–457.CrossRef Meade, C. S., & Sikkema, K. J. (2005). HIV risk behavior among adults with severe mental illness: A systematic review. Clinical Psychological Review, 25, 433–457.CrossRef
go back to reference Melo, A. P. S., Acúrcio, F. A., Cherchiglia, M. L., Veloso, C. C. G., Guimarães, M. D. C. (2007). Avaliação de serviços de saúde mental: assistência e prevenção às doenças sexualmente transmissíveis no contexto do Projeto PESSOAS. Revista Médica de Minas Gerais, 17(1/2 Suppl. 4): S240–S248. Melo, A. P. S., Acúrcio, F. A., Cherchiglia, M. L., Veloso, C. C. G., Guimarães, M. D. C. (2007). Avaliação de serviços de saúde mental: assistência e prevenção às doenças sexualmente transmissíveis no contexto do Projeto PESSOAS. Revista Médica de Minas Gerais, 17(1/2 Suppl. 4): S240–S248.
go back to reference Ministry of Health—Brazil. (2000). National program for STDs and AIDS. Comportamento sexual da população brasileira e percepções do HIV/aids. Série avaliação No. 4. Brasília: Ministério da Saúde. Ministry of Health—Brazil. (2000). National program for STDs and AIDS. Comportamento sexual da população brasileira e percepções do HIV/aids. Série avaliação No. 4. Brasília: Ministério da Saúde.
go back to reference Ministry of Health—Brazil (2006a). National program for STDs and AIDS. Pesquisa entre Conscritos do Exército Brasileiro 1996–2002: Retratos do comportamento de risco do jovem brasileiro à infecção pelo HIV/Ministério da Saúde, Secretaria de Vigilância em Saúde, Programa Nacional de DST e Aids. Brasília: Ministério da Saúde. 128p. Série Estudos Pesquisas e Avaliação no. 2. Ministry of Health—Brazil (2006a). National program for STDs and AIDS. Pesquisa entre Conscritos do Exército Brasileiro 1996–2002: Retratos do comportamento de risco do jovem brasileiro à infecção pelo HIV/Ministério da Saúde, Secretaria de Vigilância em Saúde, Programa Nacional de DST e Aids. Brasília: Ministério da Saúde. 128p. Série Estudos Pesquisas e Avaliação no. 2.
go back to reference Ministry of Health—Brazil. (2006b). National program for STDs and AIDS. Pesquisa de Conhecimento Atitudes e Práticas na População Brasileira de 15 a 54 anos, 2004/Secretaria de Vigilância em Saúde, Programa Nacional de DST e Aids.—Brasília: Ministério da Saúde. 175p. Ministry of Health—Brazil. (2006b). National program for STDs and AIDS. Pesquisa de Conhecimento Atitudes e Práticas na População Brasileira de 15 a 54 anos, 2004/Secretaria de Vigilância em Saúde, Programa Nacional de DST e Aids.—Brasília: Ministério da Saúde. 175p.
go back to reference Noguchi, K., Albarracı′n, D., Durantini, M. R., & Glasman, L. R. (2007). Who participates in which health promotion programs? A meta-analysis of motivations underlying enrollment and retention in HIV-prevention interventions. Psychological Bulletin, 133, 955–975.CrossRefPubMed Noguchi, K., Albarracı′n, D., Durantini, M. R., & Glasman, L. R. (2007). Who participates in which health promotion programs? A meta-analysis of motivations underlying enrollment and retention in HIV-prevention interventions. Psychological Bulletin, 133, 955–975.CrossRefPubMed
go back to reference Ogunsemi, O. O., Lawal, R. A., Okulate, G. T., Alebiosu, C. O., & Olatawura, M. O. (2006). A comparative study of HIV/AIDS: The knowledge, attitudes, and risk behaviors of schizophrenic and diabetic patients in regard to HIV/AIDS in Nigeria. Medscape Journal of Medicine, 8, 42. Ogunsemi, O. O., Lawal, R. A., Okulate, G. T., Alebiosu, C. O., & Olatawura, M. O. (2006). A comparative study of HIV/AIDS: The knowledge, attitudes, and risk behaviors of schizophrenic and diabetic patients in regard to HIV/AIDS in Nigeria. Medscape Journal of Medicine, 8, 42.
go back to reference Oliveira, H. N., Machado, C. J., Campos, L. N., Acurcio, F. A., Guimarães, M. D. C. (2008). Avaliação da confiabilidade de entrevista aplicada a indivíduos com transtornos mentais: Projeto PESSOAS. Revista Médica de Minas Gerais, 18(4) Suppl. 4:S40–S45. Oliveira, H. N., Machado, C. J., Campos, L. N., Acurcio, F. A., Guimarães, M. D. C. (2008). Avaliação da confiabilidade de entrevista aplicada a indivíduos com transtornos mentais: Projeto PESSOAS. Revista Médica de Minas Gerais, 18(4) Suppl. 4:S40–S45.
go back to reference Otto-Salaj, L., Kelly, J. A., Stevenson, L. Y., Hoffmann, R., & Kalichman, S. C. (2001). Outcomes of a randomized small group HIV prevention intervention trial for people with serious mental illness. Community Mental Health Journal, 37, 123–144.CrossRefPubMed Otto-Salaj, L., Kelly, J. A., Stevenson, L. Y., Hoffmann, R., & Kalichman, S. C. (2001). Outcomes of a randomized small group HIV prevention intervention trial for people with serious mental illness. Community Mental Health Journal, 37, 123–144.CrossRefPubMed
go back to reference Pascom, A. R. P., Barbosa, Jr. A., Szwarcwald, C. L. (2005). Diferenças regionais nas práticas sexuais e comportamentos relacionados à transmissão do HIV. IN: Brasil. Ministério da Saúde. Secretaria de Vigilância Saúde. Programa Nacional de DST e Aids. Pesquisa de Conhecimento Atitudes e Práticas na População Brasileira de 15 a 54 anos. Secretaria de Vigilância Saúde, Programa Nacional de DST e Aids.—Brasília: Ministério da Saúde, 2005. Pascom, A. R. P., Barbosa, Jr. A., Szwarcwald, C. L. (2005). Diferenças regionais nas práticas sexuais e comportamentos relacionados à transmissão do HIV. IN: Brasil. Ministério da Saúde. Secretaria de Vigilância Saúde. Programa Nacional de DST e Aids. Pesquisa de Conhecimento Atitudes e Práticas na População Brasileira de 15 a 54 anos. Secretaria de Vigilância Saúde, Programa Nacional de DST e Aids.—Brasília: Ministério da Saúde, 2005.
go back to reference Pinto, D. S., Mann, C. G., Wainberg, M., Mattos, P., & Oliveira, S. B. (2007). Sexuality, vulnerability to HIV, and mental health: An ethnographic study of psychiatric institutions. Cadernos de Saúde Pública, 23, 2224–2233.CrossRef Pinto, D. S., Mann, C. G., Wainberg, M., Mattos, P., & Oliveira, S. B. (2007). Sexuality, vulnerability to HIV, and mental health: An ethnographic study of psychiatric institutions. Cadernos de Saúde Pública, 23, 2224–2233.CrossRef
go back to reference Sheeran, P., Abraham, C., & Orbell, S. (1999). Psychosocial correlates of heterosexual condom use: A meta- analysis. Psychological Bulletin, 125, 90–132.CrossRefPubMed Sheeran, P., Abraham, C., & Orbell, S. (1999). Psychosocial correlates of heterosexual condom use: A meta- analysis. Psychological Bulletin, 125, 90–132.CrossRefPubMed
go back to reference Strauss, J. L., Bosworth, H. B., Stechuchak, K. M., Meador, K. M., & Butterfield, M. I. (2006). Knowledge and risks of human immunodeficiency virus Transmission among veterans with severe mental illness. Military Medicine, 171, 325–330.PubMed Strauss, J. L., Bosworth, H. B., Stechuchak, K. M., Meador, K. M., & Butterfield, M. I. (2006). Knowledge and risks of human immunodeficiency virus Transmission among veterans with severe mental illness. Military Medicine, 171, 325–330.PubMed
go back to reference Sullivan, G., Koegel, P., Kanouse, D. E., Cournos, F., McKinnon, K., Young, A. S., et al. (1999). HIV and people with serious mental illness: The public sector’s role in reducing HIV risk and improving care. Psychiatric Service, 50, 648–652. Sullivan, G., Koegel, P., Kanouse, D. E., Cournos, F., McKinnon, K., Young, A. S., et al. (1999). HIV and people with serious mental illness: The public sector’s role in reducing HIV risk and improving care. Psychiatric Service, 50, 648–652.
go back to reference Wainberg (PI), M. L. (2006–2011). RCT of a Brazilian HIV Prevention Intervention for the SMI (Projeto PRISSMA). NIMH R01MH65163: Rio de Janeiro, Brazil. Wainberg (PI), M. L. (2006–2011). RCT of a Brazilian HIV Prevention Intervention for the SMI (Projeto PRISSMA). NIMH R01MH65163: Rio de Janeiro, Brazil.
go back to reference Wainberg, M. L., Gonzalez, M. A., McKinnon, K., Elkington, K. S., Pinto, D., Mann, C. G., et al. (2007). Targeted ethnography as a critical step to inform cultural adaptations of HIV prevention interventions for adults with severe mental illness. Social Science and Medicine, 65, 296–308.CrossRefPubMed Wainberg, M. L., Gonzalez, M. A., McKinnon, K., Elkington, K. S., Pinto, D., Mann, C. G., et al. (2007). Targeted ethnography as a critical step to inform cultural adaptations of HIV prevention interventions for adults with severe mental illness. Social Science and Medicine, 65, 296–308.CrossRefPubMed
go back to reference Wainberg, M., McKinnon, K., Elkington, K., Mattos, P. E., Mann, C. G., Pinto, D. S., et al. (2008). HIV risk behaviors among outpatients with severe mental illness in Rio de Janeiro, Brazil. World Psychiatry, 7, 166–172.PubMed Wainberg, M., McKinnon, K., Elkington, K., Mattos, P. E., Mann, C. G., Pinto, D. S., et al. (2008). HIV risk behaviors among outpatients with severe mental illness in Rio de Janeiro, Brazil. World Psychiatry, 7, 166–172.PubMed
go back to reference World Health Organization. (2004). ICD-10: international statistical classification of diseases and related health problems: Tenth revision.—2nd ed. 3 v. World Health Organization. (2004). ICD-10: international statistical classification of diseases and related health problems: Tenth revision.—2nd ed. 3 v.
go back to reference Wright, E. R., & Gayman, M. (2005). Sexual networks and HIV risk of people with severe mental illness in institutional and community-based care. AIDS and Behavior, 9, 341–353.CrossRefPubMed Wright, E. R., & Gayman, M. (2005). Sexual networks and HIV risk of people with severe mental illness in institutional and community-based care. AIDS and Behavior, 9, 341–353.CrossRefPubMed
Metadata
Title
Individual and Treatment Setting Predictors of HIV/AIDS Knowledge Among Psychiatric Patients and Their Implications In a National Multisite Study in Brazil
Authors
Ana Paula Souto Melo
Cibele Comini César
Francisco de Assis Acurcio
Lorenza Nogueira Campos
Maria das Graças Braga Ceccato
Milton L. Wainberg
Karen McKinnon
Mark Drew Crosland Guimarães
Publication date
01-10-2010
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 5/2010
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-010-9303-7

Other articles of this Issue 5/2010

Community Mental Health Journal 5/2010 Go to the issue