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AIDS and Behavior
Published in: AIDS and Behavior 4/2005

01-12-2005 | HIV Testing and Counseling

Voluntary HIV Testing Among Adults with Severe Mental Illness: Frequency and Associated Factors

Authors: Christina S. Meade, Kathleen J. Sikkema

Published in: AIDS and Behavior | Issue 4/2005

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Abstract

Adults with severe mental illness (SMI) are disproportionately affected by HIV/AIDS. This study describes the frequency and associated factors of HIV testing among psychiatric outpatients (N = 150) in a small Northeastern city. A structured clinical interview assessed demographic, psychosocial, behavioral, and psychiatric factors. In the past year, 41% of participants were HIV tested. A hierarchical linear regression model revealed the following multivariate correlates: lower educational attainment, HIV risk behavior, greater social support, homelessness, non-psychotic disorder, borderline personality disorder, and greater treatment utilization. Psychiatric factors remained significant correlates of HIV testing after accounting for psychosocial and behavioral factors. Although HIV testing occurred among a substantial proportion of participants, 45% of individuals who engaged in HIV risk behavior were not tested in the past year. Adults with SMI are in need of interventions promoting routine HIV testing and risk-reduction counseling.
Literature
Aiken, L., and West, S. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.
Anderson, J. E., Carey, J. W., and Taveras, S. (2000). HIV testing among the general US population and persons at increased risk: Information from national surveys, 1987–1996. American Journal of Public Health, 90, 1089–1095.PubMedCrossRef
Berrios, D. C., Hearnst, N., Coates, T. J., Stall, R., Hudes, E. S., Turner, H., Eversley, R., and Catania, J. (1993). HIV antibody testing among those at risk for infection: The National AIDS Behavioral Surveys. JAMA, 270, 1576–1580.PubMedCrossRef
Bisset, L. R., Cone, R. W., Huber, W., Battegay, M., Vernazza, P. L., Weber, R., Grob, P. J., and Opravil, M. (1998). Highly active antiretroviral therapy during early HIV infection reverses T-cell activation and maturation abnormalities. AIDS, 12, 2115–2123.PubMedCrossRef
Catania, J. A., Gibson, D. R., Chitwood, D. D., and Coates, T. J. (1990). Methodological problems in AIDS behavioral research: Influences on measurement error and participation in studies of sexual behavior. Psychological Bulletin, 108, 339–362.PubMedCrossRef
CDC. (2003a). Advancing HIV prevention: New strategies for a changing epidemic. MMWR, 52, 329–332.
CDC. (2003b). HIV testing—United States, 2001. MMWR, 52, 540–545.
Cournos, F., and McKinnon, K. (1997). HIV seroprevalence among people with severe mental illness in the United States: A critical review. Clinical Psychology Review, 17, 259–269.PubMedCrossRef
Derogatis, L. R. (1983). SCL-90-R: Administration, Scoring, andamp; Procedures Manual-II. Baltimore, MD: Clinical Psychometric Research.
Herdon, B., Asch, S., Kilbourne, A., Wang, M., Lee, M., Wenzel, S., Andersen, R., and Gelberg, L. (2003). Prevalence and predictors of HIV testing among a probability sample of homeless women in Los Angeles County. Public Health Reports, 118, 261–269.
Higgins, D. L., Galavotti, C., O'Reilly, K. R., Schnell, D. J., Moore, M., Rugg, D. L., and Johnson, R. (1991). Evidence for the effects of HIV antibody counseling and testing on risk behaviors. JAMA, 266, 2419–2429.PubMedCrossRef
Hosmer, D. W., and Lemeshow, S. (2000). Applied logistic regression. New York: Wiley-Interscience.
Hull, H. F., Bettinger, C. J., Gallaher, M. M., Keller, N. M., Wilson, J., and Mertz, G. J. (1988). Comparison of HIV-antibody prevalence in patients consenting to and declining HIV-antibody testing in an STD clinic. JAMA, 260, 935–938.PubMedCrossRef
Hull, J. W., Clarkin, J. F., and Yeomans, F. (1993). Borderline personality and impulsive sexual behavior. Hospital and Community Psychiatry, 44, 1000–1002.PubMed
Jacard, J. (2001). Interaction effects in logistic regression. Thousand Oaks, CA: Sage.
Janssen, R. S., Holtgrave, D. R., Valdiserri, R. O., Shepherd, M., Gayle, H. D., and de Cock, K. M. (2001). The serostatus approach to fighting the HIV epidemic: Prevention strategies for infected individuals. American Journal of Public Health, 91, 1019–1024.PubMed
Jin, F. Y., Law, M. G., Kippax, S., van den Ven, P., Rawsthorne, P., Kaldor, J. M., and Grulich, A. E. (2002). Predictors of recent HIV testing in homosexual men in Australia. HIV Medicine, 3, 271–276.PubMedCrossRef
Katz, R. C., Watts, C., and Santman, J. (1994). AIDS knowledge and high risk behaviors in the chronic mentally ill. Community Mental Health Journal, 30, 395–402.PubMedCrossRef
Kelly, J. A., Murphy, D. A., Bahr, G. R., Brasfield, T. L., Davis, D. R., Hauth, A. C., Morgan, M. G., Stevenson, L. Y., and Eilers, M. K. (1992). AIDS/HIV risk behavior among the chronically mentally ill. American Journal of Psychiatry, 149, 886–889.PubMed
Kessler, R. C., Berglund, P. A., Zhao, S., Leaf, P. J., Kouzis, A. C., Bruce, M. L., Friedman, R. M., Grossier, R. C., Kennedy, C., Narrow, W. E., Kuehnel, T. G., Laska, E. M., Manderscheid, R. W., Rosenheck, R. A., Santoni, T. W., and Schneier, M. (1996). The 12-month prevalence and correlates of serious mental illness. In R. W. Manderscheid, and M. A. Sonnenschein (Eds.), Mental health, United States (pp. 59–70). Washington, DC: US Government Printing Office.
Knox, M. D., Boaz, T. L., Friedrich, M. A., and Dow, M. G. (1994). HIV risk factors for persons with serious mental illness. Community Mental Health Journal, 30, 551–563.PubMedCrossRef
Levounis, P., Galanter, M., Dermatis, H., Hamowy, A., and DeLeon, G. (2002). Correlates of HIV transmission risk factors and considerations for interventions for homeless, chemically addicted and mentally ill patients. Journal of Addictive Diseases, 21, 61–72.PubMedCrossRef
McKinnon, K., Cournos, F., Herman, R., Satriano, J., Silver, B., and Puello, I. (1999). AIDS-related services and training in outpatient mental health care agencies in New York. Psychiatric Services, 50, 1225–1228.PubMed
McKinnon, K., Cournos, F., and Herman, R. (2001). A lifetime alcohol or other drug use disorder and specific psychiatric symptoms predict sexual risk and HIV infection among people with severe mental illness. AIDS and Behavior, 5, 233–240.CrossRef
Meade, C. S., and Sikkema, K. J. (2005). HIV risk behavior among adults with severe mental illness: A systematic review. Clinical Psychology Review .
Menon, A. S., Pomerantz, S., Harowitz, S., Applebaum, S., Nuthi, U., Peacock, E., and Cohen, C. (1994). The high prevalence of unsafe sexual behaviors among acute psychiatric inpatients. Journal of Nervous and Mental Disease, 182, 661–666.PubMedCrossRef
Nyamathi, A. M., Stein, J. A., and Swanson, J. M. (2000). Personal, cognitive, behavioral, and demographic predictors of HIV testing and STDs in homeless women. Journal of Behavioral Medicine, 23, 123–147.PubMedCrossRef
Palella, F. J., Jr., Deloria-Knoll, M., Chmiel, J. S., Moorman, A. C., Wood, K. C., Greenberg, A. E., and Holmberg, S. D. (2003). Survival benefit of initiating antiretroviral therapy in HIV-infected persons in different CD4positive cell strata. Annals of Internal Medicine, 138, 620–626.PubMed
Rosenberg, S. D., Swanson, J. W., Wolford, G. I., Swartz, M. S., Essock, S. M., Butterfield, M., and Marsh, B. J. (2003). The Five-Site Health and Risk Study of blood-borne infections among persons with severe mental illness. Psychiatric Services, 54, 827–835.PubMedCrossRef
Rothbard, A. B., Metraux, S., and Blank, M. B. (2003). Cost of care for Medicaid recipients with serious mental illness and HIV infection or AIDS. Psychiatric Services, 54, 1240–1246.PubMedCrossRef
Schimnar, A., Rothbard, A., Kanter, R., and Jung, Y. (1990). An empirical literature review of definitions of severe and persistent mental illness. American Journal of Psychiatry, 147, 1602–1608.
Sherbourne, C. D., and Stewart, A. L. (1991). The MOS Social Support Survey. Social Science andamp; Medicine, 32, 705–714.CrossRef
Sikkema, K. J., Hansen, N. B., Kochman, A., Tate, D. C., and Difranceisco, W. (2004). Outcomes from a randomized controlled trial of a group intervention for HIV positive men and women coping with AIDS-related loss and bereavement. Death Studies, 28, 187–209.PubMedCrossRef
UNAIDS. (2002). Report on the global HIV/AIDS epidemic. Geneva: World Health Organization.
Volavka, J., Convit, A., O'Donnell, J., Douyon, R., Evangelista, C., and Czobor, P. (1992). Assessment of risk behaviors for HIV infection among psychiatric inpatients. Hospital and Community Psychiatry, 43, 482–485.PubMed
Walkup, J., McAlpine, D. D., Olfson, M., Boyer, C., and Hansell, S. (2000). Recent HIV testing among general hospital inpatients with schizophrenia: Findings from four New York City sites. Psychiatric Quarterly, 71, 177–193.PubMedCrossRef
Walkup, J., Satriano, J., Barry, D., Sadler, P., and Cournos, F. (2002). HIV testing policy and serious mental illness. American Journal of Public Health, 92, 1931–1939.PubMed
Weber, R., Christen, L., Christen, S., Tschopp, S., Znoj, H., Schneider, C., Schmitt, J., Opravil, M., Gunthard, H. F., and Ledergerber, B. (2004). Effect of individual cognitive behaviour intervention on adherence to antiretroviral therapy: Prospective randomized trial. Antiviral Therapy, 9, 85–95.PubMed
Weinhardt, L. S., Carey, M. P., and Carey, K. B. (1998). HIV-risk behavior and the public health context of HIV/AIDS among women living with severe and persistent mental illness. Journal of Nervous and Mental Disease, 186, 276–282.PubMedCrossRef
Weinstock, H., Dale, M., Linley, L., and Gwinn, M. (2002). Unrecognized HIV infection among patients attending sexually transmitted disease clinics. American Journal of Public Health, 92, 280–283.PubMed
Wenrich, M. D., Curtis, J. R., Carline, J. D., Paauw, D. S., and Ramsey, P. G. (1997). HIV risk screening in the primary care setting: Assessment of physician skills. Journal of General Internal Medicine, 12, 107–113.PubMed
Metadata
Title
Voluntary HIV Testing Among Adults with Severe Mental Illness: Frequency and Associated Factors
Authors
Christina S. Meade
Kathleen J. Sikkema
Publication date
01-12-2005
Publisher
Springer US
Published in
AIDS and Behavior / Issue 4/2005
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-005-9033-y

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WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

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