title: HIV risk factors among people with severe mental illness in urban and rural areas.
abstract: No studies have reported HIV risk behavior in rural populations with severe mental illness. A total of 84 rural patients with severe mental illness in New Hampshire and 158 urban patients in Baltimore were interviewed about their HIV risk behavior in the past six months using the Risk Assessment Battery, a 38-item structured clinical interview. Rates of sexual and drug risk behavior among rural patients were significantly lower than among urban patients. Regression analyses showed that urban setting, younger age, never having been married, and a bisexual or gay orientation significantly predicted higher HIV risk scores. The differences in risk behaviors may reflect urban-rural differences in drug availability and sexual practices.
authors.affiliation: New Hampshire-Dartmouth Psychiatric Research Center and Department of Psychiatry, Dartmouth Medical School, Concord 03301, USA. mary.f.brunette@dartmouth.edu
authors.forename: M F
authors.initials: MF
authors.lastname: Brunette
authors.forename: S D
authors.initials: SD
authors.lastname: Rosenberg
authors.forename: L A
authors.initials: LA
authors.lastname: Goodman
authors.forename: K T
authors.initials: KT
authors.lastname: Mueser
authors.forename: F C
authors.initials: FC
authors.lastname: Osher
authors.forename: R
authors.initials: R
authors.lastname: Vidaver
authors.forename: P
authors.initials: P
authors.lastname: Auciello
authors.forename: G L
authors.initials: GL
authors.lastname: Wolford
authors.forename: R E
authors.initials: RE
authors.lastname: Drake
mesh_terms: D000293:Adolescent; D000328:Adult; D015142:Baltimore / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006679:HIV Seropositivity / Q000150:complications* / Q000453:epidemiology*; D015438:Health Behavior; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications* / Q000523:psychology; D008875:Middle Aged; D009513:New Hampshire / Q000453:epidemiology; D018570:Risk Assessment; D012423:Rural Health / Q000706:statistics & numerical data*; D012720:Severity of Illness Index; D014504:Urban Health / Q000706:statistics & numerical data*