title: Predictors of HIV and hepatitis testing and related service utilization among individuals with serious mental illness.
abstract: Two hundred mentally ill adults receiving community-based outpatient psychiatric services were surveyed. Although 59% received an HIV test, only 41% received a hepatitis test. Clinic location and reports of unprotected sex were associated with receipt of an HIV test. Although no behavioral risk factors were associated with hepatitis testing, those with a comorbid medical condition were more likely to be tested. Only 15% of the sample was immunized against hepatitis B. Medical hospitalization was the only factor related to immunization. These results indicate an urgent need to improve access to HIV and hepatitis testing and related treatment.
authors.affiliation: University of Maryland-Baltimore School of Medicine, Division of Services Research, and the VA Capitol Health Care Network Mental Illness Research, Education and Clinical Center, Baltimore, MD 21201, USA. rgoldber@psych.umaryland.edu
authors.forename: Richard W
authors.initials: RW
authors.lastname: Goldberg
authors.forename: Seth
authors.initials: S
authors.lastname: Himelhoch
authors.forename: Julie
authors.initials: J
authors.lastname: Kreyenbuhl
authors.forename: Faith B
authors.initials: FB
authors.lastname: Dickerson
authors.forename: Ann
authors.initials: A
authors.lastname: Hackman
authors.forename: Li Juan
authors.initials: LJ
authors.lastname: Fang
authors.forename: Clayton H
authors.initials: CH
authors.lastname: Brown
authors.forename: Karen A
authors.initials: KA
authors.lastname: Wohlheiter
authors.forename: Lisa B
authors.initials: LB
authors.lastname: Dixon
mesh_terms: D015897:Comorbidity; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology*; D006509:Hepatitis B / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control; D017325:Hepatitis B Vaccines / Q000008:administration & dosage; D006526:Hepatitis C / Q000175:diagnosis* / Q000453:epidemiology*; D006801:Humans; D007114:Immunization / Q000706:statistics & numerical data; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000628:therapy*; D008605:Mental Health Services / Q000706:statistics & numerical data*; D011237:Predictive Value of Tests; D012720:Severity of Illness Index; D014481:United States
chemical_list: D017325:Hepatitis B Vaccines