title: Psychiatric and psychosocial correlates of sexual risk behavior among adults with severe mental illness.
abstract: Persons with severe mental illness (SMI) are disproportionately affected by HIV/AIDS. This study examined multivariate correlates of sexual risk among 152 adults with SMI receiving outpatient psychiatric treatment. Structured interviews assessed psychiatric, psychosocial, and behavioral risk factors. The majority was sexually active (65%), and many reported unprotected intercourse (73%), multiple partners (45%), and sex trading (21%) in the past year. Logistic regression models found that sexual behaviors were differentially associated with non-psychotic disorder, psychiatric symptoms, substance abuse, childhood sexual abuse, romantic partnership, and social support (all ps < .05). Findings underscore the need for targeted HIV prevention interventions that address psychiatric and psychosocial risk factors.
authors.affiliation: Harvard Medical School, McLean Hospital, Belmont, MA 02478-9106, USA. cmeade@mclean.harvard.edu
authors.forename: Christina S
authors.initials: CS
authors.lastname: Meade
authors.forename: Kathleen J
authors.initials: KJ
authors.lastname: Sikkema
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology / Q000635:transmission*; D000328:Adult; D000553:Ambulatory Care / Q000706:statistics & numerical data; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology / Q000706:statistics & numerical data; D015928:Cognitive Behavioral Therapy; D017280:Condoms / Q000706:statistics & numerical data; D003237:Connecticut; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology / Q000635:transmission*; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology* / Q000534:rehabilitation; D008875:Middle Aged; D011618:Psychotic Disorders / Q000453:epidemiology / Q000523:psychology* / Q000534:rehabilitation; D012307:Risk Factors; D012737:Sex Factors; D012725:Sexual Behavior; D013223:Statistics as Topic; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation; D047568:Unsafe Sex / Q000523:psychology* / Q000706:statistics & numerical data