Lifetime sexual behavior of psychiatric inpatients.
BACKGROUND
Sexual life of psychiatric patients, including risk behaviors related to sexually transmitted diseases, remains a poorly studied area, especially in those with severe mental illnesses.


OBJECTIVE
To assess some aspects of lifetime sexual behavior of psychiatric inpatients.


METHODS
Patients consecutively admitted to a psychiatric unit in a general hospital were interviewed about partner-related lifetime sexual behavior.


METHODS
A semi-structured interview developed by the authors was used to collect information concerning their general sexual experience throughout life, homosexual and heterosexual relations, and relations with partners who were intravenous drug users (IVDU), HIV carriers or suffering from AIDS, and with sex workers. In each of these areas, time elapsed since last sexual contact; number of partners in previous year, frequency of these relations and condom use were investigated.


RESULTS
Five hundred forty-six patients (306 men and 240 women) were assessed, and 87.7% of them reported sexual relations at some point during their life. Of these, 90% reported heterosexual and 10% homosexual or bisexual sexual contacts. Further, 11.06% had had at least one partner who was an IVDU; 8.1% an HIV-positive partner, and 32.4% (50% of the men) had paid for sex. Overall 49.79% of the total sample reported never using condoms in their sexual relations, with similar percentages for those with HIV-positive (46%) and IVDU (47%) partners. Of those who paid for sex, 29% never used condoms.


CONCLUSIONS
Psychiatric patients admitted to a general hospital psychiatric unit have sexual experience close to the general population, with a higher percentage of homosexual contacts and lower rates of condom use, even in higher risk situations, such as men having sex with men, and partners who are HIV-positive or IVDUs. This information obliges clinicians to systematically explore the sexual behavior of psychiatric patients, evaluate risk behaviors, and adopt measures to promote safe sex practices in this population.
Gonzalez-Torres
Miguel Angel
MA
University of the Basque Country, Neuroscience Department, Bilbao, Spain. miguelangel.gonzaleztorres@osakidetza.net
Salazar
Miguel Angel
MA
Inchausti
Lucía
L
Ibañez
Berta
B
Pastor
Javier
J
Gonzalez
Gixane
G
Carvajal
María Josefa
MJ
Fernandez-Rivas
Aranzazu
A
Madrazo
Aranzazu
A
Ruiz
Eduardo
E
Basterreche
Edurne
E
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003134:Commitment of Persons with Psychiatric Disorders; D017280:Condoms / Q000706:statistics & numerical data; D004522:Educational Status; D005260:Female; D015658:HIV Infections / Q000453:epidemiology; D006757:Hospital Units; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D017533:Marital Status; D001523:Mental Disorders / Q000453:epidemiology; D028642:Persons with Psychiatric Disorders; D008875:Middle Aged; D012111:Residence Characteristics; D012737:Sex Factors; D012725:Sexual Behavior; D012747:Sexual Partners; D013030:Spain / Q000453:epidemiology; D014478:Unemployment; D055815:Young Adult