title: HIV sexual risk behavior among emerging adults in psychiatric treatment in Brazil.
abstract: HIV infection among young populations is increasing worldwide. Adolescents in mental health treatment have demonstrated higher rates of HIV risk behavior than their peers. This first risk behavior study of youth in psychiatric treatment in Brazil reports findings from a cross-sectional national sample of emerging adult psychiatric patients (18-25 years old). The prevalence of lifetime unprotected sex was 65.9%. Multiple logistic regression indicated that being married/in union; sex under the influence of alcohol/drugs; physical violence; earlier sexual debut; and depressive/substance use disorders were associated with unsafe sex. Interventions and services that address these risks during this critical developmental window are urgently needed.
authors.affiliation: Department of Preventive and Social Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil.
authors.forename: Mark D C
authors.initials: MD
authors.lastname: Guimarães
authors.affiliation: HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University ,New York, USA.
authors.forename: Katherine S
authors.initials: KS
authors.lastname: Elkington
authors.affiliation: Department of Preventive and Social Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil.
authors.forename: Ana Luiza F M
authors.initials: AL
authors.lastname: Gomes
authors.affiliation: Department of Preventive and Social Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil.
authors.forename: Carolina
authors.initials: C
authors.lastname: Veloso
authors.affiliation: New York State Psychiatric Institute and Columbia University College of Physicians and Surgeons, New York, USA.
authors.forename: Karen
authors.initials: K
authors.lastname: McKinnon
keywords: Brazil; HIV risk behavior; Sexual behavior; emerging adults; mental illness; multicenter national study