Int Conf AIDS. 1990 Jun 20-23;6(3):178 (abstract no. S.B.368). Unique
OBJECTIVE: To assess HIV seroprevalence and risk behaviors in acute
psychiatric inpatients. METHODS: Consecutive acute psychiatric patients
(N=400) admitted to a hospital in NYC between age 18 to 55 are being
tested for HIV in an unlinked design. The waste blood remaining after a
patient's routine admission blood tests are performed is tested for HIV.
In addition, a chart review of HIV risk behaviors and psychiatric
diagnosis is conducted at admission prior to the patient's blood being
tested for HIV. RESULTS: To date, 66 subjects have been entered onto the
study, the majority of which are females (59%), Caucasian (70%) and
between the ages of 25 and 39 (57.6%). Four patients (6%) were found to
be seropositive. Out of the 4 patients who were seropositive, 3 engaged
in homosexual activities and 1 patient had a history of intravenous (IV)
drug use. 3 patients are physically asymptomatic and 1 patient has AIDS.
Two of the seropositive patients were aware of their HIV status at
admission. AIDS risk behaviors were documented in 21% of the sample
including former or current IV drug use (10%) and homosexual/bisexual
behaviors (5%). Combined risk factors in 6% of the patients were IV drug
use and multiple sexual contacts (3%), and homosexual behaviors and
multiple sexual contacts (3%). CONCLUSIONS: These findings indicate that
psychiatric inpatients are at substantial risk for HIV risk behaviors.
Acute psychiatric inpatients could benefit from AIDS related services.
Acquired Immunodeficiency Syndrome/DIAGNOSIS/EPIDEMIOLOGY/ PSYCHOLOGY
Adolescence Adult Bisexuality Community Mental Health Services
Female Homosexuality Human HIV Infections/EPIDEMIOLOGY/PSYCHOLOGY
HIV Seropositivity/DIAGNOSIS/PSYCHOLOGY HIV Seroprevalence
Inpatients/*PSYCHOLOGY Middle Age New York City/EPIDEMIOLOGY Risk
Factors Substance Abuse, Intravenous Whites ABSTRACT