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NLM AIDSLINE

HIV seroprevalence in psychiatric inpatients.




 

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



 




Information in this article was accurate in December 30, 1990. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.