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NLM AIDSLINE
HIV seroprevalence in psychiatric inpatients.
Sacks M; Dermatis H; Ott S; Perry S; Cornell University Medical College,
December 30, 1990
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

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