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HIV risk behaviors among outpatients with severe mental illness in Rio de Janeiro, Brazil

Milton L. Wainberg; Katherine Elkington; Karen M. McKinnon; Paulo E. Mattos; Claudio Gruber Mann; Diana De Souza Pinto; Laura Ottosalaj; Francine Cournos; The Investigators of Prissma

Title:
HIV risk behaviors among outpatients with severe mental illness in Rio de Janeiro, Brazil
Author(s):
Wainberg, Milton L.
Elkington, Katherine
McKinnon, Karen M.
Mattos, Paulo E.
Mann, Claudio Gruber
Pinto, Diana De Souza
Ottosalaj, Laura
Cournos, Francine
The Investigators of Prissma
Date:
Type:
Articles
Department(s):
Psychiatry
Volume:
7
Persistent URL:
Book/Journal Title:
World Psychiatry
Geographic Area:
Brazil--Rio de Janeiro
Abstract:
We conducted the first study to examine rates of sexual activity, sexual risk behaviors, sexual protective behaviors, injection drug use (IDU), needle sharing, and knowledge about HIV/AIDS among outpatients with severe mental illness (SMI) in Rio de Janeiro, Brazil. Using a measure with demonstrated reliability, we found that 42% of 98 patients engaged in vaginal or anal sex within the past three months. Comorbid substance use disorder was significantly associated with sexual activity. Only 22% of sexually active patients used condoms consistently, despite having better HIV knowledge than those who were sexually abstinent. Overall, 45% of patients reported not engaging in any HIV protective behaviors. There were no reports of drug injection. Adults with SMI in Brazil are in need of efficacious HIV prevention programs and policies that can sustain these programs within mental health treatment settings.
Subject(s):
Mental illness
Contraceptives
HIV infections
Psychology
Publisher DOI:
https://doi.org/10.1002/j.2051-5545.2008.tb00190.x
Item views
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Metadata:
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Suggested Citation:
Milton L. Wainberg, Katherine Elkington, Karen M. McKinnon, Paulo E. Mattos, Claudio Gruber Mann, Diana De Souza Pinto, Laura Ottosalaj, Francine Cournos, The Investigators of Prissma, , HIV risk behaviors among outpatients with severe mental illness in Rio de Janeiro, Brazil, Columbia University Academic Commons, .

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