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

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

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.

Geographic Areas


  • thumnail for HIV_risk_behaviors_among_outpatients_with_severe_mental_illness_in_Rio_de_Janeiro__Brazil.pdf HIV_risk_behaviors_among_outpatients_with_severe_mental_illness_in_Rio_de_Janeiro__Brazil.pdf application/pdf 512 KB Download File

Also Published In

More About This Work

Academic Units
Published Here
March 21, 2017