Psychiatric and Psychosocial Correlates of Sexual Risk Behavior among Adults with Severe Mental Illness
- 2 December 2006
- journal article
- research article
- Published by Springer Science and Business Media LLC in Community Mental Health Journal
- Vol. 43 (2), 153-169
- https://doi.org/10.1007/s10597-006-9071-6
Abstract
Persons with severe mental illness (SMI) are disproportionately affected by HIV/AIDS. This study examined multivariate correlates of sexual risk among 152 adults with SMI receiving outpatient psychiatric treatment. Structured interviews assessed psychiatric, psychosocial, and behavioral risk factors. The majority was sexually active (65%), and many reported unprotected intercourse (73%), multiple partners (45%), and sex trading (21%) in the past year. Logistic regression models found that sexual behaviors were differentially associated with non-psychotic disorder, psychiatric symptoms, substance abuse, childhood sexual abuse, romantic partnership, and social support (all ps < .05). Findings underscore the need for targeted HIV prevention interventions that address psychiatric and psychosocial risk factors.Keywords
This publication has 61 references indexed in Scilit:
- HIV risk behavior among adults with severe mental illness: A systematic reviewClinical Psychology Review, 2005
- Reducing HIV-Risk Behavior Among Adults Receiving Outpatient Psychiatric Treatment: Results From a Randomized Controlled Trial.Journal of Consulting and Clinical Psychology, 2004
- Blood-Borne Infections and Persons With Mental Illness: Gender Differences in Hepatitis C Infection and Risks Among Persons With Severe Mental IllnessPsychiatric Services, 2003
- Prevalence and correlates of sexual activity and HIV-related risk behavior among psychiatric outpatients.Journal of Consulting and Clinical Psychology, 2001
- The relation of alcohol use to HIV-risk sexual behavior among adults with a severe and persistent mental illness.Journal of Consulting and Clinical Psychology, 2001
- Reliability of Self-Reports About Sexual Risk Behavior for HIV Among Homeless Men With Severe Mental IllnessPsychiatric Services, 2000
- Increasing assertiveness skills to reduce HIV risk among women living with a severe and persistent mental illness.Journal of Consulting and Clinical Psychology, 1998
- Physical and Sexual Assault History in Women With Serious Mental Illness: Prevalence, Correlates, Treatment, and Future Research DirectionsSchizophrenia Bulletin, 1997
- Crack Cocaine Use and Sexual Behavior among Psychiatric InpatientsThe American Journal of Drug and Alcohol Abuse, 1992
- Social competence in schizophrenia: Premorbid adjustment, social skill, and domains of functioningJournal of Psychiatric Research, 1990