Voluntary HIV Testing Among Adults with Severe Mental Illness: Frequency and Associated Factors
- 2 December 2005
- journal article
- Published by Springer Science and Business Media LLC in AIDS and Behavior
- Vol. 9 (4), 465-473
- https://doi.org/10.1007/s10461-005-9033-y
Abstract
Adults with severe mental illness (SMI) are disproportionately affected by HIV/AIDS. This study describes the frequency and associated factors of HIV testing among psychiatric outpatients (N = 150) in a small Northeastern city. A structured clinical interview assessed demographic, psychosocial, behavioral, and psychiatric factors. In the past year, 41% of participants were HIV tested. A hierarchical linear regression model revealed the following multivariate correlates: lower educational attainment, HIV risk behavior, greater social support, homelessness, non-psychotic disorder, borderline personality disorder, and greater treatment utilization. Psychiatric factors remained significant correlates of HIV testing after accounting for psychosocial and behavioral factors. Although HIV testing occurred among a substantial proportion of participants, 45% of individuals who engaged in HIV risk behavior were not tested in the past year. Adults with SMI are in need of interventions promoting routine HIV testing and risk-reduction counseling.Keywords
This publication has 29 references indexed in Scilit:
- Prevalence and predictors of HIV testing among a probability sample of homeless women in Los Angeles CountyPublic Health Reports, 2003
- Interaction Effects in Logistic RegressionPublished by SAGE Publications ,2001
- Applied Logistic RegressionPublished by Wiley ,2000
- HIV testing among the general US population and persons at increased risk: information from national surveys, 1987-1996American Journal of Public Health, 2000
- Highly active antiretroviral therapy during early HIV infection reverses T-cell activation and maturation abnormalitiesAIDS, 1998
- HIV seroprevalence among people with severe mental illness in the United States: A critical reviewClinical Psychology Review, 1997
- Multiple Regression: Testing and Interpreting Interactions.Journal of the Operational Research Society, 1994
- HIV Antibody Testing Among Those at Risk for InfectionJAMA, 1993
- Borderline Personality Disorder and Impulsive Sexual BehaviorPsychiatric Services, 1993
- Methodological problems in AIDS behavioral research: Influences on measurement error and participation bias in studies of sexual behavior.Psychological Bulletin, 1990