Recent HIV Testing Among General Hospital Inpatients with Schizophrenia: Findings from Four New York City Sites

Recent HIV Testing Among General Hospital Inpatients with Schizophrenia: Findings from Four New... Background: While widely acknowledged to be an important clinical and public health issue, HIV assessment, counseling, and testing for the seriously mentally ill has not been well studied. Objective: To determine what proportion and which inpatients with schizophrenia have been recently tested for HIV. Method: A sample of 300 inpatients with schizophrenia were recruited from four general hospitals in New York City over a one year period. After confirmation of diagnosis with a structured interview, and elicitation of sociodemographic and drug use information, medical record review identified recent HIV testing. Bivariate and multivariate analyses were used to identify subgroups more likely to be tested. Findings: Recent HIV testing had been performed for 17% of the sample and was concentrated among those with higher documented risks. The majority of patients remain untested even in groups with direct risks, such as injection drug use, and indirect risks, such as frequent cocaine use in last year. Some evidence was found that white patients at risk may be less likely to be tested than Hispanic or African American patients. Conclusions: Aggressive efforts are needed to improve knowledge of HIV status among acutely ill patients with schizophrenia. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Psychiatric Quarterly Springer Journals

Recent HIV Testing Among General Hospital Inpatients with Schizophrenia: Findings from Four New York City Sites

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Publisher
Kluwer Academic Publishers-Plenum Publishers
Copyright
Copyright © 2000 by Human Sciences Press, Inc.
Subject
Medicine & Public Health; Psychiatry; Public Health; Sociology, general
ISSN
0033-2720
eISSN
1573-6709
D.O.I.
10.1023/A:1004632620890
Publisher site
See Article on Publisher Site

Abstract

Background: While widely acknowledged to be an important clinical and public health issue, HIV assessment, counseling, and testing for the seriously mentally ill has not been well studied. Objective: To determine what proportion and which inpatients with schizophrenia have been recently tested for HIV. Method: A sample of 300 inpatients with schizophrenia were recruited from four general hospitals in New York City over a one year period. After confirmation of diagnosis with a structured interview, and elicitation of sociodemographic and drug use information, medical record review identified recent HIV testing. Bivariate and multivariate analyses were used to identify subgroups more likely to be tested. Findings: Recent HIV testing had been performed for 17% of the sample and was concentrated among those with higher documented risks. The majority of patients remain untested even in groups with direct risks, such as injection drug use, and indirect risks, such as frequent cocaine use in last year. Some evidence was found that white patients at risk may be less likely to be tested than Hispanic or African American patients. Conclusions: Aggressive efforts are needed to improve knowledge of HIV status among acutely ill patients with schizophrenia.

Journal

Psychiatric QuarterlySpringer Journals

Published: Oct 9, 2004

References

  • HIV risk screening in the primary care setting: Assessment of physicians skills
    Weinrich, M; Curtis, J; Carline, J
  • Risk for human immunodeficiency virus (HIV) infection among persons with severe mental illness
    Carey, M; Carey, K; Kalichman, S
  • HIV-1 in inpatients
    Lee, H; Travin, S; Bluestone, H
  • Prevalence of HIV infection among psychiatric patients in a New York City men's shelter
    Susser, E; Valencia, F; Conover, S
  • HIV risk factors in dually diagnosed patients
    Krakow, D; Galanter, M; Dermatis, H
  • HIV antibody testing and posttest counseling in the United States: data from the 1989 National Health Interview Survey
    Anderson, J; Hardy, A; Cahill, K

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