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. 2007;33(1-2):5-18.
doi: 10.1300/J005v33n01_02.

Triple jeopardy for HIV: substance using Severely Mentally Ill Adults

Jessy G Devieux  1 , Robert Malow, Brenda G Lerner, Janyce G Dyer, Ligia Baptista, Barbara Lucenko, Seth Kalichman
Affiliations

Triple jeopardy for HIV: substance using Severely Mentally Ill Adults

Jessy G Devieux et al. J Prev Interv Community. 2007.

Abstract

Severely Mentally Ill (SMI) adults have disproportionately high HIV seroprevalence rates. Abuse of alcohol and other substances (AOD) and lifetime exposure to trauma by others are particularly potent risk factors, which, in combination with psychiatric disabilities, create triple jeopardy for HIV infection. This study examined the predictive utility of demographic characteristics; history of physical, emotional, or sexual abuse; extent of drug and alcohol abuse; knowledge about HIV/AIDS; sexual self-efficacy; and condom attitudes toward explaining the variance in a composite of HIV high-risk behavior among 188 SMI women and 158 SMI men. History of sexual abuse, engaging in sexual activities while high on substances, and lower cannabis use were the most significant predictors of HIV sexual risk behaviors. Given the triple jeopardy for HIV risk in this population, a triple barreled approach that simultaneously addresses multiple health risks within an integrated treatment setting is warranted.

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References

    1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4. Washington, DC: Author; 1994.
    1. Aruffo JF, Coverdale JH, Chacko RC, Dworkin RJ. Knowledge about AIDS among women psychiatric outpatients. Hospital and Community Psychiatry. 1990;41:326–328. - PubMed
    1. Bensley LS, Eenwyk JV, Simmons K. Self-reported childhood sexual and physical abuse and adult HIV-risk behaviors and heavy drinking. American Journal of Preventive Medicine. 1999;18:151–158. - PubMed
    1. Burnham MA, Stein MA, Golding JM, Siegel JM, Sorenson SB, Forsythe AB, et al. Sexual assault and mental disorders in a community population. Journal of Consulting and Clinical Psychology. 1988;56:843–850. - PubMed
    1. Carey MP, Carey KB, Maisto SA, Gordon CM, Schroder KEE, Vanable PA. Reducing HIV-risk behavior among adults receiving outpatient psychiatric treatment: Results from a randomized controlled trial. Journal of Consulting and Clinical Psychology. 2004;72(2):252–268. - PMC - PubMed

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