Screening for and prevalence of HIV and Hepatitis C among an outpatient urban sample of people with serious mental illness and co-occurring substance abuse

Background: To assess rates of screening and testing of HIV and HCV among those with serious mental illness and co‐occurring substance use disorders. Methods: One hundred fifty‐three people with serious mental illness and co‐occurring substance use disorders completed measures and were screened for...

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Veröffentlicht in:Journal of community psychology 2011-03, Vol.39 (2), p.231-239
Hauptverfasser: Himelhoch, Seth, Goldberg, Richard, Calmes, Christine, Medoff, Deborah, Slade, Eric, Dixon, Lisa, Gallucci, Gerard, Rosenberg, Stanley
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container_end_page 239
container_issue 2
container_start_page 231
container_title Journal of community psychology
container_volume 39
creator Himelhoch, Seth
Goldberg, Richard
Calmes, Christine
Medoff, Deborah
Slade, Eric
Dixon, Lisa
Gallucci, Gerard
Rosenberg, Stanley
description Background: To assess rates of screening and testing of HIV and HCV among those with serious mental illness and co‐occurring substance use disorders. Methods: One hundred fifty‐three people with serious mental illness and co‐occurring substance use disorders completed measures and were screened for HIV and HCV. Results: Six percent were HIV positive and 25% were HCV positive. Almost a quarter reported a history of injection drug use and 86% reported a history of unprotected sexual encounters. Compared to those without a diagnosis of Hepatitis C, those diagnosed with Hepatitis C were significantly more likely to have a sexually transmitted infection, (p=0.01), have a lifetime history of injection drug use, (p
doi_str_mv 10.1002/jcop.20422
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Methods: One hundred fifty‐three people with serious mental illness and co‐occurring substance use disorders completed measures and were screened for HIV and HCV. Results: Six percent were HIV positive and 25% were HCV positive. Almost a quarter reported a history of injection drug use and 86% reported a history of unprotected sexual encounters. Compared to those without a diagnosis of Hepatitis C, those diagnosed with Hepatitis C were significantly more likely to have a sexually transmitted infection, (p=0.01), have a lifetime history of injection drug use, (p&lt;0.001), and a lifetime history of sniffing drugs, (p=0.01). Conclusions: Given the high levels of infection of HIV and HCV and high levels of transmission risk factors efforts to improve screening and provide risk reduction counseling are warranted. © 2011 Wiley Periodicals, Inc.</description><identifier>ISSN: 0090-4392</identifier><identifier>EISSN: 1520-6629</identifier><identifier>DOI: 10.1002/jcop.20422</identifier><identifier>PMID: 23543939</identifier><identifier>CODEN: JCPSD9</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Acquired Immunodeficiency Syndrome (AIDS) ; African Americans ; At Risk Persons ; Clinics ; Communicable Diseases ; Comparative analysis ; Disease transmission ; Drug Use ; Health Behavior ; Hepatitis C ; Hispanic Americans ; HIV ; Homeless People ; Human immunodeficiency virus ; Incidence ; Life Style ; Low Income Groups ; Maryland ; Mental Disorders ; Minority Groups ; Risk factors ; Screening Tests ; Sexuality ; Sexually Transmitted Diseases ; STD ; Substance Abuse ; Urban Areas</subject><ispartof>Journal of community psychology, 2011-03, Vol.39 (2), p.231-239</ispartof><rights>2011 Wiley Periodicals, Inc.</rights><rights>Copyright John Wiley and Sons, Limited Mar 2011</rights><rights>2011 Wiley Periodicals, Inc. 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5062-711d095d6a8491e6a4a351f98bc9dca811e8c5f9539e408b277a406ed23492503</citedby><cites>FETCH-LOGICAL-c5062-711d095d6a8491e6a4a351f98bc9dca811e8c5f9539e408b277a406ed23492503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjcop.20422$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjcop.20422$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,33774,45574,45575</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ916179$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23543939$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Himelhoch, Seth</creatorcontrib><creatorcontrib>Goldberg, Richard</creatorcontrib><creatorcontrib>Calmes, Christine</creatorcontrib><creatorcontrib>Medoff, Deborah</creatorcontrib><creatorcontrib>Slade, Eric</creatorcontrib><creatorcontrib>Dixon, Lisa</creatorcontrib><creatorcontrib>Gallucci, Gerard</creatorcontrib><creatorcontrib>Rosenberg, Stanley</creatorcontrib><title>Screening for and prevalence of HIV and Hepatitis C among an outpatient urban sample of people with serious mental illness and co-occurring substance abuse</title><title>Journal of community psychology</title><addtitle>J. Community Psychol</addtitle><description>Background: To assess rates of screening and testing of HIV and HCV among those with serious mental illness and co‐occurring substance use disorders. Methods: One hundred fifty‐three people with serious mental illness and co‐occurring substance use disorders completed measures and were screened for HIV and HCV. Results: Six percent were HIV positive and 25% were HCV positive. Almost a quarter reported a history of injection drug use and 86% reported a history of unprotected sexual encounters. Compared to those without a diagnosis of Hepatitis C, those diagnosed with Hepatitis C were significantly more likely to have a sexually transmitted infection, (p=0.01), have a lifetime history of injection drug use, (p&lt;0.001), and a lifetime history of sniffing drugs, (p=0.01). 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source Wiley Journals; Sociological Abstracts
subjects Acquired Immunodeficiency Syndrome (AIDS)
African Americans
At Risk Persons
Clinics
Communicable Diseases
Comparative analysis
Disease transmission
Drug Use
Health Behavior
Hepatitis C
Hispanic Americans
HIV
Homeless People
Human immunodeficiency virus
Incidence
Life Style
Low Income Groups
Maryland
Mental Disorders
Minority Groups
Risk factors
Screening Tests
Sexuality
Sexually Transmitted Diseases
STD
Substance Abuse
Urban Areas
title Screening for and prevalence of HIV and Hepatitis C among an outpatient urban sample of people with serious mental illness and co-occurring substance abuse
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