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Document 2918
DOCN M94A2918
TI HIV seroprevalence among psychiatric in-patients at the psychiatric unit
of S. Giovanni Hospital, Rome.
DT 9412
AU Di Genio M; Chiesi A; Pariante F; Falchi Delitala N; D'Aloia D; Degli
Esposti M; Mental Health Department, USL RM4, Rome, Italy.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):195 (abstract no. PB0210). Unique
Identifier : AIDSLINE ICA10/94369657
AB OBJECTIVE: To assess HIV seroprevalence and to identify associated
social and psychiatric factors among psychiatric in-patients considered
to be at risk of HIV infection. METHODS: Beginning from January 1992,
all the in-patients in our unit who were considered to be at risk of HIV
infection, were offered to be tested. Demographic, social and clinical
information on those patients who accepted testing were also collected.
RESULTS: So far we have tested the serum from 41 subjects out of 915
patients (4.5%) who were admitted to our psychiatric unit during the
considered period. In our sample 27/41 subjects were females (66%),
15/41 IVDUs, 3/41 homosexuals, 6/41 sex workers, 7/41 homeless, 4/41
living with HIV positive and 5/41 with other risk fators. Mean age was
34.8 yrs. The large majority were single (49%), unemployed (46%) and
with low literacy (85% < 8 yrs. of education). The most frequent
diagnosis was schizophrenia (46%). Eleven subjects (27% of the tested
sample, 1.2% of the overall population) were found to be HIV positive in
different stages of the disease (5 asimptomatics, 2 ARC and 4 AIDS).
Most of the seropositive subjects were male (9/11). IVDU's (8/11). Three
were schizophrenics and three had antisocial personality disorders. Four
had HIV-1 associated organic psychiatric disorders. Demographic and
social information emphasize their characteristics, with 9/11 being
single. 11/11 with less than 8 yrs. of education and 9/11 uneployed.
DISCUSSION: Our study shows a high proportion of HIV disease among
psychiatric patients. Considering that only 4 out of the 11 seropositive
patients were admitted because of HIV-related psychiatric disorders it
is possible to consider that a primary psychiatric disorder is itself a
risk factor, leading to possible risk behaviours. This finding,
supported by recent literature, confirms the hypothesis of a new
emerging population at risk of HIV infection, namely the psychiatric
population.
DE Comorbidity Educational Status Employment Female Homeless
Persons/STATISTICS & NUMER DATA Human *HIV Seroprevalence *Inpatients
Male Marriage Prostitution/STATISTICS & NUMER DATA Psychiatric
Department, Hospital/*STATISTICS & NUMER DATA Risk Factors
Rome/EPIDEMIOLOGY Schizophrenia/EPIDEMIOLOGY Socioeconomic Factors
Substance Abuse, Intravenous/EPIDEMIOLOGY MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).