HIV risk behavior among adults with severe mental illness: A systematic review

Clinical Psychology Review

Volumn 25, Issue 4, 2005, Pages 433-457

  Meade, Christina S ^a   Sikkema, Kathleen J ^b  

^a YALE UNIVERSITY   (United States)

^b YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Adults; HIV risk; Injection drug use; Review; Severe mental illness; Sexual behavior

Indexed keywords

ACQUIRED IMMUNE DEFICIENCY SYNDROME; BEHAVIOR; CHILD ABUSE; COGNITION; COMMUNITY; CORRELATION ANALYSIS; DEMOGRAPHY; DRUG USE; ETHNOLOGY; GENDER; HEALTH PROGRAM; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INFECTION PREVENTION; INFECTION RISK; MENTAL DISEASE; MULTIVARIATE ANALYSIS; POLICY; PREVALENCE; PSYCHOTHERAPY; RESEARCH; REVIEW; RISK ASSESSMENT; SAFE SEX; SEXUAL BEHAVIOR; SEXUAL INTERCOURSE; SEXUALLY TRANSMITTED DISEASE; SOCIAL ASPECT; SOCIOECONOMICS; SUBSTANCE ABUSE; SYSTEMATIC REVIEW; VIRUS TRANSMISSION;

EID: 19544370740     PISSN: 02727358     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.cpr.2005.02.001     Document Type: Article

References (128)

1. M.J. Alter, D. Kruszon-Moran, O.V. Nainan, G.M. McQuillan, F. Gao, and L.A. Moyer The prevalence of hepatitis C virus infection in the United States, 1988 through 1994 New England Journal of Medicine 341 1999 556 562
2. APA HIV antibody testing position statement 2003 Author Arlington
3. A. Bandura Social cognitive theory and exercise control of HIV infection R. DiClemente J. Peterson Preventing AIDS: Theories and methods of behavioral interventions 1994 Plenum Press New York 25 59
4. H.B. *Bosworth, P.S. Calhoun, K.M. Stechuchak, and M.I. Butterfield Use of psychiatric and medical health care by veterans with severe mental illness Psychiatric Services 55 2004 708 710
5. R.K. Brooner, L. Greenfield, C.W. Schmidt, and G.E. Bigelow Antisocial personality disorder and HIV infection among intravenous drug abusers American Journal of Psychiatry 1993 1993 53 58
6. L.K. Brown, K.J. Lourie, C. Zlotnick, and J. Cohn Impact of sexual abuse on the HIV-risk-related behavior of adolescents in intensive psychiatric treatment American Journal of Psychiatry 157 2000 1413 1415
7. P.J. Brown, and J. Wolfe Substance abuse and post-traumatic stress disorder comorbidity Drug and Alcohol Dependence 35 1994 51 59
8. M.F. Brunette, R.E. Drake, B.J. Marsh, W.C. Torrey, and S.D. Rosenberg Responding to blood-borne infections among persons with severe mental illness Psychiatric Services 54 2003 860 865
9. M.F. *Brunette, S.D. Rosenberg, L.A. Goodman, K.T. Mueser, F.C. Osher, and R. Vidaver HIV risk factors among people with severe mental illness in urban and rural areas Psychiatric Services 50 1999 556 558
10. J.B. Bryer, B.A. Nelson, J.B. Miller, and P.A. Krol Childhood sexual and physical abuse as factors in adults with psychiatric illness American Journal of Psychiatry 144 1987 1426 1430
11. P. Buckley, P. Thompson, L. Way, and H. Meltzer Substance abuse among patients with treatment-resistant schizophrenia: Characteristics and implications for clozapine therapy American Journal of Psychiatry 151 1994 189 385
12. M.I. *Butterfield, H.B. Bosworth, K.M. Ctechuchak, R. Frothingham, L.A. Bastian, and K.G. Meador Racial differences in hepatitis B and hepatitis C and associated risk behaviors in veterans with severe mental illness Journal of the National Medical Association 96 2004 43 52
13. M.I. *Butterfield, H.B. Bosworth, K.G. Meador, K.M. Stechuchak, S.M. Essock, and F.C. Osher Gender differences in hepatitis C infection and risks among persons with severe mental illness Psychiatric Services 54 2003 848 853
14. M.P. Carey, K. Carey, and A. Meisler Psychiatric symptoms in mentally ill chemical abusers The Journal of Nervous and Mental Disease 179 1991 136 138
15. M.P. *Carey, K.B. Carey, J.R. Gleason, C.M. Gordon, and K.K. Brewer HIV risk behavior among outpatients at a state psychiatric hospital: Prevalence and risk modeling Behavior Therapy 30 1999 389 406
16. M.P. Carey, K.B. Carey, and S.C. Kalichman Risk for human immunodeficiency virus (HIV) among persons with severe mental illness Clinical Psychology Review 17 1997 271 291
17. M.P. *Carey, K.B. Carey, S.A. Maisto, C.M. Gordon, K.E.E. Schroder, and P.A. Vanable Reducing HIV-risk behavior among adults receiving outpatient psychiatric treatment: Results from a randomized controlled trial Journal of Consulting and Clinical Psychology 72 2004 252 268
18. M.P. *Carey, K.B. Carey, S.A. Maisto, C.M. Gordon, and P.A. Vanable Prevalence and correlates of sexual activity and HIV-related risk behavior among psychiatric outpatients Journal of Consulting and Clinical Psychology 69 2001 846 850
19. M.P. *Carey, K.B. Carey, S.A. Maisto, K.E.E. Schroder, P.A. Vanable, and C.M. Gordon HIV risk behavior among psychiatric outpatients: Association with psychiatric disorder, substance use disorder, and gender Journal of Nervous and Mental Disease 192 2004 289 296
20. M.P. *Carey, K.B. Carey, L.S. Weinhardt, and C.M. Gordon Behavioral risk for HIV infection among adults with severe mental illness: Patterns and psychological antecedents Community Mental Health Journal 33 1997 133 142
21. E. Carmen, and S.M. Brady AIDS risk and prevention for the chronic mentally ill Hospital and Community Psychiatry 41 1990 652 657
22. E.H. *Carmen, P.P. Rieker, and T. Mills Victims of violence and psychiatric illness American Journal of Psychiatry 141 1984 378 383
23. J.A. *Cates, G.R. Bond, and L.L. Graham AIDS knowledge, attitudes, and risk behavior among people with serious mental illness Psychosocial Rehabilitation Journal 17 1994 19 29
24. W. Cates Estimates of the incidence and prevalence of sexually transmitted diseases in the United States Sexually Transmitted Diseases 26 1999 S2 S7
25. CDC Community-level HIV intervention in 5 cities: Final outcome data from the CDC AIDS Community Demonstration Projects American Journal of Public Health 89 1999 336 345
26. CDC Cases of HIV infection and AIDS in the United States HIV/AIDS Surveillance Report 14 2002 1 32
27. CDC Advancing HIV prevention: New strategies for a changing epidemic MMWR 52 2003 329 332
28. CDC (2005). HIV/AIDS among African-Americans. Retrieved January 28, 2005 from http://www.cdc.gov/hiv/pubs/Facts/afam.htm.
29. P.S. *Chandra, M.P. Carey, K.B. Carey, P.S.D.V. Prasada Rao, K.R. Jairam, and T. Thomas HIV risk behavior among psychiatric inpatients: Results from a hospital-wide screening study in southern India International Journal of STD & AIDS 14 2003 532 538
30. H.T. *Chuang, and M. Atkinson AIDS knowledge and high-risk behavior in the chronic mentally ill Canadian Journal of Psychiatry 41 1996 269 272
31. P.J. Coleman, G.M. McQuillan, L.A. Moyer, S.B. Lambert, and H.S. Margolis Incidence of hepatitis B virus infection in the United States, 1976-1994: Estimates from the National Health and Nutrition Examination Surveys Journal of Infectious Disease 178 1998 954 959
32. J.A. *Cook, and L. Razzano HIV-risk assessment for psychiatric rehabilitation clientele: Implications for community-based services Psychosocial Rehabilitation Journal 17 1994 105 115
33. F. *Cournos, J. Guido, S. Coomaraswamy, H. Meyer-Bahlburg, R. Sugden, and W. Horwath Sexual activity and risk of HIV infection among patients with schizophrenia American Journal of Psychiatry 151 1994 228 232
34. F. Cournos, and K. McKinnon HIV seroprevalence among people with severe mental illness in the United States: A critical review Clinical Psychology Review 17 1997 259 269
35. K. *Cournos, K. McKinnon, H. Meyer-Bahlburg, J. Guido, and I. Meyer HIV risk activity among persons with severe mental illness: Preliminary findings Hospital and Community Psychiatry 44 1993 1104 1106
36. F. Cournos, K. McKinnon, and J. Rosner HIV among individuals with severe mental illness Psychiatric Annals 31 2001 50 56
37. J.H. *Coverdale, and J.A. Aruffo Family planning needs of female chronic psychiatric outpatients American Journal of Psychiatry 146 1989 1489 1491
38. J.H. *Coverdale, D. Schotte, P. Ruiz, S. Pharies, and T. Bayer Family planning needs of male chronic mental patients in the general hospital psychiatry clinic General Hospital Psychiatry 16 1994 38 41
39. J.H. *Coverdale, and S.H. Turbott Risk behaviors for sexually transmitted infections among men with mental disorders Psychiatric Services 51 2000 234 238
40. J.H. *Coverdale, S.H. Turbott, and H. Roberts Family planning needs and STD risk behaviors of female psychiatric outpatients British Journal of Psychiatry 171 1997 69 72
41. R.M. Cunningham, A.R. Stiffman, and P. Dore The association of physical and sexual abuse with HIV risk behaviors in adolescence and young adulthood: Implications for public health Child Abuse and Neglect 18 1994 233 245
42. S. *Davidson, F. Judd, D. Jolley, B. Hocking, S. Thompson, and B. Hyland Risk factors for HIV/AIDS and hepatitis C among the chronically mentally ill Australian and New Zealand Journal of Psychiatry 35 2001 203 209
43. M. Empfield, F. Cournos, I. Meyer, K. McKinnon, E. Horwath, and M. Silver HIV seroprevalence among homeless patients admitted to a psychiatric inpatient unit American Journal of Psychiatry 150 1993 47 52
44. T.R. Eng, and W.T. Butler The hidden epidemic: Confronting sexually transmitted diseases 1997 National Academy Press Washington, DC
45. D. Finkelhor, and A. Browne The traumatic impact of child sexual abuse: A conceptualization American Journal of Orthopsychiatry 55 1985 530 541
46. M. Fishbein, S. Middlestadt, and P. Hitchcock Using information to change sexually transmitted disease-related behaviors R. DiClemente J. Peterson Preventing AIDS: Theories and methods of behavioral interventions 1994 Plenum Press New York 61 78
47. J.D. Fisher, and W.A. Fisher Changing AIDS-risk behavior Psychological Bulletin 111 1992 455 474
48. E. George, D. Miklowitz, J. Richards, T. Simoneau, and D. Taylor The comorbidity of bipolar and axis II personality disorders: Prevalence and clinical correlates Bipolar Disorders 5 2003 115 122
49. K. Gill, D. Nolimal, and T.J. Crowley Antisocial personality disorder, HIV risk behavior, and retention in methadone maintenance therapy Drug and Alcohol Dependence 30 1992 247 252
50. H.H. Goldman, A.A. Gattozzi, and C.A. Taube Defining and counting the chronically mentally ill Hospital and Community Psychiatry 32 1981 21 27
51. L.A. *Goodman, and R.D. Fallot HIV risk-behavior in poor urban women with serious mental illness: Association with childhood physical and sexual abuse American Journal of Orthopsychiatry 68 1998 73 83
52. L.A. Goodman, S.D. Rosenberg, K.T. Mueser, and R.E. Drake Physical and sexual assault history in women with severe mental illness: Prevalence, correlates, treatment, and future research directions Schizophrenia Bulletin 23 1997 685 696
53. L. *Grassi, M. Pavanati, R. Cardelli, S. Ferri, and L. Peron HIV-risk behavior and knowledge about HIV/AIDS among patients with schizophrenia Psychological Medicine 29 1999 171 179
54. M. *Hanson, T.H. Kramer, W. Gross, J. Quintana, P.-W. Li, and R. Asher AIDS awareness and risk behaviors among dually disordered adults AIDS Education and Prevention 4 1992 41 51
55. D.J. *Hellerstein, and M.E. Prager Assessing HIV risk in the general hospital psychiatric clinic General Hospital Psychiatry 14 1992 3 6
56. W. *Horwath, F. Cournos, K. McKinnon, J. Guido, and R. Herman Illicit-drug injection among psychiatric patients without a primary substance use disorder Psychiatric Services 47 1996 181 185
57. J.W. Hull, J.F. Clarkin, and F. Yeomans Borderline personality disorder and impulsive sexual behavior Hospital and Community Psychiatry 44 1993 1000 1002
58. S.C. *Kalichman, J.A. Kelly, J.R. Johnson, and M. Bulto Factors associated with risk for HIV infection among chronic mentally ill adults American Journal of Psychiatry 151 1994 221 227
59. S.C. *Kalichman, K.J. Sikkema, J.A. Kelly, and M. Bulto Use of a brief behavioral skills intervention to prevent HIV infection among chronic mentally ill adults Psychiatric Services 46 1995 275 280
60. R.C. *Katz, C. Watts, and J. Santman AIDS knowledge and high risk behaviors in the chronic mentally ill Community Mental Health Journal 30 1994 395 402
61. J.A. Kelly HIV risk reduction interventions for persons with severe mental illness Clinical Psychology Review 17 1997 293 309
62. J.A. *Kelly, T.L. McAuliffe, K.J. Sikkema, D.A. Murphy, A.M. Somlai, and G. Mulry Reduction in risk behavior among adults with SMI who learned to advocate for HIV prevention Psychiatric Services 48 1997 1283 1288
63. J.A. *Kelly, D.A. Murphy, G.R. Bahr, T.L. Brasfield, D.R. Davis, and A.C. Hauth AIDS/HIV risk behavior among the chronically mentally ill American Journal of Psychiatry 149 1992 886 889
64. J.A. *Kelly, D.A. Murphy, K.J. Sikkema, A.M. Somlai, G.W. Mulry, and M.I. Fernandez Predictors of high and low levels of HIV risk behavior among adults with chronic mental illness Psychiatric Services 46 1995 813 818
65. J.L. Kelley, and N.M. Petry HIV risk behaviors in male substance abusers with and without antisocial personality disorder Journal of Substance Abuse Treatment 19 2000 59 66
66. R.C. Kessler, P.A. Berglund, S. Zhao, P.J. Leaf, A.C. Kouzis, and M.L. Bruce The 12-month prevalence and correlates of serious mental illness R.W. Manderscheid M.A. Sonnenschein Mental health, United States 1996 US Government Printing Office Washington, DC 59 70
67. A. *Kim, M. Galanter, R. Castaneda, H. Lifshutz, and H. Franco Crack cocaine use and sexual behavior among psychiatric inpatients American Journal of Drug and Alcohol Abuse 18 1992 235 246
68. W. *Klinkenberg, R. Caslyn, G. Morse, R. Yonker, S. McCudden, and F. Ketema Prevalence of human immunodeficiency virus, hepatitis B, and hepatitis C among homeless persons with co-occurring severe mental illness and substance use disorders Comprehensive Psychiatry 44 2003 293 302
69. M.D. *Knox, T.L. Boaz, M.A. Friedrich, and M.G. Dow HIV risk factors for persons with serious mental illness Community Mental Health Journal 30 1994 551 563
70. D. *Krakow, M. Galanter, H. Dermatis, and L. Westreich HIV risk factors in dually diagnosed patients The American Journal on Addictions 7 1998 74 80
71. D. *Leal, M. Galanter, H. Dermatis, and L. Westreich Correlates of protracted homelessness in a sample of dually diagnosed psychiatric inpatients Journal of Substance Abuse Treatment 16 1999 143 147
72. P. *Levounis, M. Galanter, H. Dermatis, A. Hamowy, and G. DeLeon Correlates of HIV transmission risk factors and considerations for interventions for homeless, chemically addicted and mentally ill patients Journal of Addictive Diseases 21 2002 61 72
73. D. Lukoff, D. Giola-Hasick, G. Sullivan, J. Golden, and K. Nuechterlein Sex education and rehabilitation with schizophrenic male outpatients Schizophrenia Bulletin 12 1986 669 675
74. D. Lyon Human immunodeficiency virus (HIV) disease in persons with severe mental illnesses Issues in Mental Health Nursing 22 2001 109 119
75. G.A. Marlatt Harm reduction: Pragmatic strategies for managing high risk behaviors 1998 Guilford Press New York
76. D.D. McAlpine, and D. Mechanic Utilization of specialty mental health care among persons with severe mental illness: The roles of demographics, need, insurance, and risk Health Services Research 35 2000 277 292
77. B.E. *McDermott, F.J. Sautter Jr., D.K. Winstead, and T. Quirk Diagnosis, health beliefs, and risk of HIV infection in psychiatric patients Hospital and Community Psychiatry 46 1994 580 585
78. J.P. *McEvoy, A. Hatcher, P.S. Appelbaum, and V. Abernethy Chronic schizophrenic women's attitudes toward sex, pregnancy, birth control, and child rearing Hospital and Community Psychiatry 34 1983 536 539
79. K. *McKinnon, F. Cournos, and R. Herman A lifetime alcohol or other drug use disorder and specific psychiatric symptoms predict sexual risk and HIV infection among people with severe mental illness AIDS and Behavior 5 2001 233 240
80. K. McKinnon, F. Cournos, and R. Herman HIV among people with chronic mental illness Psychiatric Quarterly 73 2002 17 31
81. K. McKinnon, F. Cournos, R. Herman, J. Satriano, B. Silver, and I. Puello AIDS-related services and training in outpatient mental health care agencies in New York Psychiatric Services 50 1999 1225 1228
82. K. *McKinnon, F. Cournos, R. Sugden, J.R. Guido, and R. Herman The relative contributions of psychiatric symptoms and AIDS knowledge to HIV risk behaviors among people with severe mental illness Journal of Clinical Psychiatry 57 1996 506 513
83. T.K. Melartin, H.J. Rytsala, U.S. Leskela, P.S. Lestela-Mielonen, T.P. Sokero, and E.T. Isometsa Current comorbidity of psychiatric disorders among DSM-IV major depressive disorder patients in psychiatric care in the Vantaa Depression Study Journal of Clinical Psychiatry 63 2002 126 134
84. A. *Menon, S. Pomerantz, S. Harowitz, S. Applebaum, U. Nuthi, and E. Peacock The high prevalence of unsafe sexual behaviors among acute psychiatric inpatients Journal of Nervous and Mental Disease 182 1994 661 666
85. A.S. *Menon, and S. Pomerantz Substance use during sex and unsafe sexual behaviors among acute psychiatric inpatients Psychiatric Services 48 1997 1070 1072
86. L.J. *Miller, and M. Finnerty Sexuality, pregnancy, and childbearing among women with schizophrenia-spectrum disorders Psychiatric Services 47 1996 206 502
87. K. Mueser, A. Bellack, M. Douglas, and R. Morrison Prevalence and stability of social skill deficits in schizophrenia Schizophrenia Research 5 1991 167 176
88. K.T. Mueser, L.B. Goodman, S.L. Trumbetta, S.D. Roseberg, F.C. Osher, and R. Vidaver Trauma and posttraumatic stress disorder in severe mental illness Journal of Consulting and Clinical Psychology 66 1998 493 499
89. L.L. *Otto-Salaj, T.G. Heckman, L.Y. Stevenson, and J.A. Kelly Patterns, predictors, and gender differences in HIV risk among severely mentally ill men and women Community Mental Health Journal 34 1998 175 190
90. L.L. Otto-Salaj, J.A. Kelly, L.Y. Stevenson, R. Hoffman, and S.C. Kalichman Outcomes of a randomized small-group HIV prevention intervention trial for people with severe mental illness Community Mental Health Journal 37 2000 123 144
91. L.L. Otto-Salaj, and L.Y. Stevenson Influence of psychiatric diagnosis and symptoms on HIV risk behavior in adults with serious mental illness AIDS Reader 11 2001 197 204
92. M. *Rahav, L. Nuttbrock, J. Rivera, and B. Link HIV infection risks among homeless, mentally ill, chemically misusing men Substance Use and Misuse 33 1998 1407 1426
93. M. Raja, and A. Azzoni Sexual behavior and sexual problems among patients with severe chronic psychoses European Psychiatry 18 2003 70 76
94. S. *Ramrakha, A. Caspi, N. Dickson, T.E. Moffitt, and C. Paul Psychiatric disorders and risky sexual behavior in young adulthood: Cross-sectional study in birth cohort British Journal of Medicine 321 2000 263 266
95. D.A. Regier, M.E. Farmer, D.S. Rae, B.Z. Locke, S.J. Keith, and L.L. Judd Comorbidity of mental disorders with alcohol and other drug abuse: Results from the Epidemiological Catchment Area (ECA) Study JAMA 264 1990 2511 2518
96. K.P. Rosenberg, K.L. Bleiberg, J. Koscis, and C. Gross A survey of sexual side effects among severely mentally ill patients taking psychotropic medications: Impact on compliance Journal of Sex & Marital Therapy 29 2003 289 296
97. S.D. Rosenberg, J.W. Swanson, G.I. Wolford, M.S. Swartz, S.M. Essock, and M. Butterfield The five-site health and risk study of blood-borne infections among persons with severe mental illness Psychiatric Services 54 2003 827 835
98. S.D. *Rosenberg, S.L. Trumbetta, K.T. Muesser, L.A. Goodman, F.C. Osher, and R.M. Vidaver Determinants of risk behavior for human immunodeficiency virus/acquired immunodeficiency syndrom in people with severe mental illness Comprehensive Psychiatry 42 2001 263 271
99. I. Rosenstock, V. Strecher, and M. Becker The Health Belief Model and HIV risk behavior change R. DiClemente J. Peterson Preventing AIDS: Theories and methods of behavioral interventions 1994 Plenum Press New York 5 25
100. A.B. Rothbard, S. Metraux, and M.B. Blank Cost of care for Medicaid recipients with serious mental illness and HIV infection or AIDS Psychiatric Services 54 2003 1240 1246
101. M. *Sacks, and H. Dermatis Acute psychiatric illness: Effects on HIV-risk behavior Psychosocial Rehabilitation Journal 17 1994 5 19
102. M.H. *Sacks, S. Perry, R. Graver, R. Shindledecker, and S. Hall Self-reported HIV-related risk behaviors in acute psychiatric inpatients: A pilot study Hospital and Community Psychiatry 41 1990 1253 1255
103. M.H. *Sacks, C. Silberstein, P. Weiler, and S. Perry HIV-related risk factors in acute psychiatric inpatients Hospital and Community Psychiatry 41 1990 449 451
104. J. Satriano, R. Rothschild, J. Steiner, and J. Oldman HIV service provision and training in outpatient mental health setting Psychiatric Quarterly 70 1999 63 74
105. A. Schimnar, A. Rothbard, R. Kanter, and Y. Jung An empirical literature review of definitions of severe and persistent mental illness American Journal of Psychiatry 147 1990 1602 1608
106. K.E.E. Schroder, M.P. Carey, and P.A. Vanable Methodological challenges in research on sexual risk behavior: I. Item content, scaling, and data analytic options Annals of Behavioral Medicine 26 2003 76 103
107. Sikkema, K. J., Meade, C. S., Doughty-Berry, J. D., Zimmerman, S. O., Kloos, B., & Snow, D. L. (in press). Community-level HIV prevention for persons with severe mental illness living in supportive housing programs: A pilot intervention study. Journal of Prevention and Intervention in the Community.
108. C. *Silberstein, M. Galanter, M. Marmor, H. Lifshutz, K. Krasinski, and H. Franco HIV-1 among inner city dually diagnosed inpatients American Journal of Drug and Alcohol Abuse 20 1994 101 114
109. A.M. *Somlai, J.A. Kelly, T.L. McAuliffe, J.L. Gudmundson, D.A. Murphy, and K.J. Sikkema Role play assessments of sexual assertiveness skills: Relationships with HIV/AIDS sexual risk behavior practices AIDS and Behavior 2 1998 319 327
110. R. Stall, L. McKusick, J. Wiley, T. Coates, and D. Ostrow Alcohol and drug use during sexual activity and compliance with safe sex guidelines for AIDS: The AIDS Behavioral Research Project Health Education Quarterly 13 1986 359 371
111. J. *Steiner, R. Lussier, and W. Rosenblatt Knowledge about and risk factors for AIDS in a day hospital program Hospital and Community Psychiatry 43 1992 734 735
112. D. *Stewart, C. Zuckerman, and J. Ingle HIV seroprevalence in a chronically mentally ill population Journal of the National Medical Association 86 1994 519 523
113. E. *Susser, P. Betne, E. Valencia, S. Goldfinger, and A. Lehman Injection drug use among homeless adults with severe mental illness American Journal of Public Health 87 1997 854 856
114. E. *Susser, M. Miller, E. Valencia, P. Colson, B. Roche, and S. Conover Injection drug use and risk of HIV transmission among homeless men with mental illness American Journal of Psychiatry 153 1996 794 798
115. E. *Susser, E. Valencia, A. Berkman, N. Sohler, S. Conover, and J. Torres Human immunodeficiency virus sexual risk reduction in homeless men with mental illness Archives of General Psychiatry 55 1998 266 272
116. E. *Susser, E. Valencia, M. Miller, W.-Y. Tsai, H. Meyer-Bahlburg, and S. Conover Sexual behavior of homeless mentally ill men at risk for HIV American Journal of Psychiatry 152 1995 583 587
117. S.C. *Thompson, G.E. Checkley, J.S. Hocking, N. Crofts, A.M. Mijch, and F.K. Judd HIV risk behavior in HIV testing of psychiatric patients in Melbourne Australian and New Zealand Journal of Psychiatry 31 1997 566 576
118. P. Tyrer, C. Manley, E. van Horn, D. Leddy, and O.C. Ukoumunne Personality abnormality in severe mental illness and its influence on outcome of intensive and standard case management: A randomized controlled trial European Psychiatry 15 2000 S7 S10
119. UNAIDS Report on the global HIV/AIDS epidemic 2002 World Health Organization Geneva
120. UNAIDS Basic facts about the HIV/AIDS epidemic and its impact 2004 World Health Organization Geneva
121. J. Volavka, A. Convit, J. O'Donnell, R. Douyon, C. Evangelista, and P. Czobor Assessment of risk behaviors for HIV infection among psychiatric inpatients Hospital and Community Psychiatry 43 1992 482 485
122. J. Walkup, J. Satriano, S. Hansell, and M. Olfson Practices related to HIV risk assessment in general hospital psychiatric units in New York State Psychiatric Services 49 1998 529 530
123. L.S. *Weinhardt, M.P. Carey, and K.B. Carey HIV-risk behavior and the public health context of HIV/AIDS among women living with severe mental illness and persistent mental illness Journal of Nervous Disease and Mental Illness 186 1998 276 282
124. L.S. *Weinhardt, M.P. Carey, K.B. Carey, S.A. Maisto, and C.M. Gordon The relation of alcohol use to HIV-risk sexual behavior among adults with severe and persistent mental illness Journal of Consulting and Clinical Psychology 69 2001 77 84
125. R.A. Winett, E.S. Anderson, L.L. Desiderato, L.J. Solomon, M. Perry, and J.A. Kelly Enhancing social diffusion theory as a basis for prevention intervention: A conceptual and strategic framework Applied and Preventive Psychology 4 1995 233 245
126. M. *Zafrani, and D.G. McLaughlin Knowledge about AIDS Hospital and Community Psychiatry 41 1990 1261
127. M.C. Zanarini, E.A. Parachini, F.R. Frankenburg, J.B. Holman, J. Hennen, and D.B. Reich Sexual relationship difficulties among borderline patients and Axis II comparison subjects Journal of Nervous and Mental Disease 191 2003 479 482
128. S. Zierler, L. Feingold, D. Laufer, P. Velentgas, I. Kantrowitz-Gordon, and K. Mayer Adult survivors of childhood sexual abuse and subsequent risk of HIV infection American Journal of Public Health 81 1991 572 575