Thames Valley University, Paragon House, Brentford, UK.
J Psychiatr Ment Health Nurs. 2011 Apr;18(3):213-20. doi: 10.1111/j.1365-2850.2010.01657.x. Epub 2011 Jan 4.
The spread of human immunodeficiency virus (HIV) continues to increase among the general population. Previous studies in this field focused mainly on the 'at-risk' groups such as homosexuals, prostitutes, intravenous drug users, bisexual men and women. Mentally ill men and women remain one of the subgroups understudied and yet continue to show disproportionately high levels of seroprevalence. The purpose of this study was to elucidate awareness of the risk factors associated with HIV transmission and development of AIDS in those diagnosed with mental illness. Using questionnaires, information regarding HIV method of transmission, knowledge on HIV/AIDS and at-risk behaviour awareness was obtained from 30 subjects in an acute psychiatric mental health unit (13 women and 17 men). Significant association between different variables was determined at 95.5% confidence level (P=0.05). Assessment of HIV/AIDS awareness and at-risk behaviour awareness revealed significant knowledge deficit among this subject group. The outcome of this study underscores the need to introduce intervention programmes tailored to individual needs of the mentally ill. Measures such as 'at-risk sexual' behaviours should be incorporated into the current assessment process or profile so that accurate information and informed judgement can be reached regarding client or patient sexual behaviour.
人类免疫缺陷病毒(HIV)在普通人群中的传播继续增加。该领域之前的研究主要集中在“高危”人群,如同性恋者、性工作者、静脉注射毒品使用者、双性恋男女。精神疾病患者仍然是研究不足的亚组之一,但他们继续表现出不成比例的高血清阳性率。本研究的目的是阐明对与精神疾病患者 HIV 传播和艾滋病发展相关的危险因素的认识。使用问卷,从一个急性精神心理健康病房的 30 名患者(13 名女性和 17 名男性)中获得了关于 HIV 传播方式、HIV/AIDS 知识和高危行为意识的信息。在 95.5%置信水平(P=0.05)下确定了不同变量之间的显著关联。对 HIV/AIDS 意识和高危行为意识的评估显示,该患者群体存在明显的知识缺陷。这项研究的结果强调了需要根据精神疾病患者的个体需求引入干预计划。应该将“高危性行为”等措施纳入当前的评估过程或档案,以便就客户或患者的性行为达成准确的信息和知情判断。