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Understanding associations between serious mental illness and HIV among patients in the VA Health System.

Understanding associations between serious mental illness and HIV among patients in the VA Health System. Research Abstract Details 

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  • Understanding associations between serious mental illness and HIV among patients in the VA Health System. Abstract Text:

    seth himelhochSeth Himelhoch,john f mccarthyJohn F McCarthy,dara ganoczyDara Ganoczy,deborah medoffDeborah Medoff,lisa b dixonLisa B Dixon,frederic c blowFrederic C Blow,seth himelhochSeth Himelhoch,john f mccarthyJohn F McCarthy,dara ganoczyDara Ganoczy,deborah medoffDeborah Medoff,lisa b dixonLisa B Dixon,frederic c blowFrederic C Blow,

    OBJECTIVE: This study compared the recorded prevalence of HIV among veterans with and without serious mental illness. METHODS: This cross-sectional study examined data from a national sample of veterans who received a diagnosis of serious mental illness (schizophrenia, bipolar disorder, and other, nonorganic psychoses) in fiscal year 2002 (FY2002) (N=191,625) and from a national random sample of veterans in FY2002 who did not receive serious mental illness diagnoses (N=67,965). Logistic regression was used to evaluate the recorded prevalence and predictors of HIV. RESULTS: HIV diagnoses were recorded for 1.0% of patients with serious mental illness and .5% of patients without serious mental illness. Multivariate analyses indicated that individuals with bipolar disorder were no more likely than those without serious mental illness to have a recorded HIV diagnosis (OR=1.08, CI=.93-1.24), whereas those with other psychoses were more likely to have one (OR=1.18, CI=1.01-1.38). An interaction was observed between schizophrenia and substance use disorder. Compared with patients who had neither schizophrenia nor a substance use disorder, those with schizophrenia without a substance use disorder were less likely to have a recorded HIV diagnosis (OR=.49, CI=.42-.58), whereas those with a substance use disorder were more likely to have a recorded HIV diagnosis (OR=1.22, CI=1.04-1.43). CONCLUSIONS: Despite the elevated crude recorded prevalence of HIV, multivariate analyses suggested that HIV-related risk factors underlie the associations between HIV and the serious mental illness diagnoses. For patients with schizophrenia, this study is the first to demonstrate reduced HIV risk in the absence of a substance use disorder.

    Understanding associations between serious mental illness and HIV among patients in the VA Health System. Publishing Authors By Initials

    s himelhochS Himelhoch,jf mccarthyJF McCarthy,d ganoczyD Ganoczy,d medoffD Medoff,lb dixonLB Dixon,fc blowFC Blow,s himelhochS Himelhoch,jf mccarthyJF McCarthy,d ganoczyD Ganoczy,d medoffD Medoff,lb dixonLB Dixon,fc blowFC Blow,

    For similar abstracts research abstracts see: abstracts research

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    Understanding associations between serious mental illness and HIV among patients in the VA Health System. Journal Published:

    PUBLICATION TYPE: Research Support, U.S. Gov't,

    Journal: Psychiatric services (Washington, D.C.)

    VOLUME: 58

    Page Numbers: 1165-72

    Journal Abbreviation:

    ISSN: 1075-2730

    DAY: 3

    MONTH: Sep

    YEAR: 2007

    Understanding associations between serious mental illness and HIV among patients in the VA Health System. Information

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    LANGUAGE: eng

    NlmUniqueID: 9502838

    Understanding associations between serious mental illness and HIV among patients in the VA Health System. Keywords Mesh Terms:

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    Grant and Affiliation Information for Understanding associations between serious mental illness and HIV among patients in the VA Health System.

    AFFILIATION: Department of Psychiatry, University of Maryland School of Medicine, 737 West Lombard St., Baltimore, MD 21201, USA. shimelho@psych.umaryland.edu

    Country: United States

    United States Research PublicationUnited States Research Publication

    AGENCY: United States NIDA

    GRANT: 1K-23 DA019820-01

    ACRONYM: DA

    MEDLINETA: Psychiatr Serv

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