Psychiatric and psychosocial correlates of sexual risk behavior among adults with severe mental illness.

Journal Article (Journal Article;Multicenter Study)

Persons with severe mental illness (SMI) are disproportionately affected by HIV/AIDS. This study examined multivariate correlates of sexual risk among 152 adults with SMI receiving outpatient psychiatric treatment. Structured interviews assessed psychiatric, psychosocial, and behavioral risk factors. The majority was sexually active (65%), and many reported unprotected intercourse (73%), multiple partners (45%), and sex trading (21%) in the past year. Logistic regression models found that sexual behaviors were differentially associated with non-psychotic disorder, psychiatric symptoms, substance abuse, childhood sexual abuse, romantic partnership, and social support (all ps < .05). Findings underscore the need for targeted HIV prevention interventions that address psychiatric and psychosocial risk factors.

Full Text

Duke Authors

Cited Authors

  • Meade, CS; Sikkema, KJ

Published Date

  • April 2007

Published In

Volume / Issue

  • 43 / 2

Start / End Page

  • 153 - 169

PubMed ID

  • 17143728

International Standard Serial Number (ISSN)

  • 0010-3853

Digital Object Identifier (DOI)

  • 10.1007/s10597-006-9071-6


  • eng

Conference Location

  • United States