Psychiatric disorders, HIV infection and HEV/hepatitis cc-infection in the correctional setting

被引:33
作者
Baillargeon, J. G. [1 ,2 ]
Paar, D. P. [2 ]
Wu, H. [3 ]
Giordano, T. P. [4 ]
Murray, O. [1 ,2 ]
Raimer, B. G. [1 ,2 ]
Avery, E. N. [5 ]
Diamond, P. M. [6 ]
Pulvino, J. S. [2 ]
机构
[1] Univ Texas Galveston, Med Branch, Dept Prevent Med & Community Hlth, Galveston, TX 77550 USA
[2] Univ Texas Dallas, Med Branch, Galveston, TX USA
[3] Univ Texas Galveston, Med Branch, Dept Obstet & Gynecol, Galveston, TX 77550 USA
[4] Baylor Coll Med, Dept Internal Med, Houston, TX 77030 USA
[5] Univ Texas Galveston, Med Branch, Dept Psychiat, Galveston, TX 77550 USA
[6] Univ Texas Houston, Hlth Sci Ctr, Sch Publ Hlth, Houston, TX USA
来源
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2008年 / 20卷 / 01期
关键词
D O I
10.1080/09540120701426532
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Psychiatric disorders such as bipolar disorder, schizophrenia and depression have long been associated with risk behaviors for HIV, hepatitis C virus (HCV) and hepatitis B virus (HBV). The US prison population is reported to have elevated rates of HIV, hepatitis and most psychiatric disorders. This study examined the association of six major psychiatric disorders with HIV mono-infection, HIV/HCV co-infection and HIV/HBV co-infection in one of the nation's largest prison populations. The study population consisted of 370,511 Texas Department of Criminal justice inmates who were incarcerated for any duration between January 1, 2003 and July 1, 2006. Information on medical conditions and sociodemographic factors was obtained from an institution-wide electronic medical information system. Offenders diagnosed with HIV mono-infection, HIV/HCV, HIV/HBV and all HIV combined exhibited elevated rates of major depression, bipolar disorder, schizophrenia, schizoaffective disorder, non-schizophrenic psychotic disorder and any psychiatric disorder. In comparison to offenders with HIV mono-infection, those with HIV/HCV co-infection had an elevated prevalence of any psychiatric disorder. This crosssectional study's finding of positive associations between psychiatric disease and both HIV infection and hepatitis coinfection among Texas prison inmates holds both clinical and public health relevance. It will be important for future investigations to examine the extent to which psychiatric disorders serve as a barrier to medical care, communication with clinicians and adherence to prescribed medical regimens among both HIV-mono-infected and HIV/hepatitis-co-infected inmates.
引用
收藏
页码:124 / 129
页数:6
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