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Dual Diagnosis: HIV and Mental Illness, a Population-Based Study

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Abstract

This is a cross-sectional, population-based (n = 378,710) study using hospital discharge abstract data to determine the relative risk associated with having a dual diagnosis of mental illness and HIV/AIDS. The analysis addresses issues of gender, race, and age, as well as types of mental illness. Persons with a mental illness are 1.44 times more likely to have HIV/AIDS. Women are at increased risk of being dually diagnosed. There are no risk differences by race. Those with a specific diagnosis of substance abuse or a depressive disorder are more likely to have a diagnosis of HIV/AIDS.

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REFERENCES

  • Alterman AI, Erdlen DL, Laporte DJ. (1982). Effects of illicit drug use in an inpatient psychiatric population. Addict Behav., 2(7), 231–242.

    Google Scholar 

  • Centers for Disease Control. (1989) First 100,000 cased of Acquired Immunodeficiency Syndrome-United States. Morbidity and Mortality Weekly Report (MMWR). 1989c; 38:561–563.

    Google Scholar 

  • Centers for Disease Control. (1992). HIV/AIDS Surveillance Report. 1992 b

  • Centers for Disease Control. (1993) HIV/AIDS surveillance report: U.S. HIV and AIDS Cases Reported through June 1993. 1993b.

  • Centers for Disease Control. (1994) HIV/AIDS surveillance Report: U.S. HIV and AIDS cases reported through December 1993. 1994a.

  • Centers for Disease Control. (1996) First 100,000 cased of Acquired Immunodeficiency Syndrome— United States. Mortality Weekly Report (MMWR). 1996b;45(34):733–738.

    Google Scholar 

  • Centers for Disease Control. (1997) HIV/AIDS surveillance report: U.S. HIV and AIDS cases reported through December 1996. 1997b;8(2).

  • Centers for Disease Control. (1998) HIV/AIDS surveillance report: U.S. HIV and AIDS cases reported through June 1998. HIV/AIDS surveillance report 10(1).

  • Centers for Disease Control. (1999) HIV/AIDS surveillance report; U.S. HIV and AIDS cases reported through June 1999. HIV/AIDS Surveillance report 11(1).

  • Chu SY, Wortley PM. Epidemiology of HIV/AIDS in women. HIV infection in Women. Edited by Howard L. Minkoff, Jack A. DeHovitz, Ann Duerr. New York: Raven Press. 1995.

    Google Scholar 

  • Cournos F, Empfield M, Horthwath E, Mckinnon K. (1991). HIV sero-prevalence among patients admitted to two psychiatric hospitals. Am J Psychiatry, 148, 1225–1230.

    Google Scholar 

  • Cournos F, Empfield M, Horwath E, Schrage H. (1990). HIV infection in state hospitals: case reports and long-term strategies. Hosp Community Psychiatry, 41, 163–166.

    Google Scholar 

  • Curran JW. (1996) Epidemiology of HIV infection and AIDS. Cecil textbook of Medicine. 20th Edition, Volume 2. Edited by Claude Bennet and Fred Plum. Philadelphia: W.B. Saunders Company.

    Google Scholar 

  • Department of Health and Human Services. (1999). HHS New. AIDS falls from top fifteen Casuse of death. Birth and Deaths: Preliminary data for 1998.

  • Diaz T, Chu SY, Buehler JW, et al. (1994). Socioeconomic differences among people with AIDS: Results from a multi-state surveillance project. American Journal of Preventive Medicine, 10(4), 217–222.

    Google Scholar 

  • Emplfield M, Cournos F, Meyer I, Mckinnon K. (1993). HIV sero-prevalence among homeless patients admitted to a psychiatric inpatient unit. Am J Psychiatry, 150, 47–52.

    Google Scholar 

  • Estroff TW, Dackis CA, Gold MS, Pottash AL. (1985–1986). Drug abuse and bipolar disorders. Int J Psychiatry Med, 15, 37–40.

    Google Scholar 

  • Farmer P, Kim JY. Introduction. Women, Poverty, and AIDS. Edited by Paul Famer, Margaret Conners, and Janie Simmons. Monroe, Maine: Common Courage Press. 1996.

    Google Scholar 

  • Guinan ME, Hardy A. (1987). Epidemiology of AIDS in women in the United States. Journal of the American Medical Association, 257(15), 2039–2042.

    Google Scholar 

  • Hasbrouck LM, Daniels N, Bowser BP, Gross SA. (1990). Crack-related behaviors undermining AIDS prevention among intravenous drug user. Abstracts, VI International Conference on AIDS. Los Angeles, American Foundation for AIDS Research, p. 271.

    Google Scholar 

  • Jaffe HW, Bregman DJ, Selik RM. (1983) Acquired Immune Deficience Syndrome in the United States: The First 100 cases. The Journal of Infectious Diseases. 1983;148(2):339–345.

    Google Scholar 

  • Kalichman SC, Heckman T. Kochman A, Sikkema K. Bergholte J. (2000). Depression and Thoughts of Suicide Among Middle-Aged and Older Persons Living With HIV-AIDS. Psychiatric Services 51(7):903–7.

    Google Scholar 

  • Kalichman SC, Kelly JA, Johnson JR. (1994). Factors associated with risk for HIV infection among chronic mental ill adults. Am J Psychiatry, 151(2), 221–227.

    Google Scholar 

  • Kelly JA, Murphy DA, Bahr GR. (1992). AIDS/HIV risk behavior among the chronic mental ill. Am J psychiatry, 149, 886–889.

    Google Scholar 

  • Kelly JA, Murphy DA, Sikkema KJ, Somlai AM, Mulry GW, Fernandez MI, Miller JG, Stevenson LY. (1995). Predictors of high and low levels of HIV risk behavior among adults with chronic mental illness. Psychiatric Services, 46(8), 813–818.

    Google Scholar 

  • Khantzian EJ. (1985). The self-medication hypothesis of addictive disorders: focus on heroin and cocaine dependence. Am J Psychiatry 1985, 42, 1259–1264.

    Google Scholar 

  • Kosten TR, Kleber HD. (1988). Differential diagnosis of psychiatric co-morbidity in substance abusers. J Subset Abuse Treat, 5, 201–206.

    Google Scholar 

  • Lehman AF, Myeres CP, Corty E. (1989). Assessment and classification of patients with psychiatric and substance abuse syndromes. Hosp Community Psychiatry, 40, 1019–1025.

    Google Scholar 

  • Low-Beer S, Chan K, Yip B, Wood E, Montaner JSG, O'shaughnessy MV, Hogg RS. (2000). Depreesive Symtoms Decline Among Persons on HIV Protease Inhibitors. Journal of Acquired Immune Deficiency Syndromes 23:295–301.

    Google Scholar 

  • McLellan AT, Druley KA. (1977). Random relation between drug of abuse and psychiatric diagnoses. J Psychiatry Res, 13, 179–184. National Center for Health Statistics. (1998) National Vital Statistics Report; 47(4).

    Google Scholar 

  • Ostrow DG. (1989). AIDS prevention through effective education. Daedalus, 118, 229–254.

    Google Scholar 

  • Perkins DO, Davidson EJ, Leserman J. (1993). Personality disorder in patients infected with HIV: a controlled study with implications for clinical care. Am J Psychiatry, 150, 309–315

    Google Scholar 

  • Perterson JL, Folkman S, Bakeman R. (1996). Stress, Coping, HIV Status, Psychosocial Resources, and Depressive Mood In African American Gay, Bisexual, and Heterosexual Men. American Journal of Community Psychology 24(4); 461–87.

    Google Scholar 

  • Richard ML, Liskow BI, Perry PJ. (1985). Recent psycho-stimulant use in hospitalized schizophrenics. J Clin Psychiatry, 46, 79–83.

    Google Scholar 

  • Sacks MH, Dermatis H, Looser-Otts S, Perry S. (1992). Undetected HIV infection among acutely ill psychiatric inpatients. Am J Psychiatry, 149, 544–545.

    Google Scholar 

  • Sacks M. (1990). Self-reported HIV-related risk behaviors in acute psychiatric inpatients. Hospital and Community Psychiatry, 41, 1253–1255.

    Google Scholar 

  • Safer DJ. (1987). Substance abuse by young adult chronic patients. Hosp Community Psychiatry, 38, 511–514.

    Google Scholar 

  • Schenieder EC, Reihl V, Courte-Wienecke S, Eddy DM, Sennett C. (1999). Enhancement Performance: NCQA's road map for a health informance framework. JAMA, 282:1184–1190.

    Google Scholar 

  • Schneier FR, Siris SG. (1987). A review of psychoactive substance use and abuse in schizophrenia: patterns of drug choice. J Nerv Ment Dis, 175, 641–652.

    Google Scholar 

  • Schoenbaum EE, Hartel D, Friedland GH. (1990). Crack use predicts incident HIV sero-conversion. VI International Conference on AIDS, THC, 103–159.

  • Sheets JL, Prevost JA, Reihman J. (1982). Young adult chronic patients: three hypothesized subgroups. Hosp Community Psychiatry, 33, 197–203.

    Google Scholar 

  • Sorie P, Roger E, Anderson, R, Johnson NJ, Buckland E. (1992) Black-white mortality differences by family income. The Lancet. 1992;340:346–350.

    Google Scholar 

  • Susser E, Valencia E, Conover S. (1993). Prevalence of HIV infection among psychiatric inpatients in a New York City men's shelter. Am J Public Health, 83, 568–570.

    Google Scholar 

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Stoskopf, C.H., Kim, Y.K. & Glover, S.H. Dual Diagnosis: HIV and Mental Illness, a Population-Based Study. Community Ment Health J 37, 469–479 (2001). https://doi.org/10.1023/A:1017577827658

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