Community Mental Health Journal

, Volume 46, Issue 5, pp 505–516

Individual and Treatment Setting Predictors of HIV/AIDS Knowledge Among Psychiatric Patients and Their Implications In a National Multisite Study in Brazil

  • Ana Paula Souto Melo
  • Cibele Comini César
  • Francisco de Assis Acurcio
  • Lorenza Nogueira Campos
  • Maria das Graças Braga Ceccato
  • Milton L. Wainberg
  • Karen McKinnon
  • Mark Drew Crosland Guimarães
Original Paper

DOI: 10.1007/s10597-010-9303-7

Cite this article as:
Melo, A.P.S., César, C.C., de Assis Acurcio, F. et al. Community Ment Health J (2010) 46: 505. doi:10.1007/s10597-010-9303-7

Abstract

The objective of this study is to measure HIV/AIDS knowledge among patients with mental illness in Brazil and to examine individual and treatment setting predictors of knowledge. We conducted a cross-sectional national multicenter study among 2,475 patients in 26 randomly selected mental health institutions throughout Brazil. We used Item Response Theory to standardize knowledge scores and multilevel multiple linear regression to determine the effect of individual and treatment setting characteristics on standardized knowledge score. Schizophrenia was the main diagnosis (48%) of participants. Mean knowledge score was 6.78 (range 1–10). Treatment setting characteristics were not associated with knowledge scores. Higher HIV/AIDS knowledge scores were significantly associated with a history of sexually transmitted disease (STD), previous HIV testing and consistent condom use; lower HIV/AIDS knowledge scores were significantly associated with specific sociodemographic, psychiatric, and HIV risk-perception factors. Psychiatric patients in Brazil lag behind the general population with knowledge scores comparable to those of nearly a decade ago. The mental health system in Brazil and elsewhere must consider strategies beyond dispensing information, for preventing HIV/AIDS transmission in the psychiatric population.

Keywords

HIV AIDS Knowledge Mental disorders Mental health treatment settings Sexually transmitted disease 

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Ana Paula Souto Melo
    • 1
    • 2
  • Cibele Comini César
    • 1
    • 3
  • Francisco de Assis Acurcio
    • 1
    • 4
  • Lorenza Nogueira Campos
    • 1
    • 5
  • Maria das Graças Braga Ceccato
    • 4
  • Milton L. Wainberg
    • 6
  • Karen McKinnon
    • 7
  • Mark Drew Crosland Guimarães
    • 1
    • 8
  1. 1.Research Group in Epidemiology and Health Services Evaluation (GPEAS/CNPq), Department of Preventive and Social Medicine, School of MedicineFederal University of Minas GeraisBelo HorizonteBrazil
  2. 2.State Health Department (FHEMIG)Raul Soares Institute and Teaching HospitalBelo HorizonteBrazil
  3. 3.Department of Statistics, School of Exact SciencesFederal University of Minas GeraisBelo HorizonteBrazil
  4. 4.Department of Social Pharmacy, School of PharmacyFederal University of Minas GeraisBelo HorizonteBrazil
  5. 5.State Health DepartmentEduardo de Menezes HospitalBelo HorizonteBrazil
  6. 6.HIV Center for Clinical and Behavioral Studies, New York State Psychiatric InstituteColumbia UniversityNew YorkUSA
  7. 7.New York State Psychiatric InstituteColumbia UniversityNew YorkUSA
  8. 8.Department of Preventive and Social Medicine, School of MedicineFederal University of Minas GeraisBelo HorizonteBrazil

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