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Sexual risk behaviors and sexually transmitted infection prevalence in an outpatient psychiatry clinic.
Sex Transm Dis. 2008 Oct; 35(10):877-82.ST

Abstract

BACKGROUND

Nearly 3% of Americans experience severe and persistent mental illness (SPMI) and behaviors that place affected individuals at risk for sexually transmitted infections (STIs) are common. Few data describe the prevalence of risk behaviors or STI among persons with SPMI. We aim to quantitate STI/human immunodeficiency virus risk and determine the STI prevalence amongst outpatient psychiatric clinic attendees.

METHODS

Psychiatric outpatients were approached to participate in an interviewer-administered survey collecting data on their sexual history, psychiatric history, and risk behaviors. Females submitted self-collected vaginal swabs, whereas males submitted urine to be tested for Neisseria gonorrhoeae, Chlamydia trachomatis, and Trichomonas vaginalis (women only).

RESULTS

The prevalence of N. gonorrhoeae was 1%, C. trachomatis 3.3% and T. vaginalis 15.7%. Exchanging sex for drugs was the only behavior independently associated with having an STI in this population.

CONCLUSIONS

Taking a sexual history in persons with SPMI is important. Those engaging in high-risk behavior should be routinely screened for STI/human immunodeficiency virus allowing for detection, treatment, and preventive education.

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Authors+Show Affiliations

King C
Department of Medicine, The University of Alabama at Birmingham, School of Medicine, Birmingham, Alabama 35294-0007, USA.
Feldman J
No affiliation info available
Waithaka Y
No affiliation info available
Aban I
No affiliation info available
Hu J
No affiliation info available
Zhang S
No affiliation info available
Hook E
No affiliation info available
Bachmann LH
No affiliation info available

MeSH

AdultAmbulatory Care FacilitiesAnimalsBipolar DisorderChlamydia InfectionsChlamydia trachomatisFemaleGonorrheaHealth SurveysHumansInterviews as TopicMaleMental DisordersMentally Ill PersonsMiddle AgedNeisseria gonorrhoeaePrevalencePsychiatryPsychotic DisordersRisk-TakingSexual BehaviorSexually Transmitted DiseasesTrichomonas VaginitisTrichomonas vaginalis

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18607313

Citation

King, Cynthia, et al. "Sexual Risk Behaviors and Sexually Transmitted Infection Prevalence in an Outpatient Psychiatry Clinic." Sexually Transmitted Diseases, vol. 35, no. 10, 2008, pp. 877-82.
King C, Feldman J, Waithaka Y, et al. Sexual risk behaviors and sexually transmitted infection prevalence in an outpatient psychiatry clinic. Sex Transm Dis. 2008;35(10):877-82.
King, C., Feldman, J., Waithaka, Y., Aban, I., Hu, J., Zhang, S., Hook, E., & Bachmann, L. H. (2008). Sexual risk behaviors and sexually transmitted infection prevalence in an outpatient psychiatry clinic. Sexually Transmitted Diseases, 35(10), 877-82. https://doi.org/10.1097/OLQ.0b013e31817bbc89
King C, et al. Sexual Risk Behaviors and Sexually Transmitted Infection Prevalence in an Outpatient Psychiatry Clinic. Sex Transm Dis. 2008;35(10):877-82. PubMed PMID: 18607313.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexual risk behaviors and sexually transmitted infection prevalence in an outpatient psychiatry clinic. AU - King,Cynthia, AU - Feldman,Jacqueline, AU - Waithaka,Yvonne, AU - Aban,Inmaaculada, AU - Hu,Jianfang, AU - Zhang,Sijian, AU - Hook,Edward,3rd AU - Bachmann,Laura H, PY - 2008/7/9/pubmed PY - 2008/10/28/medline PY - 2008/7/9/entrez SP - 877 EP - 82 JF - Sexually transmitted diseases JO - Sex Transm Dis VL - 35 IS - 10 N2 - BACKGROUND: Nearly 3% of Americans experience severe and persistent mental illness (SPMI) and behaviors that place affected individuals at risk for sexually transmitted infections (STIs) are common. Few data describe the prevalence of risk behaviors or STI among persons with SPMI. We aim to quantitate STI/human immunodeficiency virus risk and determine the STI prevalence amongst outpatient psychiatric clinic attendees. METHODS: Psychiatric outpatients were approached to participate in an interviewer-administered survey collecting data on their sexual history, psychiatric history, and risk behaviors. Females submitted self-collected vaginal swabs, whereas males submitted urine to be tested for Neisseria gonorrhoeae, Chlamydia trachomatis, and Trichomonas vaginalis (women only). RESULTS: The prevalence of N. gonorrhoeae was 1%, C. trachomatis 3.3% and T. vaginalis 15.7%. Exchanging sex for drugs was the only behavior independently associated with having an STI in this population. CONCLUSIONS: Taking a sexual history in persons with SPMI is important. Those engaging in high-risk behavior should be routinely screened for STI/human immunodeficiency virus allowing for detection, treatment, and preventive education. SN - 1537-4521 UR - https://www.unboundmedicine.com/medline/citation/18607313/Sexual_risk_behaviors_and_sexually_transmitted_infection_prevalence_in_an_outpatient_psychiatry_clinic_ L2 - https://doi.org/10.1097/OLQ.0b013e31817bbc89 DB - PRIME DP - Unbound Medicine ER -