
Psychosomatics 46:573-577, November-December 2005
doi: 10.1176/appi.psy.46.6.573
© 2005 Academy of Psychosomatic Medicine
Predictors of HIV and Hepatitis Testing and Related Service Utilization Among Individuals With Serious Mental Illness
Richard W. Goldberg, Ph.D.,
Seth Himelhoch, M.D., M.P.H.,
Julie Kreyenbuhl, Pharm.D., Ph.D.,
Faith B. Dickerson, Ph.D., M.P.H.,
Ann Hackman, M.D.,
Li Juan Fang, M.S.,
Clayton H. Brown, Ph.D.,
Karen A. Wohlheiter, M.S., and
Lisa B. Dixon, M.D., M.P.H.
Received Sept. 14, 2004; revision received Jan. 24, 2005; accepted March 7, 2005. From the University of Maryland-Baltimore School of Medicine; the VA Capitol Health Care Network Mental Illness Research, Education and Clinical Center, Baltimore; and Sheppard Pratt Health System, Baltimore. Address correspondence and reprint requests to Dr. Goldberg, University of Maryland-Baltimore School of Medicine, Division of Services Research, 737 W. Lombard St., Room 500, Baltimore, MD 21201; rgoldber{at}psych.umaryland.edu (e-mail).
Two hundred mentally ill adults receiving community-based outpatient psychiatric services were surveyed. Although 59% received an HIV test, only 41% received a hepatitis test. Clinic location and reports of unprotected sex were associated with receipt of an HIV test. Although no behavioral risk factors were associated with hepatitis testing, those with a comorbid medical condition were more likely to be tested. Only 15% of the sample was immunized against hepatitis B. Medical hospitalization was the only factor related to immunization. These results indicate an urgent need to improve access to HIV and hepatitis testing and related treatment.
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