Psychiatric Morbidity in HIV-infected Male Prisoners
Journal
Journal of the Formosan Medical Association
Journal Volume
109
Journal Issue
3
Pages
177-184
Date Issued
2010
Author(s)
Peng E.Y.-C.
MING-BEEN LEE
Morisky D.E.
Yeh C.-Y.
Farabee D.
Lan Y.-C.
Chen Y.-M.A.
Lyu S.-Y.
Abstract
Background/Purpose: The seroincidence of human immunodeficiency virus (HIV) in Taiwan has drastically increased since 2004, particularly among injection drug users and prisoners. The major purpose of this study was to explore the prevalence and correlates of psychiatric morbidity among HIV-infected male prisoners. Methods: In 2006, data were collected from all of HIV-infected male prisoners (n = 535) in seven prisons in Taiwan. This collection was performed using a self-administered, anonymous questionnaire in group settings directed by our interviewers. Psychiatric morbidity was measured using the five-item Brief Symptom Rating Scale in 535 participants, which represented an 85% response rate. After excluding incomplete data, 479 participants were included in the analysis. Results: Psychiatric morbidity was present in 46% of participants. Multivariate logistic regression revealed that correlates of the five-item Brief Symptom Rating Scale defined cases included the following: being a recidivist, having poor self-rated health status, and having experienced psychiatric symptoms in one's lifetime (e.g. significant physical pain or discomfort, depression for 2 weeks or longer, serious anxiety or tension, trouble understanding, concentrating, or remembering, and serious thoughts of suicide), with a Nagelkerke R2 equal to 0.365. Conclusion: Psychiatric morbidity is prevalent among HIV-infected male prisoners. Tailored HIV/AIDS education related to mental health is therefore suggested for inclusion as part of a comprehensive HIV/AIDS training program among incarcerated populations. ? 2010 Formosan Medical Association & Elsevier.
Subjects
HIV; incarcerated population; morbidity; prevalence; psychiatric
SDGs
Other Subjects
adult; article; correlation analysis; disease association; health status; human; Human immunodeficiency virus infected patient; Human immunodeficiency virus infection; major clinical study; male; mental disease; morbidity; prevalence; questionnaire; recidivism; Adult; Depression; HIV Infections; Humans; Logistic Models; Male; Mental Disorders; Middle Aged; Morbidity; Prevalence; Prisoners; Prisons; Psychiatric Status Rating Scales; Questionnaires; Taiwan
Type
journal article