HIV Risk Behavior Among Patients With Co-occurring Bipolar and Substance Use Disorders: Associations With Mania and Drug Abuse
October 22, 2008
The researchers note that bipolar and substance use disorders often co-occur, and "both are associated with impulsivity, impaired judgment and risk-taking." In this study, the team set out to describe the rates of HIV sexual and drug risk behaviors among patients with co-occurring bipolar and substance use disorders; to test whether acute mania, psychiatric severity and drug severity independently predict HIV risk; and to examine the relationship between certain substance dependencies and sexual risk behaviors.
One hundred one patients took part. Structured clinical interviews and self-report questionnaires were used to assess psychiatric diagnoses, substance abuse, and HIV risk behavior.
Most participants -- 75 percent -- said they were sexually active in the preceding six months and reported high rates of sexual risk behaviors. These included unprotected intercourse (69 percent), multiple partners (39 percent), sex with prostitutes (24 percent, men only), and sex trading (10 percent). Recent manic episode, lower psychiatric severity, and greater drug severity were independent predictors of total HIV risk in a multivariate linear regression model. Cocaine dependence was associated with increased risk of sex trading.
The results "underscore the importance of HIV prevention for this population," the researchers concluded.
Drug and Alcohol Dependence
01.2008; Vol. 92; No. 1-3: P. 296-300; Christina S. Meade, Fiona S. Graff, Margaret L. Griffin, Roger D. Weiss
This article was provided by CDC National Prevention Information Network. It is a part of the publication CDC HIV/Hepatitis/STD/TB Prevention News Update.