Although psychiatrically disturbed minority youth are at high risk for contracting HIV, little is known about HIV risk among this population. As part of a larger HIV intervention study, 110 psychiatrically referred, Latino adolescent girls (13 to 18 years old) completed questionnaires assessing their HIV knowledge, personal contact with an individual with HIV or AIDS, and sexual risk behaviors. The results indicate that girls’level of knowledge was high and that HIV knowledge was positively correlated with participation in sexually risky behaviors. Moreover, personal contact with a person with HIV or AIDS had a strong positive correlation with numbers of sexual encounters and partners. Most of the girls reported believing that they were not vulnerable to AIDS. The findings emphasize the need for efforts to address how psychiatrically disturbed adolescents residing in major urban settings may be unable to integrate effectively more abstract HIV knowledge into their personal health choices and may be vulnerable to sexual exploitation by others by virtue of their impaired decision-making skills.
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References
1.
Anderson, J. E.
, et al. (1996). HIV risk behavior, street outreach and condom use in eight highrisk populations. AIDS Education & Prevention, 8, 191-204.
2.
Bird, H. R.
, et al. (1993). The Columbia Impairment Scale (CIS): Pilot findings on a measure of global impairment for children and adolescents. International Journal of Methods in Psychiatric Research, 3, 167-176.
3.
Bravo, M.
, et al. (2001). Test-retest reliability of the Spanish Version of the diagnostic interview schedule for children (DISC-IV). Journal of Abnormal Child Psychology, 29, 433-444.
4.
Brown, L. K.
, Dinovsky, M. B., Lourie, K. J., DiClemente, R. J., & Ponton, L. E. (1997). Adolescents with psychiatric disorders and the risk of HIV. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1609-1617.
5.
Carey, M. P.
, Carey, K. B., & Kalichman, S. C. (1997). Risk for Human Immunodeficiency Virus (HIV) infection among persons with severe mental illnesses. Clinical Psychology Review, 17, 271-291.
6.
Centers, N. L.
, & Weist, M. D. (1998). Inner-city youth and drug dealing: A review of the problem. Journal of Youth & Adolescence, 27, 395-411.
7.
Centers for Disease Control and Prevention. (1999). HIV/AIDS surveillance report, 1997 year-end edition. Retrieved from http://www.cdc.gov/hiv/stats/hivsur92.pdf
8.
Centers for Disease Control and Prevention. (2002). HIV/AIDS surveillance report, 2001 mid-year edition. Retrieved from http://www.cdc.gov/hiv/stats/hasr1101.htm
9.
Cournos, F.
, & McKinnon, K. (1997). HIV seroprevalence among people with severe mental illness in the United States: A critical review. Clinical Psychology Review, 17, 259-269.
10.
Cournos, F.
, McKinnon, K., Meyer-Bahlburg, H.F.L., Guido, J., & Meyer, I. (1993). HIV risk activity among persons with severe mental illness: preliminary findings. Hospital and Community Psychiatry, 44, 1104-1106.
11.
Fiedler, K.
(1988). Emotional mood, cognitive style, and behavioral regulation. In K. Fiedler & J. Forgas (Eds.), Affect, cognition and social behavior (pp. 100-119). Toronto, Canada: Hogrefe & Huber.
12.
Flaskerud, J. H.
, Uman, G., Lara, R., Romero, L., & Taka, K. (1996). Sexual practices and attitudes, and knowledge related to HIV transmission in low-income Los Angeles Hispanic women. Journal of Sex Research, 33, 343-353.
13.
Hamburg, D. A.
(1997). Toward a strategy for healthy adolescent development.American Journal of Psychiatry, 154, 6-12.
14.
Jemmott, J. B.
, & Jemmott, L. S. (1994). Interventions for adolescents in community settings. In R. J. DiClemente & J. L. Peterson (Eds.), Preventing AIDS: Theories and methods of behavioral interventions (pp. 141-174). New York: Plenum Press.
15.
Kaplan, B. J.
, & Shayne, V. T. (1993). Unsafe sex: Decision-making biases and heuristics.AIDS Education & Prevention, 5, 294-301.
16.
Kelly, J.
, St. Lawrence, J., Hood, H., & Brasfield, T. L. (1989). An objective test of AIDS risk behavior knowledge: Scale development, validation and norms. Journal Behavioral Therapy and Experimental Psychiatry, 20, 227-234.
17.
Koopman, C.
, Rotheram-Borus, M. J., Henderson, R., Bradley, J., & Hunter, J. (1990). Assessment of knowledge of AIDS and beliefs about AIDS prevention among adolescents. AIDS Education and Prevention, 2, 58-69.
18.
Landry, D. J.
, & Forrest, J. D. (1995). How old are U.S. fathers?Family Planning Perspectives, 27, 159-165.
19.
Langer, L. M.
, Tubman, J. G., & Duncan, S. (1998). Anticipated mortality, HIV vulnerability, and psychological distress among adolescents and young adults at higher and lower risk for HIV infection. Journal of Youth and Adolescence, 27, 513-535.
20.
Laub, C.
, Somera, D. M., Gowen, L. K., & Diaz, R. (1999). Targeting risky gender ideologies: Constructing a community-drive, theory-based HIV prevention intervention for youth. Health Education and Behavior, 26, 185-199.
21.
Leitenberg, H.
, & Saltzman, H. (2000). A statewide survey of age at first intercourse for adolescent females and age of their male partners: Relation to other risk behaviors and statutory rape. Archives of Sexual Behavior, 29, 203-215.
22.
Meyer-Bahlburg, H.F.L., Ehrhardt, A. A., Exner, T. M., Gruen, R. S., & Dugan, T. (1995).The Sexual Risk Behavior Schedule for Depressed Youths, Female, Baseline (SERBAS-Y-DEPRF-1). Unpublished manuscript, NYS Psychiatric Institute & Department of Psychiatry, Columbia University.
23.
New York City Department of Health. (2000). Estimates of persons living with AIDS in New York City: 1999. New York: Office of AIDS Surveillance.
24.
O’Sullivan, L. F.
, Jaramillo, B., Moreau, D., & Meyer-Bahlburg, H.F.L. (1999). Mother-daughter communication about sexuality in a clinical sample of Hispanic adolescent girls. Hispanic Journal of Behavioral Sciences, 21, 447-469.
25.
Prinstein, M.
, Nock, M., Spirito, A., & Grapentine, W. (2001). Multimethod assessment of suicidality in adolescents psychiatric inpatients: Preliminary results. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1053-1061.
26.
Renton, A. M.
, Whitaker, L., & Riddlesdell, M. (1998). Heterosexual HIV transmission and STD prevalence: Predictions of a theoretical model. Sexually Transmitted Infections, 74, 339-344.
27.
Rotheram-Borus, M. J.
, & Gwadz, M. (1993). Sexuality among youths at high risk. Child and Adolescent Psychiatric Clinics of North America, 2, 415-429.
28.
Schwab-Stone, M. E.
, Shaffer, D., Dulcan, M. K., & Jensen, P. S. (1996). Criterion validity of the NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC-2.3). Journal of the American Academy of Child and Adolescent Psychiatry, 35, 878-888.
29.
Shaffer, D.
, Fisher, P., Dulcan, M. K., & Davies, M. (1996). The NIMH Diagnostic Interview Schedule for Children–Version 2.3 (DISC-2.3): Description, acceptability, prevalence rates, and performance in the MECA study. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 865-877.
30.
St. Lawrence, J.
, Brasfield, T., Jefferson, K., Alleyne, E., O’Bannon, R. E., & Shirley, A. (1995). Cognitive behavioral intervention to reduce African American adolescents’ risk of HIV infection. Journal of Consulting and Clinical Psychology, 63, 221-237.
