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HIV-1 seroprevalence and risk factors for HIV infection among first-time psychiatric admissions in Uganda.

机译:乌干达首次精神病患者中的HIV-1血清阳性率和HIV感染的危险因素。

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This study investigated HIV seroprevalence and it's correlates among patients with first-time psychiatric admissions to two national referral hospitals in urban Kampala, Uganda. A structured standardised evaluation was used to assess patients for: Diagnostic and Statistical Manual IV psychiatric diagnosis, socio-demographics, sexual behaviour and HIV status (for those HIV-positive, CDC classification and CD4 cell counts). The HIV-1 seroprevalence was 18.4% (95% CI, 13.8-23.0%). Factors that were independently associated with HIV-1 seropositivity were female gender and older age (41+years) and after adjusting for sex and age group, the nature of the current episode (highest among those with first episode of mental illness) and psychiatric diagnoses (highest in the organic affective disorders and delirium, lowest in those with bipolar affective disorder and psychotic syndromes). These results demonstrate that the prevalence of HIV is high among patients with severe mental illness in Africa and that HIV/AIDS adds to the burden of mental illness in high HIV prevalence countries in sub-Saharan Africa. Both HIV care programmes and psychiatric care clinics should be made aware of the frequent association of HIV infection and mental illness, and adopt important diagnostic and care elements of these complementary disciplines in the training and the day-to-day work of clinicians, nurses and counsellors.
机译:这项研究调查了在乌干达坎帕拉的两家国家转诊医院首次接受精神科住院治疗的患者中的HIV血清阳性率及其相关性。使用结构化的标准化评估对患者进行以下评估:诊断和统计手册IV精神病学诊断,社会人口统计学,性行为和HIV状况(针对那些HIV阳性,CDC分类和CD4细胞计数)。 HIV-1血清阳性率为18.4%(95%CI,13.8-23.0%)。与HIV-1血清反应阳性独立相关的因素是女性性别和年龄(41岁以上),并且在调整了性别和年龄组之后,当前发作的性质(在患有精神疾病的首发患者中最高)和精神病学诊断(在器质性情感障碍和del妄中最高,在双相情感障碍和精神病综合症中最低)。这些结果表明,在非洲患有严重精神疾病的患者中,艾滋病毒的患病率很高,而在撒哈拉以南非洲,艾滋病毒感染率高的国家,艾滋病毒/艾滋病增加了精神疾病的负担。 HIV护理计划和精神病护理诊所都应意识到HIV感染和精神疾病的频繁关联,并在临床医生,护士和护士的培训和日常工作中采用这些互补学科的重要诊断和护理要素辅导员。

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