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HIV prevalence among men and women admitted to a South African public psychiatric hospital

机译：南非一家公共精神病医院的男女感染艾滋病毒的情况

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In settings with low seroprevalence, people with severe mental illness have a higher prevalence of HIV infection compared to the general population. In the high-prevalence countries of southern Africa, where the pandemic taxes resources for HIV prevention, care, and treatment, the needs of people with mental illness can be easily overlooked if they are not identified as vulnerable to infection. Yet, few African studies have investigated HIV seroprevalence in psychiatric settings. We systematically examined the HIV seroprevalence among psychiatric patients admitted to a public psychiatric institution in KwaZulu Natal province, South Africa, between 27 July and 14 November 2003. We conducted anonymous testing among 151 patients who were psychiatrically stable and able to give informed consent. Forty patients (26.5%) were HIV-positive; women were more likely to be infected than men (OR 2.74; 95% CI = 1.25-6.04; P =0.012). Our findings demonstrate that in the midst of a generalized AIDS epidemic, people with mental illness are also vulnerable and must be included in prevention and treatment efforts. These results underscore the importance of integrated mental health and HIV care in institutional and outpatient mental health settings and affirm the need for detailed HIV risk assessment as a routine part of psychiatric care. Correspondingly, HIV care and treatment programs should be made available to people with psychiatric symptoms.
机译：在低血清阳性率的环境中，与一般人群相比，患有严重精神疾病的人的HIV感染率更高。在南部非洲高流行的国家，大流行会为艾滋病毒的预防，护理和治疗征税资源，如果不认为他们容易感染精神病患者，他们的需求很容易被忽视。但是，很少有非洲研究调查精神病患者的艾滋病毒血清阳性率。我们系统地检查了2003年7月27日至11月14日在南非夸祖鲁纳塔尔省一家公共精神病学机构收治的精神病患者中的HIV血清阳性率。我们对151名精神病学稳定且能够给予知情同意的患者进行了匿名测试。 40名患者（26.5％）艾滋病毒阳性;女性比男性更容易被感染（OR 2.74; 95％CI = 1.25-6.04; P = 0.012）。我们的研究结果表明，在艾滋病的普遍流行中，精神疾病患者也很脆弱，必须将其纳入预防和治疗工作中。这些结果强调了在机构和门诊心理健康环境中综合精神卫生和艾滋病毒护理的重要性，并确认有必要将详细的艾滋病毒风险评估作为精神病治疗的常规部分。相应地，应该为患有精神病症状的人提供艾滋病毒的护理和治疗方案。

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