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dc.contributor.authorGonzález Torres, Miguel Ángel
dc.contributor.authorSalazar, Miguel Ángel
dc.contributor.authorImaz, Manuel
dc.contributor.authorInchausti López de Larrucea, L ucía
dc.contributor.authorIbáñez, Berta
dc.contributor.authorFernández Rivas, Aranzazu
dc.contributor.authorPastor, Javier
dc.contributor.authorAnguiano, Bosco
dc.contributor.authorMuñoz, Pedro
dc.contributor.authorRuiz Parra, Eduardo
dc.contributor.authorOraa, Rodrigo
dc.contributor.authorBustamante Madariaga, Sonia
dc.contributor.authorÁlvarez de Eulate, Sofia
dc.contributor.authorCisterna Cáncer, Ramón
dc.date.accessioned2015-11-19T19:50:22Z
dc.date.available2015-11-19T19:50:22Z
dc.date.issued2015
dc.identifier.citationNeuropsychiatric Disease and Treatment 11: 1421-1426 (2015)es
dc.identifier.issn1178-2021
dc.identifier.urihttp://hdl.handle.net/10810/16133
dc.description.abstractBackground: The aims of this study were to evaluate the prevalence of HIV and its associated demographic and clinical factors among psychiatric inpatients of a general hospital. Methods: This was a single-center, observational, cross-sectional study that included patients consecutively admitted to our unit aged 16 years or older and with no relevant cognitive problems. The patients were evaluated using a semistructured interview and an appropriate test for HIV infection. Results: Of the 637 patients who were screened, 546 (86%) who consented to participate were included in the analyses. Twenty-five (4.6%, 95% confidence interval [CI] 3.0-6.8) patients were HIV-positive. The prevalence was higher among patients with substance misuse (17.4%, 95% CI 9.7-28.8). All except one of the 25 patients knew of their seropositive condition prior to participation in the study. Only 14 (56%) of the 25 seropositive patients had previously received pharmacological treatment for their infection. According to the multiple logistic regression analysis, the likelihood of HIV infection was lower in patients with higher levels of education and higher among patients who were single, had history of intravenous drug use, and had an HIV-positive partner, particularly if they did not use condoms. Among the patients with HIV infection, 18 (72%) had a history of suicide attempts compared with 181 (34.7%) of the patients without HIV infection (relative risk 2.1, 95% CI 1.6-2.7; P<0.001). Conclusion: HIV infection is highly prevalent in patients admitted to a psychiatric unit, especially those with a diagnosis of substance misuse. Seropositive patients show very poor treatment adherence. The risk of suicide seems to be very high in this population. Implementing interventions to reduce the suicide risk and improve adherence to antiretroviral therapy and psychotropic medications seems crucial.es
dc.description.sponsorshipThis project was undertaken with the support of grants from the FIS Agency of the Spanish Ministry of Health and Basurto Hospital Research Commission.es
dc.language.isoenges
dc.publisherDove Medical Presses
dc.rightsinfo:eu-repo/semantics/openAccesses
dc.subjectsevere mental illnesses
dc.subjecthuman immunodeficiency viruses
dc.subjectadherencees
dc.subjectepidemiologyes
dc.titleUndertreatment of human immunodeficiency virus in psychiatric inpatients: a cross-sectional study of seroprevalence and associated factorses
dc.typeinfo:eu-repo/semantics/articlees
dc.rights.holder© 2015 Gonzalez-Torres et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.phpes
dc.relation.publisherversionhttps://www.dovepress.com/undertreatment-of-human-immunodeficiency-virus-in-psychiatric-inpatien-peer-reviewed-article-NDT#es
dc.identifier.doi10.2147/NDT.S79939
dc.departamentoesInmunología, microbiología y parasitologíaes_ES
dc.departamentoesNeurocienciases_ES
dc.departamentoesNeurocienciases_ES
dc.departamentoeuImmunologia, mikrobiologia eta parasitologiaes_ES
dc.departamentoeuNeurozientziakes_ES
dc.departamentoeuNeurozientziakes_ES


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