Psychiatric patients' return for HIV/STI test results in mental health centers

Detalhes bibliográficos
Autor(a) principal: Melo, Ana Paula Souto
Data de Publicação: 2012
Outros Autores: McKinnon, Karen, Wainberg, Milton L, César, Cibele Comini, Guimarães, Mark Drew Crosland
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/33104
Resumo: OBJECTIVE: To assess individual and/or health service factors associated with patients returning for results of HIV or sexually transmitted infection (STI) tests in mental health centers. METHODS: Cross-sectional national multicenter study among 2,080 patients randomly selected from 26 Brazilian mental health centers in 2007. Multilevel logistic regression was used to assess the effect of individual (level 1) and mental health service characteristics (level 2) on receipt of test results. RESULTS: The rate of returning HIV/STI test results was 79.6%. Among health service characteristics examined, only condom distribution was associated with receiving HIV/STI test results, whereas several individual characteristics were independently associated including living in the same city where treatment centers are; being single; not having heard of AIDS; and not having been previously HIV tested. CONCLUSIONS: It is urgent to expand HIV/STI testing in health services which provide care for patients with potentially increased vulnerability to these conditions, and to promote better integration between mental health and health services.
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spelling Psychiatric patients' return for HIV/STI test results in mental health centers Devolución de los resultados de exámenes serológicos de VIH/ITS entre pacientes psiquiátricos en los servicios de salud mental Devolução dos resultados de exames sorológicos de HIV/IST entre pacientes psiquiátricos nos serviços de saúde mental Síndrome de Imunodeficiência Adquirida^i2^sprevenção & contrSorodiagnóstico da AIDSPsiquiatriaServiços de Saúde MentalAconselhamento SexualEstudos TransversaisSíndrome de Inmunodeficiencia Adquirida^i3^sprevención & contSerodiagnóstico del SIDAPsiquiatriaServicios de Salud MentalOrientación SexualEstudios TransversalesMentally Ill PersonsAcquired Immunodeficiency Syndrome^i1^sprevention & contAIDS SerodiagnosisPsychiatryMental Health ServicesSex CounselingCross-Sectional Studies OBJECTIVE: To assess individual and/or health service factors associated with patients returning for results of HIV or sexually transmitted infection (STI) tests in mental health centers. METHODS: Cross-sectional national multicenter study among 2,080 patients randomly selected from 26 Brazilian mental health centers in 2007. Multilevel logistic regression was used to assess the effect of individual (level 1) and mental health service characteristics (level 2) on receipt of test results. RESULTS: The rate of returning HIV/STI test results was 79.6%. Among health service characteristics examined, only condom distribution was associated with receiving HIV/STI test results, whereas several individual characteristics were independently associated including living in the same city where treatment centers are; being single; not having heard of AIDS; and not having been previously HIV tested. CONCLUSIONS: It is urgent to expand HIV/STI testing in health services which provide care for patients with potentially increased vulnerability to these conditions, and to promote better integration between mental health and health services. OBJETIVO: Analizar factores asociados a la recepción de resultados de exámenes serológicos para VIH y otras infecciones de transmisión sexual (ITS) entre pacientes psiquiátricos. MÉTODOS: Estudio de corte transversal multicéntrico nacional de 2.080 participantes seleccionados aleatoriamente entre 26 instituciones brasileñas de salud mental en 2007. El efecto del individuo (nivel 1) y de los servicios de salud mental (nivel 2) en la recepción de los resultados de los exámenes fue evaluado utilizándose regresión logística multinivel. RESULTADOS: La proporción de retorno de los resultados de exámenes VIH/ITS fue 79,6%. Entre las características individuales, hubo asociación del desenlace con: vivir en la misma ciudad donde se encontraban los servicios, ser soltero, no haber escuchado hablar sobre el sida, y no haber sido previamente evaluado para VIH. Entre las características de los servicios de salud, sólo la distribución de preservativos estuvo asociada a la recepción de los resultados de los exámenes. CONCLUSIONES: El retorno de los resultados de exámenes indicó que es urgente promover una mejor integración entre los servicios de salud, así como expandir la oferta de examen anti-VIH y otras ITS, en especial en servicios de atención a pacientes psiquiátricos potencialmente más vulnerables a estas condiciones. OBJETIVO: Analisar fatores associados ao recebimento de resultados de exames sorológicos para HIV e outras infecções sexualmente transmissíveis (IST) entre pacientes psiquiátricos. MÉTODOS: Estudo de corte transversal multicêntrico nacional de 2.080 participantes selecionados aleatoriamente dentre 26 instituições de saúde mental brasileiras em 2007. O efeito do indivíduo (nível 1) e dos serviços de saúde mental (nível 2) no recebimento dos resultados dos exames foi avaliado utilizando-se regressão logística multinível. RESULTADOS: A proporção de retorno dos resultados de exames HIV/IST foi de 79,6%. Entre as características individuais, houve associação do desfecho com: viver na mesma cidade onde se encontravam os serviços, ser solteiro, não ter ouvido falar sobre aids e não ter sido previamente testado para HIV. Entre as características dos serviços de saúde, apenas distribuição de preservativos esteve associada ao recebimento dos resultados de exames. CONCLUSÕES: É urgente promover melhor integração entre os serviços de saúde, além de expandir a oferta de exame anti-HIV e outras IST, em especial em serviços de atenção a pacientes psiquiátricos potencialmente mais vulneráveis a essas condições. Universidade de São Paulo. Faculdade de Saúde Pública2012-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3310410.1590/S0034-89102012005000017Revista de Saúde Pública; Vol. 46 No. 2 (2012); 290-299 Revista de Saúde Pública; Vol. 46 Núm. 2 (2012); 290-299 Revista de Saúde Pública; v. 46 n. 2 (2012); 290-299 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/rsp/article/view/33104/35822Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessMelo, Ana Paula SoutoMcKinnon, KarenWainberg, Milton LCésar, Cibele CominiGuimarães, Mark Drew Crosland2012-07-11T23:10:58Zoai:revistas.usp.br:article/33104Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-11T23:10:58Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Psychiatric patients' return for HIV/STI test results in mental health centers
Devolución de los resultados de exámenes serológicos de VIH/ITS entre pacientes psiquiátricos en los servicios de salud mental
Devolução dos resultados de exames sorológicos de HIV/IST entre pacientes psiquiátricos nos serviços de saúde mental
title Psychiatric patients' return for HIV/STI test results in mental health centers
spellingShingle Psychiatric patients' return for HIV/STI test results in mental health centers
Melo, Ana Paula Souto
Síndrome de Imunodeficiência Adquirida^i2^sprevenção & contr
Sorodiagnóstico da AIDS
Psiquiatria
Serviços de Saúde Mental
Aconselhamento Sexual
Estudos Transversais
Síndrome de Inmunodeficiencia Adquirida^i3^sprevención & cont
Serodiagnóstico del SIDA
Psiquiatria
Servicios de Salud Mental
Orientación Sexual
Estudios Transversales
Mentally Ill Persons
Acquired Immunodeficiency Syndrome^i1^sprevention & cont
AIDS Serodiagnosis
Psychiatry
Mental Health Services
Sex Counseling
Cross-Sectional Studies
title_short Psychiatric patients' return for HIV/STI test results in mental health centers
title_full Psychiatric patients' return for HIV/STI test results in mental health centers
title_fullStr Psychiatric patients' return for HIV/STI test results in mental health centers
title_full_unstemmed Psychiatric patients' return for HIV/STI test results in mental health centers
title_sort Psychiatric patients' return for HIV/STI test results in mental health centers
author Melo, Ana Paula Souto
author_facet Melo, Ana Paula Souto
McKinnon, Karen
Wainberg, Milton L
César, Cibele Comini
Guimarães, Mark Drew Crosland
author_role author
author2 McKinnon, Karen
Wainberg, Milton L
César, Cibele Comini
Guimarães, Mark Drew Crosland
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Melo, Ana Paula Souto
McKinnon, Karen
Wainberg, Milton L
César, Cibele Comini
Guimarães, Mark Drew Crosland
dc.subject.por.fl_str_mv Síndrome de Imunodeficiência Adquirida^i2^sprevenção & contr
Sorodiagnóstico da AIDS
Psiquiatria
Serviços de Saúde Mental
Aconselhamento Sexual
Estudos Transversais
Síndrome de Inmunodeficiencia Adquirida^i3^sprevención & cont
Serodiagnóstico del SIDA
Psiquiatria
Servicios de Salud Mental
Orientación Sexual
Estudios Transversales
Mentally Ill Persons
Acquired Immunodeficiency Syndrome^i1^sprevention & cont
AIDS Serodiagnosis
Psychiatry
Mental Health Services
Sex Counseling
Cross-Sectional Studies
topic Síndrome de Imunodeficiência Adquirida^i2^sprevenção & contr
Sorodiagnóstico da AIDS
Psiquiatria
Serviços de Saúde Mental
Aconselhamento Sexual
Estudos Transversais
Síndrome de Inmunodeficiencia Adquirida^i3^sprevención & cont
Serodiagnóstico del SIDA
Psiquiatria
Servicios de Salud Mental
Orientación Sexual
Estudios Transversales
Mentally Ill Persons
Acquired Immunodeficiency Syndrome^i1^sprevention & cont
AIDS Serodiagnosis
Psychiatry
Mental Health Services
Sex Counseling
Cross-Sectional Studies
description OBJECTIVE: To assess individual and/or health service factors associated with patients returning for results of HIV or sexually transmitted infection (STI) tests in mental health centers. METHODS: Cross-sectional national multicenter study among 2,080 patients randomly selected from 26 Brazilian mental health centers in 2007. Multilevel logistic regression was used to assess the effect of individual (level 1) and mental health service characteristics (level 2) on receipt of test results. RESULTS: The rate of returning HIV/STI test results was 79.6%. Among health service characteristics examined, only condom distribution was associated with receiving HIV/STI test results, whereas several individual characteristics were independently associated including living in the same city where treatment centers are; being single; not having heard of AIDS; and not having been previously HIV tested. CONCLUSIONS: It is urgent to expand HIV/STI testing in health services which provide care for patients with potentially increased vulnerability to these conditions, and to promote better integration between mental health and health services.
publishDate 2012
dc.date.none.fl_str_mv 2012-04-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/33104
10.1590/S0034-89102012005000017
url https://www.revistas.usp.br/rsp/article/view/33104
identifier_str_mv 10.1590/S0034-89102012005000017
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/33104/35822
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 46 No. 2 (2012); 290-299
Revista de Saúde Pública; Vol. 46 Núm. 2 (2012); 290-299
Revista de Saúde Pública; v. 46 n. 2 (2012); 290-299
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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