Assessing HIV transmission knowledge in psychiatric patients in Johannesburg, South Africa.

IF 1 4区 医学 Q4 PSYCHIATRY South African Journal of Psychiatry Pub Date : 2023-01-01 DOI:10.4102/sajpsychiatry.v29i0.2040
Hangwani J Matodzi, Karishma Lowton, Prinesh Miseer
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引用次数: 1

Abstract

Background: The bidirectional relationship between human immunodeficiency virus (HIV) and psychiatric illnesses is well documented. Misinformation about HIV transmission and prevention is associated with high rates of HIV-related risky behaviours, and therefore, HIV infection risk.

Aim: To assess basic HIV transmission knowledge in psychiatric patients.

Setting: Outpatient psychiatric clinic at Tara Psychiatric Hospital, Johannesburg, South Africa.

Methods: A cross-sectional, quantitative study was conducted employing a self-administered HIV knowledge questionnaire, the 18- item HIV knowledge questionnaire (HIV-KQ18). Consent, demographic, and clinical profile information were obtained from participants meeting the selection criteria.

Results: This study indicated a mean knowledge score of 12.6 (69.7%) out of 18, and therefore good knowledge. The highest HIV-KQ18 mean scores were found in patients with personality disorders (78.9%), anxiety disorders (75.6%) and bipolar and related disorders (71.1%). Participants with schizophrenia, depressive disorders and substance use disorders had scores ranging between 66.1% and 69.4%. Statistically significant differences in knowledge were evident based on age, marital status, level of education and employment status. Interestingly, participants who used substances had higher average basic HIV transmission knowledge scores compared to those who did not use substances.

Conclusion: Good overall HIV transmission knowledge was found in this population, albeit lower than in the general population. Statistically, correlates were found between psychiatric diagnosis, substance use, age, marital status, level of education, and employment status and basic level of HIV knowledge.

Contribution: HIV knowledge remains lower in psychiatric patients than in the general population, with correlates between demographic and clinical factors, calling for psychoeducation efforts to take all these into consideration.

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评估南非约翰内斯堡精神病患者的艾滋病毒传播知识。
背景:人类免疫缺陷病毒(HIV)与精神疾病之间的双向关系已被充分证实。关于艾滋病毒传播和预防的错误信息与艾滋病毒相关危险行为的高发率有关,因此也与艾滋病毒感染风险有关。目的:了解精神病患者HIV传播的基本知识。地点:南非约翰内斯堡塔拉精神病院精神病门诊。方法:采用自填式18项HIV知识问卷(HIV- kq18)进行横断面定量研究。从符合选择标准的参与者中获得同意、人口统计和临床概况信息。结果:本研究的平均知识得分为12.6分(69.7%),满分为18分,因此知识较好。HIV-KQ18平均得分最高的是人格障碍(78.9%)、焦虑症(75.6%)和双相情感障碍及相关障碍(71.1%)患者。患有精神分裂症、抑郁症和物质使用障碍的参与者得分在66.1%到69.4%之间。年龄、婚姻状况、教育水平和就业状况在知识方面存在统计学上的显著差异。有趣的是,与不使用药物的参与者相比,使用药物的参与者的平均基本艾滋病毒传播知识得分更高。结论:在该人群中发现了良好的总体艾滋病毒传播知识,尽管低于一般人群。统计上,精神诊断、药物使用、年龄、婚姻状况、教育程度、就业状况与HIV基本知识水平存在相关性。贡献:与一般人群相比,精神病患者的艾滋病知识仍然较低,人口统计学和临床因素之间存在相关性,要求心理教育努力考虑到所有这些因素。
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来源期刊
CiteScore
1.60
自引率
10.00%
发文量
56
审稿时长
>12 weeks
期刊介绍: The journal is the leading psychiatric journal of Africa. It provides open-access scholarly reading for psychiatrists, clinical psychologists and all with an interest in mental health. It carries empirical and conceptual research articles, reviews, editorials, and scientific letters related to psychiatry. It publishes work from various places in the world, and makes special provision for the interests of Africa. It seeks to serve its readership and researchers with the most topical content in psychiatry for clinical practice and academic pursuits, including work in the subspecialty areas of psychiatry.
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