HIV Risk Behavior in Persons with Severe Mental Disorders in a Psychiatric Hospital in Ogun, Nigeria

Abstract

Background: Few studies in Nigeria have investigated HIV risk behavior among persons with severe mental disorders. This study examined HIV risk behavior and associated factors among patients receiving treatment at a Nigerian psychiatric hospital.

Aim: To determine the HIV risk behavior in persons with severe mental disorders in a psychiatric hospital.

Subjects and Methods: This was a cross‑sectional survey involving 102 persons with serious mental disorders receiving treatment at a major psychiatric facility in Southwestern Nigeria. HIV risk screening instrument was self‑administered to assess HIV risk behavior. A questionnaire was used to elicit socio‑demographic variables while alcohol use was assessed with the alcohol use disorder identification test. Differences in HIV risk levels were examined for statistical significance using Chi square test.

Results: Forty eight percent of the respondents engaged in HIV risk behavior. This study revealed that 10.8% (11/102) gave a history of sexually transmitted disease, 5.9% (6/102) reported sex trading and no reports of intravenous drug use was obtained. A single risk factor was reported by 19.6% (20/102), 12.7% (13/102) reported two risk factors and 15.7% (16/102) reported three or more risk factors. HIV risk behavior was significantly related to alcohol use (P = 0.03).

Conclusion: Mental health services provide an important context for HIV/AIDS interventions in resource‑constrained countries like Nigeria.

Keywords: Human immuno virus, Mental health, Psychiatric patients, Risk behavior, Severe mental disorders