Elicitation of cognitions related to HIV risk behaviors in persons with mental illnesses: implications for prevention

Psychiatr Rehabil J. 2009 Summer;33(1):32-7. doi: 10.2975/33.1.2009.32.37.

Abstract

Objective: An important step in research using the Theory of Reasoned Action and Theory of Planned Behavior (TRA/TPB) is conducting an elicitation process to identify topic and population specific cognitions. This study explored HIV risk behaviors in persons with mental illnesses and introduces findings from focus groups conducted during the development phase of an HIV primary and secondary prevention intervention study.

Methods: Researchers held four focus groups with persons with mental illnesses focused on HIV risks and condom use.

Results: Participants discussed sexual side effects of psychotropic medications as a potential cause of both medication non-adherence and HIV risk behaviors. The intersection of these two issues is specific to this population.

Conclusions: We conclude with the recommendation that HIV primary and secondary prevention intervention for persons with mental illnesses must incorporate the promotion of healthy sexuality, including attention to sexual side effects of psychotropic medications.

MeSH terms

  • Adult
  • Awareness*
  • Condoms / statistics & numerical data
  • Culture*
  • Female
  • Focus Groups
  • HIV Infections / prevention & control*
  • HIV Infections / psychology
  • HIV Infections / transmission
  • Health Education / methods*
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • Middle Aged
  • Psychotic Disorders / psychology
  • Psychotic Disorders / rehabilitation*
  • Psychotropic Drugs / adverse effects
  • Psychotropic Drugs / therapeutic use
  • Sexual Dysfunction, Physiological / chemically induced
  • Sexual Dysfunction, Physiological / psychology
  • Sexually Transmitted Diseases / prevention & control
  • Sexually Transmitted Diseases / psychology
  • Sexually Transmitted Diseases / transmission
  • Unsafe Sex / psychology

Substances

  • Psychotropic Drugs