The association of psychiatric disorders and HIV infection in the correctional setting

Jacques Baillargeon, Suzanne Ducate, John Pulvino, Patrick Bradshaw, Owen Murray, Rene Olvera

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Purpose: Psychiatric disorders, such as bipolar disorder, schizophrenia, and depression, have been associated with both HIV-associated risk behaviors and HIV infection. While the US prison population is reported to exhibit elevated rates of HIV/AIDS and most psychiatric disorders, scarce information currently exists on the association of these conditions in the prison setting. The present study examined the association of six major psychiatric disorders with HIV infection in one of the nation's largest prison populations. Methods: The study population consisted of 336,668 Texas Department of Criminal Justice inmates who were incarcerated for any duration between January 1, 1999 and December 31, 2001. Information on medical conditions and sociodemographic factors was obtained from an institution-wide medical information system. Results: Inmates diagnosed with HIV infection exhibited elevated rates of major depression, dysthymia, bipolar disorder, schizophrenia, schizoaffective disorder, and non-schizophrenic psychotic disorder. These rates persisted in stratified analyses and in a multivariate analysis that statistically adjusted for gender, race, and age category. Conclusion: The present cross-sectional study's finding of a positive association between HIV infection and psychiatric diagnoses among inmates holds both clinical and public health relevance. It will be important for future investigations to prospectively assess the underlying mechanisms of these associations in the correctional setting.

Original languageEnglish (US)
Pages (from-to)606-612
Number of pages7
JournalAnnals of Epidemiology
Volume13
Issue number9
DOIs
StatePublished - Oct 2003
Externally publishedYes

Fingerprint

HIV Infections
Psychiatry
Prisons
Bipolar Disorder
Psychotic Disorders
Schizophrenia
HIV
Population
Criminal Law
Risk-Taking
Information Systems
Mental Disorders
Acquired Immunodeficiency Syndrome
Multivariate Analysis
Public Health
Cross-Sectional Studies
Depression

Keywords

  • Depression
  • HIV/AIDS
  • Infectious Disease
  • Mental Disorders
  • Prevalence
  • Prisoners

ASJC Scopus subject areas

  • Medicine(all)
  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

The association of psychiatric disorders and HIV infection in the correctional setting. / Baillargeon, Jacques; Ducate, Suzanne; Pulvino, John; Bradshaw, Patrick; Murray, Owen; Olvera, Rene.

In: Annals of Epidemiology, Vol. 13, No. 9, 10.2003, p. 606-612.

Research output: Contribution to journalArticle

Baillargeon, Jacques ; Ducate, Suzanne ; Pulvino, John ; Bradshaw, Patrick ; Murray, Owen ; Olvera, Rene. / The association of psychiatric disorders and HIV infection in the correctional setting. In: Annals of Epidemiology. 2003 ; Vol. 13, No. 9. pp. 606-612.
@article{ba89432da9964217a9a6361b9ecc07fa,
title = "The association of psychiatric disorders and HIV infection in the correctional setting",
abstract = "Purpose: Psychiatric disorders, such as bipolar disorder, schizophrenia, and depression, have been associated with both HIV-associated risk behaviors and HIV infection. While the US prison population is reported to exhibit elevated rates of HIV/AIDS and most psychiatric disorders, scarce information currently exists on the association of these conditions in the prison setting. The present study examined the association of six major psychiatric disorders with HIV infection in one of the nation's largest prison populations. Methods: The study population consisted of 336,668 Texas Department of Criminal Justice inmates who were incarcerated for any duration between January 1, 1999 and December 31, 2001. Information on medical conditions and sociodemographic factors was obtained from an institution-wide medical information system. Results: Inmates diagnosed with HIV infection exhibited elevated rates of major depression, dysthymia, bipolar disorder, schizophrenia, schizoaffective disorder, and non-schizophrenic psychotic disorder. These rates persisted in stratified analyses and in a multivariate analysis that statistically adjusted for gender, race, and age category. Conclusion: The present cross-sectional study's finding of a positive association between HIV infection and psychiatric diagnoses among inmates holds both clinical and public health relevance. It will be important for future investigations to prospectively assess the underlying mechanisms of these associations in the correctional setting.",
keywords = "Depression, HIV/AIDS, Infectious Disease, Mental Disorders, Prevalence, Prisoners",
author = "Jacques Baillargeon and Suzanne Ducate and John Pulvino and Patrick Bradshaw and Owen Murray and Rene Olvera",
year = "2003",
month = "10",
doi = "10.1016/S1047-2797(03)00061-9",
language = "English (US)",
volume = "13",
pages = "606--612",
journal = "Annals of Epidemiology",
issn = "1047-2797",
publisher = "Elsevier Inc.",
number = "9",

}

TY - JOUR

T1 - The association of psychiatric disorders and HIV infection in the correctional setting

AU - Baillargeon, Jacques

AU - Ducate, Suzanne

AU - Pulvino, John

AU - Bradshaw, Patrick

AU - Murray, Owen

AU - Olvera, Rene

PY - 2003/10

Y1 - 2003/10

N2 - Purpose: Psychiatric disorders, such as bipolar disorder, schizophrenia, and depression, have been associated with both HIV-associated risk behaviors and HIV infection. While the US prison population is reported to exhibit elevated rates of HIV/AIDS and most psychiatric disorders, scarce information currently exists on the association of these conditions in the prison setting. The present study examined the association of six major psychiatric disorders with HIV infection in one of the nation's largest prison populations. Methods: The study population consisted of 336,668 Texas Department of Criminal Justice inmates who were incarcerated for any duration between January 1, 1999 and December 31, 2001. Information on medical conditions and sociodemographic factors was obtained from an institution-wide medical information system. Results: Inmates diagnosed with HIV infection exhibited elevated rates of major depression, dysthymia, bipolar disorder, schizophrenia, schizoaffective disorder, and non-schizophrenic psychotic disorder. These rates persisted in stratified analyses and in a multivariate analysis that statistically adjusted for gender, race, and age category. Conclusion: The present cross-sectional study's finding of a positive association between HIV infection and psychiatric diagnoses among inmates holds both clinical and public health relevance. It will be important for future investigations to prospectively assess the underlying mechanisms of these associations in the correctional setting.

AB - Purpose: Psychiatric disorders, such as bipolar disorder, schizophrenia, and depression, have been associated with both HIV-associated risk behaviors and HIV infection. While the US prison population is reported to exhibit elevated rates of HIV/AIDS and most psychiatric disorders, scarce information currently exists on the association of these conditions in the prison setting. The present study examined the association of six major psychiatric disorders with HIV infection in one of the nation's largest prison populations. Methods: The study population consisted of 336,668 Texas Department of Criminal Justice inmates who were incarcerated for any duration between January 1, 1999 and December 31, 2001. Information on medical conditions and sociodemographic factors was obtained from an institution-wide medical information system. Results: Inmates diagnosed with HIV infection exhibited elevated rates of major depression, dysthymia, bipolar disorder, schizophrenia, schizoaffective disorder, and non-schizophrenic psychotic disorder. These rates persisted in stratified analyses and in a multivariate analysis that statistically adjusted for gender, race, and age category. Conclusion: The present cross-sectional study's finding of a positive association between HIV infection and psychiatric diagnoses among inmates holds both clinical and public health relevance. It will be important for future investigations to prospectively assess the underlying mechanisms of these associations in the correctional setting.

KW - Depression

KW - HIV/AIDS

KW - Infectious Disease

KW - Mental Disorders

KW - Prevalence

KW - Prisoners

UR - http://www.scopus.com/inward/record.url?scp=0142011105&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0142011105&partnerID=8YFLogxK

U2 - 10.1016/S1047-2797(03)00061-9

DO - 10.1016/S1047-2797(03)00061-9

M3 - Article

VL - 13

SP - 606

EP - 612

JO - Annals of Epidemiology

JF - Annals of Epidemiology

SN - 1047-2797

IS - 9

ER -