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 journalArticlepeer-review

25 Scopus citations


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
Issue number9
StatePublished - Oct 2003
Externally publishedYes


  • Depression
  • Infectious Disease
  • Mental Disorders
  • Prevalence
  • Prisoners

ASJC Scopus subject areas

  • Epidemiology


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