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Sexual Risk Behaviours and Sexual Abuse in Persons with Severe Mental Illness in Uganda: A Qualitative Study
Persons with severe mental illness (SMI) engage in risky sexual behaviours and have high prevalence of HIV in high-income countries. Little is known about sexual behaviours and HIV risk among persons with SMI in sub-Saharan Africa. In this qualitative study we explored how SMI may influence sexual r...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3253795/ https://www.ncbi.nlm.nih.gov/pubmed/22253770 http://dx.doi.org/10.1371/journal.pone.0029748 |
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author | Lundberg, Patric Johansson, Eva Okello, Elialilia Allebeck, Peter Thorson, Anna |
author_facet | Lundberg, Patric Johansson, Eva Okello, Elialilia Allebeck, Peter Thorson, Anna |
author_sort | Lundberg, Patric |
collection | PubMed |
description | Persons with severe mental illness (SMI) engage in risky sexual behaviours and have high prevalence of HIV in high-income countries. Little is known about sexual behaviours and HIV risk among persons with SMI in sub-Saharan Africa. In this qualitative study we explored how SMI may influence sexual risk behaviours and sexual health risks in Uganda. Individual semi-structured interviews were conducted with 7 male and 13 female psychiatric patients aged 18–49 years. Participants were interviewed in hospital when clinically stable and capable of giving informed consent. Interview transcripts were analysed using manifest content analysis, generating the categories: (1) casual sex during illness episodes, (2) rape by non-partners, (3) exploitation by partners, (4) non-monogamous partners, and (5) sexual inactivity. Our findings suggest that SMI exacerbated sexual vulnerability in the women interviewed, by contributing to casual sex, to exploitative and non-monogamous sexual relationships, and to sexual assault by non-partners. No link could be established between SMI and increased sexual risk behaviours in the men interviewed, due to a small sample of men, and given that men's accounts showed little variability. Our findings also suggest that SMI caused sexual inactivity due to decreased sexual desire, and in men, due to difficulties forming an intimate relationship. Overall, our study highlights how SMI and gender inequality can contribute to the shaping of sexual risk behaviours and sexual health risks, including HIV risk, among persons with SMI in this Ugandan setting. |
format | Online Article Text |
id | pubmed-3253795 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-32537952012-01-17 Sexual Risk Behaviours and Sexual Abuse in Persons with Severe Mental Illness in Uganda: A Qualitative Study Lundberg, Patric Johansson, Eva Okello, Elialilia Allebeck, Peter Thorson, Anna PLoS One Research Article Persons with severe mental illness (SMI) engage in risky sexual behaviours and have high prevalence of HIV in high-income countries. Little is known about sexual behaviours and HIV risk among persons with SMI in sub-Saharan Africa. In this qualitative study we explored how SMI may influence sexual risk behaviours and sexual health risks in Uganda. Individual semi-structured interviews were conducted with 7 male and 13 female psychiatric patients aged 18–49 years. Participants were interviewed in hospital when clinically stable and capable of giving informed consent. Interview transcripts were analysed using manifest content analysis, generating the categories: (1) casual sex during illness episodes, (2) rape by non-partners, (3) exploitation by partners, (4) non-monogamous partners, and (5) sexual inactivity. Our findings suggest that SMI exacerbated sexual vulnerability in the women interviewed, by contributing to casual sex, to exploitative and non-monogamous sexual relationships, and to sexual assault by non-partners. No link could be established between SMI and increased sexual risk behaviours in the men interviewed, due to a small sample of men, and given that men's accounts showed little variability. Our findings also suggest that SMI caused sexual inactivity due to decreased sexual desire, and in men, due to difficulties forming an intimate relationship. Overall, our study highlights how SMI and gender inequality can contribute to the shaping of sexual risk behaviours and sexual health risks, including HIV risk, among persons with SMI in this Ugandan setting. Public Library of Science 2012-01-09 /pmc/articles/PMC3253795/ /pubmed/22253770 http://dx.doi.org/10.1371/journal.pone.0029748 Text en Lundberg et al. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Lundberg, Patric Johansson, Eva Okello, Elialilia Allebeck, Peter Thorson, Anna Sexual Risk Behaviours and Sexual Abuse in Persons with Severe Mental Illness in Uganda: A Qualitative Study |
title | Sexual Risk Behaviours and Sexual Abuse in Persons with Severe Mental Illness in Uganda: A Qualitative Study |
title_full | Sexual Risk Behaviours and Sexual Abuse in Persons with Severe Mental Illness in Uganda: A Qualitative Study |
title_fullStr | Sexual Risk Behaviours and Sexual Abuse in Persons with Severe Mental Illness in Uganda: A Qualitative Study |
title_full_unstemmed | Sexual Risk Behaviours and Sexual Abuse in Persons with Severe Mental Illness in Uganda: A Qualitative Study |
title_short | Sexual Risk Behaviours and Sexual Abuse in Persons with Severe Mental Illness in Uganda: A Qualitative Study |
title_sort | sexual risk behaviours and sexual abuse in persons with severe mental illness in uganda: a qualitative study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3253795/ https://www.ncbi.nlm.nih.gov/pubmed/22253770 http://dx.doi.org/10.1371/journal.pone.0029748 |
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