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Family planning needs and STD risk behaviours of female psychiatric out-patients

Published online by Cambridge University Press:  03 January 2018

John H. Coverdale*
Affiliation:
University of Auckland, New Zealand
Sarah H. Turbott
Affiliation:
University of Auckland, New Zealand
Helen Roberts
Affiliation:
University of Auckland, New Zealand
*
Associate Professor John Coverdale, Department of Psychiatry and Behavioural Science, University of Auckland, Private Bag 92–019, Auckland, New Zealand

Abstract

Background

There are few studies concerning the family planning needs of female chronic psychiatric patients. We aimed to determine the contraceptive needs and sexually transmitted disease (STD) risk-behaviours of female psychiatric out-patients.

Method

Sixty-six female out-patients with major psychiatric disorders, including schizophrenia, bipolar disorder and mood disorders, completed a semi-structured interview (response rate=63%) and were individually matched for age and ethnicity with 66 women who had never been treated for psychiatric illness. They answered questions on child-rearing and on their methods of contraception in relation to their attitudes towards pregnancy, as well as on their risk for STDs.

Results

Compared with controls, the female patients reported having had significantly more induced abortions and were significantly more likely to have given up their own children for others to raise. Heterosexually active psychiatric patients were significantly more likely than controls to have had more than one male sexual partner, to have been pressured into unwanted sexual intercourse, and to report having had sexual intercourse with a suspected bisexual over the preceding year.

Conclusions

These results underscore the priority for developing programmes that reduce female psychiatric patients' risk for unwanted pregnancies and STDs.

Type
Papers
Copyright
Copyright © 1997 The Royal College of Psychiatrists 

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References

Coverdale, J. & Aruffo, J. (1989) Family planning needs of female chronic psychiatric outpatients. American Journal of Psychiatry, 146, 14891491.Google Scholar
Coverdale, J., Bayer, T., McCullock, C. B., et al (1995) Sexually transmitted disease prevention services for female chronically mentally ill patients. Community Mental Health Journal, 31, 303315.CrossRefGoogle ScholarPubMed
Cournos, F., Guido, J., Coormaraswamy, S., et al (1994) Sexual activity and risk of HIV infection among patients with schizophrenia. American Journal of Psychiatry, 151, 228232.Google Scholar
Folstein, M. F., Folstein, S. E. & McHugh, P. R. (1975) “MiniMental State”: a practical guide for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189198.CrossRefGoogle Scholar
Kalichman, S. C., Kelly, J. A., Johnson, J. R., et al (1994) Factors associated with risk for HIV infection among chronic mentally ill adults. American Journal of Psychiatry, 151, 221227.Google Scholar
Kelly, J. A., Murphy, D. A., Bahr, R., et al (1992) AIDS/HIV risk behavior among the chronic mentally ill. American Journal of Psychiatry, 149, 886889.Google Scholar
Kelly, J. A., Murphy, D. A., Sikkema, K. J., et al (1995) Predictors of high and low levels of HIV risk behavior among adults with chronic mental illness. Psychiatric Services. 46, 813818.Google Scholar
McCullough, L. B., Coverdale, J. H., Bayer, T., et al (1992) Ethically justified guidelines for family planning interventions to prevent pregnancy with female chronically mentally ill patients. American Journal of Obstetrics and Gynecology, 167, 1925.CrossRefGoogle Scholar
McKinnon, K., Cournos, F., Meyer-Bahlberg, H. F., et al (1993) Reliability of sexual risk behavior interviews with psychiatric patients. American Journal of Psychiatry, 150, 972974.Google ScholarPubMed
Miller, L. J. & Finnerty, M. (1996) Sexuality, pregnancy and childrearing among women with schizophrenia-spectrum disorders. Psychiatric Services, 47, 502506.Google ScholarPubMed
Nicholson, J. & Blanch, A. (1994) Rehabilitation for parenting roles for people with serious mental illness. Psychological Rehabilitation Journal, 18, 109119.Google Scholar
SAS/STAT (1988) User's Guide Release 6.03 Edition. Cary, NC: SAS Institute.Google Scholar
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