Community Mental Health Journal

, Volume 43, Issue 1, pp 33–47 | Cite as

Severely Mentally Ill Women’s HIV Risk: The Influence of Social Support, Substance Use, and Contextual Risk Factors

  • Mary E. Randolph
  • Steven D. Pinkerton
  • Anton M. Somlai
  • Jeffrey A. Kelly
  • Timothy L. McAuliffe
  • Richard H. Gibson
  • Kristin Hackl


In structured interviews with 96 women with severe mental illness, nearly two-thirds had not used condoms during sexual intercourse in the past 3 months, more than two-thirds had sex with multiple partners, and almost one-third had been treated for a sexually transmitted infection (STI) in the past year. Women who reported fewer sexual risk context factors, such as having sex with someone the participant did not know or transactional sex, had fewer sexual partners. Larger social support networks were associated with less frequent sex after drug use. In turn, women who less often had sex after using drugs had unprotected intercourse less frequently.


sexual risk behavior HIV/AIDS serious mental illness women’s health 



Preparation of this manuscript was supported, in part, by NIMH Center Grant P30-MH52776, NIMH NRSA postdoctoral training Grant T32-MH19985, and NIMH Grant R01-MH63643.


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Copyright information

© Springer Science+Business Media, LLC 2006

Authors and Affiliations

  • Mary E. Randolph
    • 1
  • Steven D. Pinkerton
    • 1
  • Anton M. Somlai
    • 1
  • Jeffrey A. Kelly
    • 1
  • Timothy L. McAuliffe
    • 1
  • Richard H. Gibson
    • 2
  • Kristin Hackl
    • 1
  1. 1.Center for AIDS Intervention Research, Department of Psychiatry & Behavioral MedicineMedical College of WisconsinMilwaukeeUSA
  2. 2.Zablocki Veterans Affairs Medical CenterMilwaukeeUSA

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