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Psychoses in HIV and STI infected homeless women



Type of Spiritual Experience


Number of hallucinations: 1


The reason for including this observation is that many were psychotic as well.  The pathogens had contributed to the psychosis

A description of the experience

AIDS Behav. 2013 Mar;17(3):856-64. doi: 10.1007/s10461-012-0198-x.

Rates and correlates of HIV and STI infection among homeless women.

Caton CL1, El-Bassel N, Gelman A, Barrow S, Herman D, Hsu E, Tochterman AZ, Johnson K, Felix A.  1Department of Psychiatry, Columbia University, New York, NY, USA. clc3@columbia.edu


We studied the prevalence of biologically confirmed HIV, Chlamydia, and gonorrhea in a randomly selected sample of sheltered homeless women in New York City, and explored their association with demographic, homeless history, and clinical risk factors.

329 women were randomly selected from 28 family and single adult shelters. The estimated prevalence of HIV in the study sample is 0.6 % (±0.3 %); for Chlamydia it is 6.7 % (±2.2 %); for gonorrhea it is 0.9 % (±0.04 %).

A history of childhood sexual abuse, arrest history, current psychotic symptoms, and substance use disorder placed women at greater risk of infection.

We consider contextual factors that may yield underestimates of HIV prevalence in our sample and discuss how a more comprehensive prevalence estimate might be constructed. Findings underscore the importance of offering HIV/STI testing, counseling, and HIV risk prevention interventions to homeless women and suggest that interventions should be tailored to the needs of specific subgroups of homeless women.

PMID:  22610369

The source of the experience


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