The authors examined correlates of HIV seropositivity in a sample of d
ually diagnosed in patients. The subjects were 147 consecutively admit
ted patients to a specialized dual-diagnosis unit in a municipal hospi
tal who were given a structured interviewer and HIV testing The HIV se
roprevalence was 19%, with women having a nearly fourfold increased ri
sk of being HIV seropositive, as compared with men. Cocaine as drug of
choice was also highly significant as a risk factor for HIV infection
, independent of gender This finding suggests that targeted prevention
and education programs need to be developed for the dually diagnosed
patient.