Mandatory HIV testing of pregnant women: public health policy considerations and alternatives.

نویسنده

  • Erin Nicholson
چکیده

Laws requiring mandatory Human Immunodeficiency Virus (HIV) testing for pregnant women have been contemplated by state legislatures since a ground breaking 1994 study showed that treating these women with antiretroviral drugs during pregnancy could decrease the chance of passing the disease to their children. Approximately 477 HIV-positive pregnant women participated in the AIDS Clinical Trial Groups 076 (ACTG 076) study which showed a near sixty-seven percent decrease in transmission of HIV from mother to child when the mother was given zidovudine (AZT) during the last two trimesters of pregnancy and the child received AZT for the first six weeks after birth. Shortly after the results of the study were released, mandatory HIV testing of pregnant women gained the support of the American Medical Association and was defended by most of the physicians on the Committee for the Care of Children and Adolescents with HIV Infection. The Ryan White Care Act, passed in 1990, originally made federal monetary support for state AIDS programs partially contingent on the patient’s informed consent. In 1996, the Act was amended to make funding contingent on the state’s efforts to test ninety-five percent of pregnant women, or else show that their numbers of newborn HIV cases were falling. Despite this pressure to

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عنوان ژورنال:
  • Duke journal of gender law & policy

دوره 9  شماره 

صفحات  -

تاریخ انتشار 2002