Abstract

http://ssrn.com/abstract=1748678
 
 

Citations



 


 



HIV Antibody Screening: An Ethical Framework for Evaluating Proposed Programs


Ronald Bayer


Columbia University - Mailman School of Public Health

Carol Levine


United Hospital Fund

Susan M. Wolf


University of Minnesota Law School

1986

Journal of the American Medical Association, Vol. 256, No. 13, pp. 1768-74, 1986

Abstract:     
This article, authored early in the epidemic, focuses on the use of blood tests to identify individuals who have been infected with the HIV virus through individual testing and population screening efforts. The authors argue that proposed screening programs should be subjected to ethical analysis and provide a framework for that task. Ethical evaluation is necessary but not sufficient for decision making; it should be performed in conjunction with other types of evaluation, such as legal and economic analyses, before screening is instituted. In addition, those who consider screening should consult with members of affected populations, since these individuals are best able to identify the potential hazards of proposed programs.

The article identifies seven prerequisites for population screening programs, including acceptable goals, means, transparency, counseling, and confidentiality. It then considers the acceptability of specific screening proposals, including proposals for mandatory screening. Finally it explores the potential and importance of voluntary (as opposed to mandatory) testing. The article argues that the greatest hope for stopping the spread of HIV infection lies in the voluntary cooperation of those at higher risk - their willingness to undergo testing and to alter their personal behavior and goals in the interests of the community. But we can expect this voluntary cooperation only if the legitimate interests of these groups and individuals in being protected from discrimination are heeded by legislators, professionals, and the public.

Keywords: AIDS, HIV, antibody screening, HIV testing, mandatory screening, voluntary testing, ethics, bioethics, health law, discrimination

Accepted Paper Series


Not Available For Download

Date posted: January 27, 2011  

Suggested Citation

Bayer, Ronald and Levine, Carol and Wolf, Susan M., HIV Antibody Screening: An Ethical Framework for Evaluating Proposed Programs (1986). Journal of the American Medical Association, Vol. 256, No. 13, pp. 1768-74, 1986. Available at SSRN: http://ssrn.com/abstract=1748678

Contact Information

Ronald Bayer
Columbia University - Mailman School of Public Health ( email )
Center for the History and Ethics of Public Health
600 West 168th St., 6th Floor
New York, NY 10032
United States
Carol Levine
United Hospital Fund ( email )
New York, NY 10118
United States
Susan M. Wolf (Contact Author)
University of Minnesota Law School ( email )
229 19th Avenue South
Minneapolis, MN 55455
United States
612-625-3406 (Phone)
612-624-9143 (Fax)
HOME PAGE: http://www.law.umn.edu/facultyprofiles/wolfs.html
Feedback to SSRN


Paper statistics
Abstract Views: 195

© 2014 Social Science Electronic Publishing, Inc. All Rights Reserved.  FAQ   Terms of Use   Privacy Policy   Copyright   Contact Us
This page was processed by apollo3 in 0.422 seconds