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- Title
Ethical and Psychosocial Considerations in Informing HIV-Exposed Uninfected Children That They Were Exposed to HIV and Antiretroviral Medications In Utero.
- Authors
Klitzman, Robert; Mellins, Claude A.; Philbin, Morgan M.; Abrams, Elaine J.; Remien, Robert H.
- Abstract
We build onwhat is known about the potential long-term health effects of perinatal antiretroviral medication exposure to examine ethical and psychosocial issues associated with disclosure by applying lessons from other health conditions, theories of child and adolescent development and rights, and the relevant literature and legal contexts. We present 2 cases to highlight potential issues; apply a bioethical framework that includes principles of autonomy, beneficence, nonmaleficence, and justice; and explore other factors, including the current uncertainty about these exposures' possible long-term health risks. This ethical framework can help clinicians and researchers consider and balance relevant concerns in deciding whether to inform offspring of HIV and related exposures.
- Subjects
HIV prevention; ANTIRETROVIRAL agents; VERTICAL transmission (Communicable diseases); DISCLOSURE; PRENATAL exposure delayed effects; ADOLESCENCE; AUTONOMY (Psychology); BIOETHICS; CHILD development; DISCRIMINATION (Sociology); HUMAN rights; MEDICAL ethics; PRIVACY; SOCIAL justice; SOCIAL stigma; WELL-being; PREGNANCY; ETHICS; PSYCHOLOGY; PREVENTION
- Publication
American Journal of Public Health, 2016, Vol 106, Issue 8, p1390
- ISSN
0090-0036
- Publication type
Case Study
- DOI
10.2105/AJPH.2016.303257