The case against mandatory newborn screening for HIV antibodies.

Abstract:

:The paper examines the controversy surrounding legislative proposals in New York State that would require amending the public health law's stringent confidentiality provisions; the legislation calls for "unblinding" the results of a 7-year old statewide HIV seroprevalence study that tests newborns for HIV antibodies in order to track the incidence of HIV infection among parturient women. The pivotal point is made that mandatory disclosure of the test results is tantamount to mandatory testing of the mother, since presence (or absence) of HIV antibodies conclusively reveals the mother's HIV status. The author presents the history of the epidemiological study and documents the ongoing discussion of mandatory testing, within the medical, bioethical and public health community. Citing numerous papers, including the report of the Subcommittee on Newborn Screening of the New York State AIDS Advisory Council, the author--a member of both the council and its subcommittee--argues against the principle of mandatory testing in general and "unblinding" of the seroprevalence survey in particular. Besides making a strong argument from the ethical viewpoint, the paper provides ample medical data to support the argument that mandatory testing of newborns is poor public health policy that would be essentially ineffectual in the effort to stem the spread of HIV.

journal_name

J Community Health

authors

Dumois AO

doi

10.1007/BF02260335

subject

Has Abstract

pub_date

1995-04-01 00:00:00

pages

143-59

issue

2

eissn

0094-5145

issn

1573-3610

journal_volume

20

pub_type

杂志文章
  • Federal Food Assistance Programs and Cardiovascular Risk Factors in Low-Income Preschool Children.

    abstract::Childhood obesity remains a significant public health concern. Children from lower income households have a greater risk of being obese. Low-income families generally have less access to healthy, affordable food choices and turn to federal food assistance programs. Few studies have examined the impact of food assistan...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-015-0138-6

    authors: Johnson P,Montgomery M,Ewell P

    更新日期:2016-06-01 00:00:00

  • Cancer outcomes research in a rural area: a multi-institution partnership model.

    abstract::Whereas, most cancer research data come from high-profile academic centers, little is known about the outcomes of cancer care in rural communities. We summarize the experience of building a multi-institution partnership to develop a cancer outcomes research infrastructure in Southwest Georgia (SWGA), a primarily rural...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-008-9123-7

    authors: Goodman M,Almon L,Bayakly R,Butler S,Crosby C,DiIorio C,Ekwueme D,Fletcher D,Fowler J,Gillespie T,Glanz K,Hall I,Lee J,Liff J,Lipscomb J,Pollack LA,Richardson LC,Roberts P,Steenland K,Ward K

    更新日期:2009-02-01 00:00:00

  • Breast Cancer Screening Among Korean Americans: A Systematic Review.

    abstract::Cancer is the leading cause of death for Korean Americans (KAs). Breast cancer (BC) is the most commonly occurring cancer among KA women, and its rate has been rapidly increasing. Low BC screening rates for KAs puts them at greater risk for late-stage breast cancer. We conducted a systematic review of the published li...

    journal_title:Journal of community health

    pub_type: 杂志文章,评审

    doi:10.1007/s10900-016-0258-7

    authors: Oh KM,Taylor KL,Jacobsen KH

    更新日期:2017-04-01 00:00:00

  • Determinants of smoking behaviour among secondary school students in Bangladesh.

    abstract::Despite established country's tobacco control law, cigarette smoking by the young people and the magnitude of nicotine dependence among the students is alarming in Bangladesh. This study was aimed to determine the prevalence of smoking and factors influencing it among the secondary school students. A two-stage cluster...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-011-9382-6

    authors: Rahman MM,Ahmad SA,Karim MJ,Chia HA

    更新日期:2011-10-01 00:00:00

  • Using near real-time morbidity data to identify heat-related illness prevention strategies in North Carolina.

    abstract::Timely public health interventions reduce heat-related illnesses (HRIs). HRI emergency department (ED) visit data provide near real-time morbidity information to local and state public health practitioners and may be useful in directing HRI prevention efforts. This study examined statewide HRI ED visits in North Carol...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-011-9469-0

    authors: Rhea S,Ising A,Fleischauer AT,Deyneka L,Vaughan-Batten H,Waller A

    更新日期:2012-04-01 00:00:00

  • The epidemiology of school injuries: the problem of measuring injury severity.

    abstract::In the few surveys of injuries occurring in schools, severity has been defined using a priori criteria based on the nature of injury and by the area injured. The validity of these methods of classifying injury severity has not been established. The association between two commonly used measures of injury severity (nat...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/BF01324294

    authors: Evans GD,Sheps SB

    更新日期:1987-01-01 00:00:00

  • Preventive services in a Medicare managed care environment.

    abstract::The results of a four year demonstration project of preventive services for Medicare managed care enrollees suggest that health promotion programs can impact health behaviors and outcomes. The study provided selected preventive services to 1,800 Medicare enrollees in a managed care environment. Participants were rando...

    journal_title:Journal of community health

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1023/a:1025176531596

    authors: Williams SJ,Elder JP,Seidman RL,Mayer JA

    更新日期:1997-12-01 00:00:00

  • Investigation of a cluster of syphilis, gonorrhea, and chlamydia cases among heterosexual Micronesians living on Oahu.

    abstract::A recent case investigation of secondary syphilis in a 27-year-old heterosexual Micronesian male and his 19-year-old chlamydia and syphilis co-infected female partner, conducted by the Hawaii State Department of Health, June to August 2007, identified a cluster of 13 case-patients with undiagnosed syphilis, chlamydia,...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-009-9170-8

    authors: Katz AR,Cadorna AM,Lee MV,Komeya A,Kiaha M,Ohye RG

    更新日期:2009-10-01 00:00:00

  • Child Passenger Safety in the Somali Communities of Columbus, Ohio.

    abstract::Children (particularly low-income minorities and refugees) are at high risk for serious injury or death from motor vehicle crashes. Interpreter-assisted data collection included key informant interviews, focus groups and face-to-face surveys with the Somali community of Columbus, Ohio about child passenger safety. Mea...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-016-0246-y

    authors: McKenzie LB,Fowler E,Roberts KJ,Kaercher RM

    更新日期:2017-04-01 00:00:00

  • Preschool and school age activities: comparison of urban and suburban populations.

    abstract::The objective of this study was to compare urban and suburban preschool and school age activities. A prospective survey using a convenience sample was conducted at one urban and one suburban primary care pediatric office. Questionnaires were completed for 66 urban preschool children, 70 suburban preschool children, 57...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1023/a:1015254007582

    authors: Damore DT

    更新日期:2002-06-01 00:00:00

  • Cervical Cancer and Human Papillomavirus Vaccine Awareness Among Married Bhutanese Refugee and Nepali Women in Eastern Nepal.

    abstract::This study examined the sexually transmitted infections (STIs), cervical cancer, and human papillomavirus virus (HPV) vaccine-related awareness and knowledge among married Bhutanese refugee and Nepali women living in eastern Nepal. Participants were recruited from a women's health camp in Jhapa District in eastern Nep...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-019-00770-2

    authors: Bhatta MP,Johnson DC,Lama M,Maharjan B,Lhaki P,Shrestha S

    更新日期:2020-06-01 00:00:00

  • Food insecurity and other poverty indicators among people living with HIV/AIDS: effects on treatment and health outcomes.

    abstract::Health disparities in access to antiretroviral therapy (ART) as well as the demands of long-term medication adherence have meant the full benefits of HIV treatment are often not realized. In particular, food insecurity has emerged as a robust predictor of ART non-adherence. However, research is limited in determining ...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-014-9868-0

    authors: Kalichman SC,Hernandez D,Cherry C,Kalichman MO,Washington C,Grebler T

    更新日期:2014-12-01 00:00:00

  • Quality assurance in primary care: a strategy based on outcome assessment.

    abstract::We describe an outcome-based approach to quality assurance in primary care and present data from an initial study made to explore its usefulness. A questionnaire, which asked patients to report on the status of their problem in terms of the amount of symptoms, activity limitation, and anxiety it caused, was mailed to ...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/BF01498506

    authors: Mushlin AI,Appel FA,Barr DM

    更新日期:1978-07-01 00:00:00

  • Community-based care of the elderly in rural Japan: a review of nurse-led interventions and experiences.

    abstract::Nurses play a critical role in delivering care to elderly people at primary health care level but there is no synthesis of research knowledge to guide community nursing practice in Japan. This review aims to identify nurse-led interventions that have been found to improve elder health at village level; the barriers an...

    journal_title:Journal of community health

    pub_type: 杂志文章,评审

    doi:10.1007/s10900-014-9847-5

    authors: Nagaya Y,Dawson A

    更新日期:2014-10-01 00:00:00

  • A Study of Motives for Tobacco and Alcohol Use Among High School Students in Hungary.

    abstract::Motives may be an important influence for substance use among youth. The goal of this research was to study the relation of social, self-enhancement, boredom relief and affect regulation motives to smoking and drinking in a sample of Eastern European high school students and to examine variation in the effects of thes...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-015-9993-4

    authors: Piko BF,Varga S,Wills TA

    更新日期:2015-08-01 00:00:00

  • Clinical validation of a nutritional risk index.

    abstract::This research assessed the clinical validity of a nutritional risk index (NRI). Subjects were 377 male veterans, aged 55+, attending general medicine and geriatric outpatient clinics. Data were collected by personal interviews, anthropometric measurements, laboratory assay of nutritional parameters, three-day food rec...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/BF01324362

    authors: Prendergast JM,Coe RM,Chavez MN,Romeis JC,Miller DK,Wolinsky FD

    更新日期:1989-10-01 00:00:00

  • Observations on the seasonal variation of the most common acute pediatric diseases in the Helsinki area (Finland).

    abstract::Seasonal variations in the incidence of the most common acute diseases in childhood during the inter-epidemic year 1978 were investigated using a sample of 7,068 walk-in patients attending. Aurora Hospital, Helsinki. At least seven out of the ten most common diseases were of infectious origin. Generally, boys and the ...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/BF01325512

    authors: Peltola H

    更新日期:1982-04-01 00:00:00

  • Advance directives and HIV: a current trend in the inner city.

    abstract::Throughout the 1980's, HIV antiretroviral therapy was non-existent or insufficient, and patients admitted to hospitals were frequently terminal. In 1988 we evaluated the HIV related hospitalizations at the Lutheran Medical Center in Brooklyn, New York, and found that only 1.3 % of the patients had an advanced directiv...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-012-9645-x

    authors: de Caprariis PJ,Carballo-Diéguez A,Thompson S,Lyon C

    更新日期:2013-06-01 00:00:00

  • Utility of the physical activity resource assessment for child-centric physical activity intervention planning in two urban neighborhoods.

    abstract::Children's physical activity (PA) may be determined, in part, by environmental influences such as access to diverse and safe places to play. As part of the development of a community-based PA program, a PA asset assessment was conducted in two low-income urban neighborhoods that support elementary schools serving mino...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-010-9290-1

    authors: DeBate RD,Koby EJ,Looney TE,Trainor JK,Zwald ML,Bryant CA,McDermott RJ

    更新日期:2011-02-01 00:00:00

  • Delayed prenatal care and the risk of low birth weight delivery.

    abstract::To determine if the timing of prenatal care is associated with low birth weight delivery after adjusting for sociodemographic and behavioral risk factors, we performed a retrospective cross-sectional study of singleton births to white (2,945,595) or African-American (552,068) women in the United States in 1996. When a...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1023/a:1022908307844

    authors: Hueston WJ,Gilbert GE,Davis L,Sturgill V

    更新日期:2003-06-01 00:00:00

  • Lifestyle characteristics assessment of Japanese in Pittsburgh, USA.

    abstract::Lifestyle-related chronic diseases such as cancer and cardiovascular disease are the greatest public health concerns. Evidence shows Japanese immigrants to a westernized environment have higher incidence of lifestyle-related diseases. However, little is known about lifestyle characteristics related to chronic diseases...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-011-9467-2

    authors: Hirooka N,Takedai T,D'Amico F

    更新日期:2012-04-01 00:00:00

  • Correlates of tanning facility prevalence within San Diego County, California census tracts.

    abstract::Adolescents frequenting indoor tanning facilities may have an increased risk of skin cancer. The high level of indoor tanning by this age group may be due, in part, to the large number of tanning facilities in US cities. This study examined how facilities are distributed throughout one large county. Based on ecologica...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-007-9061-9

    authors: Patel MR,Mayer JA,Slymen DJ,Weeks JR,Hurd AL

    更新日期:2007-12-01 00:00:00

  • Peer education for HIV prevention in the Socialist Republic of Vietnam: a national assessment.

    abstract::In 2000, the government of Vietnam conducted the first assessment of its national peer education program for HIV prevention. Twenty (32%) of Vietnam's 61 provinces and urban areas had functioning peer education programs, and program coordinators of all 20 were interviewed regarding their programs. In addition, on-site...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1023/a:1021321704417

    authors: Khoat DV,West GR,Valdiserri RO,Phan NT

    更新日期:2003-02-01 00:00:00

  • Common illnesses and self-care.

    abstract::Self-care has become a topic of widespread interest in recent years. However, few studies of the content and methods of self-care are available to inform health education program design. The present study identified common illnesses that were reported by 258 western university students and how those illnesses were typ...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/BF01325140

    authors: Green KE

    更新日期:1990-10-01 00:00:00

  • Evaluation of a radionovela to promote HPV vaccine awareness and knowledge among Hispanic parents.

    abstract::Hispanic women have more than a 1.5-fold increased cervical cancer incidence and mortality compared to non-Hispanic white women in the United States. The Centers for Disease Control recommends the HPV vaccine for females at ages 11 and 12 years, though it is approved for females aged 9-26 to protect against the primar...

    journal_title:Journal of community health

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s10900-011-9395-1

    authors: Kepka D,Coronado GD,Rodriguez HP,Thompson B

    更新日期:2011-12-01 00:00:00

  • Reach of the Montana Cancer Control Program to Women with Disabilities.

    abstract::Women with disabilities have lower screening rates for breast and cervical cancer with some evidence suggesting that people with disabilities experience higher cancer mortality and may receive a different course of treatment. This study examined whether women with and without disabilities using Montana Cancer Control ...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-015-0141-y

    authors: Froehlich-Grobe K,Shropshire WC,Zimmerman H,Van Brunt J,Betts A

    更新日期:2016-06-01 00:00:00

  • Traditional healers (mor pheun baan) in Southern Thailand: the barriers for cooperation with modern health care delivery.

    abstract::Although the cooperation between modern and traditional medicine (TM) is increasingly promoted in health care system of nationwide, there remains many barriers. In this study, we examined the barriers and possible ways of promoting cooperation between traditional healers and modern health system. Ethnographic method i...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-010-9325-7

    authors: Suwankhong D,Liamputtong P,Runbold B

    更新日期:2011-06-01 00:00:00

  • Associations of physical activity and body mass index with activities of daily living in older adults.

    abstract::Research reports about the associations of leisure-time physical activity (LPA) and Body Mass Index (BMI) with activities of daily living (ADL)- or instrumental activities of daily living (IADL)-dependent disability in older adults are inconclusive. Data were obtained from the 2000 Missouri Older Adult Needs Assessmen...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-006-9024-6

    authors: Simoes EJ,Kobau R,Kapp J,Waterman B,Mokdad A,Anderson L

    更新日期:2006-12-01 00:00:00

  • Michigan Diabetes Outreach Networks: a public health approach to strengthening diabetes care.

    abstract::This study describes a statewide public health approach to strengthen diabetes care; evaluates diabetes-related processes of care for individuals enrolled in the Michigan Diabetes Outreach Network (MDON) program; and, examines MDON in the context of priorities for diabetes care and public health policy. Organizational...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1023/a:1005148831739

    authors: Krein SL,Klamerus ML

    更新日期:2000-12-01 00:00:00

  • Trends in lung cancer death rates in Belgium and The Netherlands: a systematic analysis of temporal patterns.

    abstract::Belgium and The Netherlands have fairly similar smoking prevalence patterns, but distinct tobacco control policies. It is our aim to use lung cancer death rates, especially among the youngest age groups (30-39 years), as indicators of past smoking behavioral patterns to evaluate recent tobacco control efforts in both ...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-008-9147-z

    authors: Van Hemelrijck MJ,Kabir Z,Connolly GN

    更新日期:2009-06-01 00:00:00