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 Healthjournal_title
Journal of community healthauthors
Dumois AOdoi
10.1007/BF02260335subject
Has Abstractpub_date
1995-04-01 00:00:00pages
143-59issue
2eissn
0094-5145issn
1573-3610journal_volume
20pub_type
杂志文章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
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更新日期:2016-06-01 00:00:00
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
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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
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journal_title:Journal of community health
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journal_title:Journal of community health
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journal_title:Journal of community health
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更新日期:1987-01-01 00:00:00
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journal_title:Journal of community health
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-009-9170-8
更新日期:2009-10-01 00:00:00
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journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-016-0246-y
更新日期:2017-04-01 00:00:00
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journal_title:Journal of community health
pub_type: 杂志文章
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更新日期:2002-06-01 00:00:00
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journal_title:Journal of community health
pub_type: 杂志文章
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更新日期:2020-06-01 00:00:00
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
更新日期:2014-12-01 00:00:00
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journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/BF01498506
更新日期:1978-07-01 00:00:00
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journal_title:Journal of community health
pub_type: 杂志文章,评审
doi:10.1007/s10900-014-9847-5
更新日期:2014-10-01 00:00:00
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journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-015-9993-4
更新日期:2015-08-01 00:00:00
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journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/BF01324362
更新日期:1989-10-01 00:00:00
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journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/BF01325512
更新日期:1982-04-01 00:00:00
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journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-012-9645-x
更新日期:2013-06-01 00:00:00
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
更新日期:2011-02-01 00:00:00
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
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journal_title:Journal of community health
pub_type: 杂志文章
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更新日期:2012-04-01 00:00:00
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journal_title:Journal of community health
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更新日期:2007-12-01 00:00:00
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
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更新日期:2003-02-01 00:00:00
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journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/BF01325140
更新日期:1990-10-01 00:00:00
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
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更新日期:2011-12-01 00:00:00
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
更新日期:2016-06-01 00:00:00
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journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-010-9325-7
更新日期:2011-06-01 00:00:00
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
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更新日期:2006-12-01 00:00:00
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
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更新日期:2000-12-01 00:00:00
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
更新日期:2009-06-01 00:00:00