The case against mandatory newborn screening for HIV antibodies.


: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.


J Community Health


Dumois AO




Has Abstract


1995-04-01 00:00:00












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    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


    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

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    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


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    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


    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

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    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


    authors: Evans GD,Sheps SB

    更新日期:1987-01-01 00:00:00

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    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


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

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

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    journal_title:Journal of community health

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    authors: Damore DT

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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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    journal_title:Journal of community health

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    journal_title:Journal of community health

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    authors: Peltola H

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    journal_title:Journal of community health

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

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

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    journal_title:Journal of community health

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

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    authors: Green KE

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