Should There Be a Disclosure Mandate for Physicians Caring for Perinatally Infected Adolescents Who Don't Know Their HIV Serostatus

With advances in antiretroviral therapies, perinatally infected children are now living with HIV well beyond adolescence. Parents and health care practitioners thus face the challenge of deciding how best to disclose positive serostatus to children living with HIV. Although many adolescents living with HIV are sexually active, parents often delay disclosure, which presents US physicians with an ethical dilemma because there is no legal requirement to follow clinical guidelines recommending disclosure prior to adolescence. When they become adults, US adolescents could face criminal penalties if they fail to disclose their positive serostatus to needle-sharing or sex partners despite there being no legal mandates to ensure that adolescents are first properly informed of their own diagnoses. We argue that there is an urgent need to bridge this gap between adolescent and adult HIV serostatus disclosure policies

Computer security · Family medicine · Human immunodeficiency virus (HIV · Mandate · Need to know · Political science · Serostatus · Viral load · Adolescent Sexual and Reproductive Health · Computer Science · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology

• Disclosure of an HIV Diagnosis to Children

  Lori Wiener, Claude Ann Mellins et al.•Journal of Developmental &…•2007

  Incluir item

• Age of sexual debut among US adolescents

  Open Access•Patricia Cavazos-Rehg, Patricia A Cavazos-Rehg et al.•Contraception•2009

  Incluir item

• Extent of disclosure

  Pamela M Murnane, Stacy-Lee Sigamoney et al.•AIDS Care•2017

  Incluir item

• Informing Adolescents of Perinatally Contracted HIV

  Open Access•Hans Spiegel, Donna Futterman•The AMA Journal of Ethic•2009

  Incluir item

• The Role of HIV Serostatus Disclosure in Antiretroviral Medication Adherence

  Open Access•Michael J Stirratt, Robert H Remien et al.•AIDS and Behavior•2006

  Incluir item

• Disclosure of HIV Status and Adherence to Daily Drug Regimens Among HIV-infected Children in Uganda

  Open Access•Winnie Bikaako-Kajura, Emmanuel Luyirika et al.•AIDS and Behavior•2006

  Incluir item

• A Longitudinal Study of Adolescents with Perinatally or Transfusion Acquired HIV Infection

  Open Access•Lori Wiener, Lori S Wiener et al.•AIDS and Behavior•2006

  Incluir item