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The treatment of non-HIV-related conditions in newborns at risk for HIV

A survey of neonatologists

Bibliographic Data

ID11019291
AuthorsBetty Wolder Levin (0000-0002-4288-6052, Brooklyn College), D H Krantz, J M Driscoll, A R Fleischman (0009-0002-2045-415X)
Year1995
Volume85
Issue11
Pages1507-1513
Publication date1995-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.85.11.1507
PMID7485662
OpenAlexW2077768166
LanguageEN
Citations received1
References cited25

OBJECTIVES. The purpose of this study was to examine attitudes of neonatologists about treatment of conditions unrelated to the human immunodeficiency virus (HIV) for critically ill newborns at risk for HIV. METHODS. Questionnaires were mailed to the 1508 members of the Section on Perinatal Medicine of the American Academy of Pediatrics; 63% completed the survey (n = 951). The survey included structured questions about treatment for hypothetical cases and open-ended questions eliciting reasons for decisions. RESULTS. Differences in recommendations for treatment by both maternal and infant HIV status were substantial and statistically reliable. For example, 98% of respondents recommended life-saving cardiac surgery for a neonate with no risk for HIV, but only 93% recommended such surgery for a child of an HIV-positive mother; only 50% recommended the same surgery for a newborn known to be infected. The corresponding figures for chronic dialysis were 91%, 61%, and 26%. Most expected diminished quality of life for both infected and uninfected children of HIV-positive mothers. CONCLUSIONS. Recommendations about life-sustaining treatment for non-HIV-related conditions varied by HIV status. These data on physician attitudes raise the possibility that infants labeled as HIV positive, whether infected or not, may suffer discrimination

Environmental health · Family medicine · Human immunodeficiency virus (HIV) · Cytomegalovirus and herpesvirus research · HIV/AIDS Research and Interventions · Medicine · Pregnancy and Medication Impact · Pediatrics

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    G B Avery•American Journal of Public Health•1995

  • Imperiled Newborns

    Arthur L Caplan, Arthur J Caplan et al.•The Hastings Center Report•1987

  • Deciding Who Lives

    Renee R Anspach•Deciding Who Lives•1993

  • Geographic distribution of newborn HIV seroprevalence in relation to four sociodemographic variables

    Dale L Morse, L Lessner et al.•American Journal of Public Health•1991

  • International perspectives on treatment choice in neonatal intensive care units

    Open Access•Betty Wolder Levin•Social Science & Medicine•1990

Unique citing works1
Citations per year0,03
Citation span1995 - 1995 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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