Challenges in Arranging to Waive Parental Consent in HIV Prevention Studies of Adolescent Men Who have Sex with Men
The Case of HPTN 078
Bibliographic Data
| ID | 3650258 |
|---|---|
| Authors | Robert Klitzman (0000-0002-6827-8063, Columbia University, corresponding author), Robert H Remien (0000-0002-3963-3273, HIV Center for Clinical and Behavioral Studies, Clinical Medical Psychology (In Psychiatry), Columbia University and in the NY State Psychiatric Institute, New York, New York, USA), Chris Beyrer (0000-0003-0665-9124, Public Health and Human Rights, Johns Hopkins University, Baltimore, Maryland, USA) |
| Year | 2024 |
| Volume | 71 |
| Issue | 6 |
| Pages | 1584-1604 |
| Publication date | 2024-05-11 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Journal of Homosexuality (JOURNAL) |
| Journal identifiers | ISSN: 0091-8369 • E-ISSN: 1540-3602 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/00918369.2023.2185093 |
| PMID | 36883987 |
| OpenAlex | W4323530677 |
| Language | EN |
| References cited | 24 |
Including adolescent men who have sex with men (AMSM) in HIV prevention and treatment studies without parental permission is vital, but has often faced barriers. We examine the case of recent Institutional Review Boards (IRB) reviews of an HIV treatment and prevention study that requested waiving parental permission at four United States sites, but received different responses from each institution. IRBs varied in whether and how they weighed parental rights against AMSMs' rights and individual and social benefits, and potential harms (e.g., if a parent disapproves of the adolescents' sexual behavior). One IRB "tabled" the decision to receive advice from the university Office of General Counsel (OGC), despite state laws allowing minors to consent to HIV testing and treatment without parental permission. Another IRB consulted the university's Chief Compliance Officer (CCO), which thought the waiver was inconsistent with state law, which discusses "venereal disease," but not HIV. University attorneys may have competing priorities, however, and thus interpret relevant laws differently. This case raises critical concerns, highlighting needs for advocates for AMSM, researchers, IRBs and others at institutional, governmental, and community levels to educate policymakers, public health departments, IRB chairs, members, and staff, OGCs and CCOs about these issues
Alternative medicine · Family medicine · Human immunodeficiency virus (HIV · Informed consent · Men who have sex with men · Officer · Parental consent · Political science · Public health · Waiver · Ethics in Clinical Research · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Law · Medicine · Nursing · Psychology
Preventing HIV Among Latino and African American Gay and Bisexual Men in a Context of HIV-Related Stigma, Discrimination, and Homophobia
Unrecognized HIV Infection, Risk Behaviors, and Perceptions of Risk Among Young Men Who Have Sex With Men
Sexual Initiation, Contraceptive Use, and Pregnancy Among Young Adolescents
Sexual and Gender Minority Adolescents’ Views On HIV Research Participation and Parental Permission
Ethical and Regulatory Issues with Conducting Sexuality Research with LGBT Adolescents
Ethical Imperialism
LGBT Health in the Midlands
| Citation velocity | historical |
|---|---|
| Highly cited | No |