Hanssens C A
AIDS Project, Lambda Legal Defense and Education Fund, Inc., New York City, USA.
AIDS Public Policy J. 1999 Winter;14(4):159-73.
Any proposed surveillance system must be assessed according to what it reasonably can expect to accomplish in the promotion of behaviors we wish to encourage in HIV testing, treatment, and prevention. There is no reason to believe that the name reporting of persons with positive HIV test results will provide an accurate picture of the epidemic. Most public health experts believe that a significant number of people who are HIV positive avoid testing and have no idea of their status. And there is reason to believe that significant numbers of those considering testing, particularly those who are members of racial and sexual-preference minorities, will be deterred if they are required to provide their name.
任何提议的监测系统都必须根据其在促进我们希望在艾滋病毒检测、治疗和预防方面鼓励的行为中合理预期能够实现的目标来进行评估。没有理由相信报告艾滋病毒检测呈阳性者的姓名会提供该流行病的准确情况。大多数公共卫生专家认为,相当数量的艾滋病毒呈阳性者避免检测,并且不知道自己的感染状况。而且有理由相信,大量考虑检测的人,尤其是那些属于种族和性取向少数群体的人,如果被要求提供姓名,将会受到阻碍。