Wolf Leslie E, Donoghoe Alexis, Lane Tim
Program in Medical Ethics, Center for AIDS Prevention Studies, University of California at San Francisco, San Francisco, California, United States of America.
PLoS One. 2007 Oct 10;2(10):e1005. doi: 10.1371/journal.pone.0001005.
In September 2006, the Centers for Disease Control and Prevention (CDC) recommended routine HIV testing for all Americans aged 13-64, which would eliminate requirements for written consent and pretest counseling as previously required. However, this approach may conflict with state requirements concerning pretest counseling and informed consent for HIV testing. Our survey of state HIV testing laws demonstrates that the majority of states have HIV testing requirements that are inconsistent with the CDC's recommendations. Moreover, states that have recently amended their laws have not eased the requirements for pretest counseling and informed consent. The reasons for the persistence of these legal requirements must be understood to effect policy changes to increase HIV testing.
2006年9月,美国疾病控制与预防中心(CDC)建议对所有13至64岁的美国人进行常规HIV检测,这将取消之前要求的书面同意和检测前咨询。然而,这种方法可能与各州关于HIV检测前咨询和知情同意的要求相冲突。我们对各州HIV检测法律的调查表明,大多数州的HIV检测要求与CDC的建议不一致。此外,最近修改法律的州并未放宽检测前咨询和知情同意的要求。必须了解这些法律要求持续存在的原因,以便推动政策变革以增加HIV检测。