Harsono Dini, Galletly Carol L, O'Keefe Elaine, Lazzarini Zita
Center for Interdisciplinary Research on AIDS, Yale University, 135 College Street, Suite 200, New Haven, CT, 06510, USA.
Center for AIDS Intervention Research, Medical College of Wisconsin, 2071 North Summit Avenue, Milwaukee, WI, 53202, USA.
AIDS Behav. 2017 Jan;21(1):27-50. doi: 10.1007/s10461-016-1540-5.
This review of literature identifies and describes US empirical studies on the criminalization of HIV exposure, examines findings on key questions about these laws, highlights knowledge gaps, and sets a course for future research. Studies published between 1990 and 2014 were identified through key word searches of relevant electronic databases and discussions with experts. Twenty-five empirical studies were identified. Sixteen of these studies used quantitative methods with more than half of these being cross-sectional survey studies. Study samples included male and female HIV-positive persons, HIV-positive and -negative men who have sex with men, public health personnel, and medical providers. Research questions addressed awareness of and attitudes toward HIV exposure laws, potential influences of these laws on seropositive status disclosure for persons living with HIV, HIV testing for HIV-negative persons, safer sex practices for both groups, and associations between HIV exposure laws and HIV-related stigma. Surveys of the laws and studies of enforcement practices were also conducted. Attention should be shifted from examining attitudes about these laws to exploring their potential influence on public health practices and behaviors related to the HIV continuum of care. Studies examining enforcement and prosecution practices are also needed. Adapting a theoretical framework in future research may be useful in better understanding the influence of HIV exposure laws on HIV risk behaviors.
本文献综述识别并描述了美国关于将暴露于艾滋病毒行为定罪的实证研究,审视了关于这些法律的关键问题的研究结果,突出了知识空白,并为未来研究设定了方向。通过对相关电子数据库进行关键词搜索以及与专家讨论,确定了1990年至2014年间发表的研究。共识别出25项实证研究。其中16项研究采用了定量方法,其中一半以上是横断面调查研究。研究样本包括艾滋病毒呈阳性的男性和女性、与男性发生性关系的艾滋病毒呈阳性和阴性的男性、公共卫生人员以及医疗服务提供者。研究问题涉及对艾滋病毒暴露法律的认识和态度、这些法律对艾滋病毒感染者披露血清学阳性状况的潜在影响、艾滋病毒阴性者的艾滋病毒检测、两组的安全性行为以及艾滋病毒暴露法律与艾滋病毒相关耻辱感之间的关联。还对这些法律进行了调查,并对执法实践进行了研究。应将注意力从审视对这些法律的态度转向探索它们对与艾滋病毒连续护理相关的公共卫生实践和行为的潜在影响。还需要对执法和起诉实践进行研究。在未来研究中采用一个理论框架可能有助于更好地理解艾滋病毒暴露法律对艾滋病毒风险行为的影响。