南非一家医院中关于HIV检测的知情同意：它真的是充分知情且真正自愿的吗？
Informed consent for HIV testing in a South African hospital: is it truly informed and truly voluntary?
作者信息
Abdool Karim Q, Abdool Karim S S, Coovadia H M, Susser M
机构信息
Centre for Epidemiological Research in South Africa, South African Medical Research Council, Durban, South Africa.
出版信息
Am J Public Health. 1998 Apr;88(4):637-40. doi: 10.2105/ajph.88.4.637.
Abstract
OBJECTIVE
The purpose of this study was to assess informed consent to human immunodeficiency virus (HIV) testing in a perinatal HIV transmission study in a major referral hospital serving a largely Black population in South Africa.
METHODS
First-time antenatal clinic attenders who were randomly selected from those enrolled in the perinatal HIV study (n = 56) answered questionnaires before and after counseling.
RESULTS
Knowledge of HIV transmission and prevention, high at the outset, was little improved after counseling. The acceptance rate for HIV testing was high. Despite assurances that participation was voluntary, 88% of the women said they felt compelled to participate in the study.
CONCLUSIONS
Informed consent in this setting was truly informed but not truly voluntary.
摘要
目的
本研究旨在评估在南非一家主要为大量黑人人口服务的转诊医院进行的围产期艾滋病毒传播研究中，对艾滋病毒检测的知情同意情况。
方法
从围产期艾滋病毒研究的入组者中随机选取首次到产前诊所就诊的孕妇（n = 56），在咨询前后回答问卷。
结果
对艾滋病毒传播和预防的知晓率起初较高，咨询后改善不大。艾滋病毒检测的接受率较高。尽管保证参与是自愿的，但88%的女性表示她们觉得自己不得不参与该研究。
结论
在这种情况下，知情同意是真正的知情，但并非真正的自愿。
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