Ethical and Psychosocial Considerations in Informing HIV-Exposed Uninfected Children That They Were Exposed to HIV and Antiretroviral Medications In Utero

Overview

Journal Am J Public Health

Specialty Public Health

Date 2016 Jun 17

PMID 27310353

Citations 2

Authors

Robert Klitzman

Claude A Mellins

Morgan M Philbin

Elaine J Abrams

Robert H Remien

Affiliations

Soon will be listed here.

Abstract

We build on what is known about the potential long-term health effects of perinatal antiretroviral medication exposure to examine ethical and psychosocial issues associated with disclosure by applying lessons from other health conditions, theories of child and adolescent development and rights, and the relevant literature and legal contexts. We present 2 cases to highlight potential issues; apply a bioethical framework that includes principles of autonomy, beneficence, nonmaleficence, and justice; and explore other factors, including the current uncertainty about these exposures' possible long-term health risks. This ethical framework can help clinicians and researchers consider and balance relevant concerns in deciding whether to inform offspring of HIV and related exposures.

Citing Articles

Unmasking the vulnerabilities of uninfected children exposed to HIV.

Ramokolo V, Goga A, Slogrove A, Powis K BMJ. 2019; 366:l4479.

PMID: 31383646 PMC: 6894435. DOI: 10.1136/bmj.l4479.

Disclosing HIV/ARV exposure to the HIV-exposed uninfected adolescent: is it necessary?.

Jao J, Hazra R, Mellins C, Remien R, Abrams E J Int AIDS Soc. 2016; 19(1):21099.

PMID: 27741954 PMC: 5065689. DOI: 10.7448/IAS.19.1.21099.

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