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[10 years with HIV/AIDS. New dimensions in old ethical problems. Abolish compulsory testing, impose time-limit on isolation]

https://arctichealth.org/en/permalink/ahliterature8159
Source
Lakartidningen. 1992 Jul 8;89(28-29):2458-60
Publication Type
Article
Date
Jul-8-1992
Author
O. Berglund
Author Affiliation
Infektionskliniken, Huddinge sjukhus.
Source
Lakartidningen. 1992 Jul 8;89(28-29):2458-60
Date
Jul-8-1992
Language
Swedish
Publication Type
Article
Keywords
AIDS Serodiagnosis - psychology
Acquired Immunodeficiency Syndrome - diagnosis - prevention & control - psychology
Adult
Ethics, Medical
HIV Seropositivity - diagnosis - psychology
Humans
Legislation, Medical
Male
Patient Isolation - psychology
Sweden
Notes
Comment In: Lakartidningen. 1993 Sep 8;90(36):29498366718
PubMed ID
1507968 View in PubMed
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[Information routines in HIV screening of pregnant women]

https://arctichealth.org/en/permalink/ahliterature8008
Source
Tidsskr Nor Laegeforen. 1994 Jan 30;114(3):338-40
Publication Type
Article
Date
Jan-30-1994
Author
C. Daae
A. Bjørndal
Author Affiliation
Seksjon for helsetjenesteforskning, Avdeling for Samfunnsmedisin, Statens Institutt for Folkehelse, Oslo.
Source
Tidsskr Nor Laegeforen. 1994 Jan 30;114(3):338-40
Date
Jan-30-1994
Language
Norwegian
Publication Type
Article
Keywords
AIDS Serodiagnosis - psychology
Adult
Attitude of Health Personnel
Attitude to Health
English Abstract
False Positive Reactions
Female
HIV Seropositivity - diagnosis - psychology
Humans
Mass Screening - methods - psychology
Norway
Patient Education - standards
Pregnancy
Pregnancy Complications, Infectious - diagnosis - psychology
Questionnaires
Abstract
HIV-antibody testing has been carried out as a routine among pregnant women in Norway since September 1987. Up to September 1991 (later information is incomplete) 339,823 women have been tested. 25 of these were positive. In this survey we interviewed by questionnaire 55 physicians and nurses who had been asked for a second blood sample from their patients. None of the physicians who had tested the 25 HIV-positive women were included. Among these 55, nine stated that the women had suffered psychological distress after the second testing, and one reported that the woman in question had chosen to have an abortion. The study demonstrates possible opportunities for improving the handling of information, both between laboratories and physicians/nurses and between physicians/nurses and the women who are asked to give a second blood sample. We also interviewed 290 physicians who had asked for a HIV-test for pregnant women but had received no false positive results (the number of respondents was 258). Among a total of 379 physicians and nurses, one third stated that they seldom or never asked explicitly if the woman wanted to be tested. 88% were in favour of routine testing and 97% reported a positive or very positive attitude among the pregnant women towards screening. Nearly one third stated that they had insufficient knowledge about the significance of a false positive test result.
PubMed ID
8191434 View in PubMed
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[Reasons for HIV testing. Casual sexual contacts are the most common reasons for voluntary HIV testing]

https://arctichealth.org/en/permalink/ahliterature8001
Source
Lakartidningen. 1994 Feb 23;91(8):742-4
Publication Type
Article
Date
Feb-23-1994
Author
A. Blaxhult
K. Lidman
Author Affiliation
BÃ¥da vid infektionskliniken, Danderyds sjukhus.
Source
Lakartidningen. 1994 Feb 23;91(8):742-4
Date
Feb-23-1994
Language
Swedish
Publication Type
Article
Keywords
Adolescent
Adult
Attitude to Health
English Abstract
Female
HIV Seropositivity - diagnosis - psychology
Humans
Male
Questionnaires
Risk factors
Sexual Behavior
Sexual Partners
Abstract
In Sweden, voluntary testing for HIV (human immunodeficiency virus)-antibodies has been given an important place in combating AIDS (acquired immunodeficiency syndrome). To elicit the reasons why people seek voluntary testing on their own initiative outside general screening programmes, during a three-year period (1989-91) applicants at a major urban testing locale were asked to fill in an anonymous questionnaire, which was completed by 68.6 per cent (831/1,212) of those eligible. Of the 831 respondees (both men and women), 88.9 per cent cited recent casual sexual contact as the reason why they might be at risk. Although in most cases no particular risk factors were reported to be associated with the sexual contact, in 17 cases (2.3 per cent) the partner was known to be an HIV-carrier. Of 664 people completing the item on the questionnaire 208 (31.3 per cent) reported the sexual contact to have occurred abroad. When the reason for undergoing the test was not possible recent exposure, the commonest reasons given were persistent anxiety or the establishment of a new sexual relationship. Only one of the 1,212 tests performed was HIV-positive.
Notes
Comment In: Lakartidningen. 1994 Apr 27;91(17):1691-28189900
PubMed ID
8189976 View in PubMed
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Symptomatic primary HIV infection or risk experiences? Circumstances surrounding HIV testing and diagnosis among recent seroconverters.

https://arctichealth.org/en/permalink/ahliterature183547
Source
Int J STD AIDS. 2003 Sep;14(9):601-8
Publication Type
Article
Date
Sep-2003
Author
Ann N Burchell
Liviana Calzavara
Nancy Ramuscak
Ted Myers
Carol Major
Anita Rachlis
Kevin Gough
Janet Raboud
Robert S Remis
Author Affiliation
HIV Social, Behavioural and Epidemiological Studies Unit, Department of Public Health Sciences, University of Toronto, Toronto, Ontario, Canada. ann.burchell@utoronto.ca
Source
Int J STD AIDS. 2003 Sep;14(9):601-8
Date
Sep-2003
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Case-Control Studies
Diagnostic Services - utilization
Female
HIV Infections - diagnosis - psychology
HIV Seropositivity - diagnosis - psychology
Humans
Interviews as Topic
Male
Middle Aged
Ontario
Patient Acceptance of Health Care - psychology - statistics & numerical data
Retrospective Studies
Risk-Taking
Sexual Behavior
Abstract
Our objective was to understand the circumstances surrounding HIV testing among recent HIV seroconverters (n=80) compared to HIV-negative controls (n=106) in Ontario, Canada using self-reported interview data. Diagnosis of symptomatic primary HIV infection (SPHI) was defined as diagnosis by the participant's physician. Testing in response to symptoms was reported by 42% of seroconverters vs 12% of controls. More controls than seroconverters tested in response to risk behaviour (70% vs 50%) or from a desire to know their status (34% vs 12%). Among seroconverters, 76% reported 'flu-like' illness during the time period of infection, 66% had symptoms consistent with SPHI, and 35% reported a physician's diagnosis of SPHI. Compared to seroconverters with undiagnosed SPHI, more of those diagnosed with SPHI had rash (odds ratio=4.5). SPHI plays a significant role in HIV testing and subsequent early diagnosis in this population. More seroconversions could be diagnosed with better patient and physician awareness of its symptoms.
PubMed ID
14511496 View in PubMed
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