ETHICAL AND POLICY ISSUES IN THE AIDS EPIDEMIC

自发病以来，艾滋病的流行已经提出了一系列复杂的伦理问题 以及不可避免的政策挑战，公共健康威胁根植于 最亲密的行为。在过去的十年里，拜耳博士研究了 并撰写了关于这些问题的文章。在五年的获奖期内，拜耳博士 在他担任哥伦比亚大学教授的背景下 大学公共卫生学院，并作为艾滋病毒中心的成员 纽约州精神病学的临床和行为研究 继续他对伦理、法律和政策问题的研究 由艾滋病流行造成的。他的一些研究需要仔细研究 实证分析；其他将涉及伦理和概念方面的工作 伦理、法律和政策。我们会进行三项主要研究计划： 一项关于HIV感染者思考方式的研究 他们决定向性行为者披露或隐瞒自己的艾滋病毒状况 合作伙伴；分析艾滋病流行如何影响到 理解成为一名医生意味着什么(主要依赖于 口述历史)；关于经济如何进步的比较研究， 民主国家对输血相关艾滋病做出回应 采取保护措施的时间和程度 那些被感染的人得到了补偿。此外, 以他过去在艾滋病毒筛查伦理方面的工作为基础，以及 影响艾滋病毒携带者女性生殖权利的拜耳博士将 继续调查围绕道德、法律和政策的争论 对孕妇和新生儿的测试。他还将继续他的 正在进行的关于结核病控制努力的研究需要进行修订 面对多药合一的兴起公共卫生法规的制定 耐药结核病与当代限制结核病的宪法规范 行使国家权力。拜耳博士将与行为科学密切合作 HIV临床和行为研究中心的科学家们将探索 他们工作的伦理和政策影响。此次合作是 不仅对拜耳博士自己的研究至关重要，对他的同事们也是如此 井。他将继续指导博士后和博士后学生 对艾滋病的伦理和政策层面特别感兴趣 流行病。

Since its onset, the AIDS epidemic has posed a series of complex ethical and policy challenges, inevitable, with a public health threat rooted in the most intimate behaviors. Over the past decade Dr. Bayer has studied and written about these issues. Over the five-year award period Dr. Bayer win, in the context of his positions as Professor at the Columbia University School of Public Health and as a member of the HIV Center for Clinical and Behavioral Studies at the New York State Psychiatric Institute, continue his studies of the ethical, legal, and policy issues posed by the AIDS epidemic. Some of his studies will entail careful empirical analysis; others will involve ethical and conceptual work on ethics, law, and policy. Three major research projects will be conducted: a study of the way in which individuals with HIV infection think about their decision to disclose or conceal their HIV status from sexual partners; an analysis of how the AIDS epidemic has affected the understanding of what it means to be a physician (relying primarily on oral histories); a comparative study of how economically advanced, democratic nations responded to blood transfusion-associated AIDS, the timing of the adoption of protective measures, and the extent to which those who were infected were provided with compensation. In addition, building on his past work on the ethics of HIV screening, and matters affecting the reproductive rights of women with HIV, Dr. Bayer will continue to investigate the ethical, legal, and policy debate surrounding the testing of pregnant women and newborns. He will also continue his ongoing studies of tuberculosis control efforts that entail the revision of public health regulations in the face of the rise of multi-drug resistant tuberculosis and contemporary constitutional norms limiting the exercise of state powers. Dr. Bayer will work closely with behavioral scientists at the HIV Center for Clinical and Behavior Studies to explore the ethical and policy implications of their work. This collaboration is crucial not only for Dr. Bayer's own research but for his colleagues as well. He will continue to mentor pre- and post-doctoral students who have a special interest in the ethical and policy dimensions of the AIDS epidemic.