Informed consent for HIV testing in a South African hospital: Is it truly informed and truly voluntary?
Informed consent for HIV testing in a South African hospital: Is it truly informed and truly voluntary?
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DOI：
10.2105/ajph.88.4.637
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发表时间：
1998-04-01
影响因子：
12.7
通讯作者：
Susser, M
中科院分区：
文献类型：
--
作者：
Karim, QA;Karim, SSA;Susser, M
目标。这项研究的目的是评估在一家主要服务于南非黑人人口的大型转诊医院进行的围产期艾滋病毒传播研究中，对人类免疫缺陷病毒(HIV)检测的知情同意。从参加围产期HIV研究的患者(n=56)中随机抽取第一次产前门诊就诊者，在咨询前和咨询后进行问卷调查。关于艾滋病毒传播和预防的知识，一开始很高，但咨询后几乎没有改善。艾滋病毒检测的接受率很高。尽管保证参与是自愿的，88%的女性表示她们觉得有必要参与这项研究。在这种情况下，知情同意是真正知情的，但不是真正自愿的。
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.