Lo Bernard, MD; Robert L. Steinbrook, MD; Molly Cooke, MD; Thomas J. Coates, PhD; Eleanor J. Walters, MPH; Stephen B. Hulley, MD, MPH
Voluntary screening for human immunodeficiency virus (HIV) infection may help prevent the spread of the HIV epidemic if persons who test positive alter behaviors that may transmit infection. Protecting persons from unknowingly being exposed to HIV infection must be balanced against respecting the autonomy of individuals being screened. Seropositive patients may feel a stigma and be subject to discrimination if confidentiality of test results is breached. In patients without high-risk behaviors, the positive predictive value of HIV testing may be substantially increased if tests are done in reference laboratories and if further confirmatory tests are run on a second blood
Bernard L, Steinbrook RL, Cooke M, Coates TJ, Walters EJ, Hulley SB. Voluntary Screening for Human Immunodeficiency Virus (HIV) Infection: Weighing the Benefits and Harms. Ann Intern Med. ;110:727–733. doi: 10.7326/0003-4819-110-9-727
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Published: Ann Intern Med. 1989;110(9):727-733.
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