Awareness and Understanding of HIV Non-disclosure Case Law and the Role of Healthcare Providers in Discussions About the Criminalization of HIV Non-disclosure Among Women Living with HIV in Canada

@article{Patterson2019AwarenessAU,
  title={Awareness and Understanding of HIV Non-disclosure Case Law and the Role of Healthcare Providers in Discussions About the Criminalization of HIV Non-disclosure Among Women Living with HIV in Canada},
  author={Sophie Patterson and Valerie Nicholson and M J Milloy and Gina Suzanne Ogilvie and Robert S. Hogg and Allison Carter and Tian Li and Erin Ding and Paul Sereda and Saara Greene and Alexandra de Pokomandy and Mona Loutfy and Angela Kaida},
  journal={AIDS and Behavior},
  year={2019},
  pages={1-19}
}
In 2012, the Supreme Court of Canada ruled that people with HIV are legally obligated to disclose their serostatus before sex with a “realistic possibility” of HIV transmission, suggesting a legal obligation to disclose unless they use condoms and have a low HIV viral load (< 1500 copies/mL). We measured prevalence and correlates of ruling awareness among 1230 women with HIV enrolled in a community-based cohort study (2015–2017). While 899 (73%) participants had ruling awareness, only 37% were… 

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References

SHOWING 1-10 OF 119 REFERENCES

The impact of criminalization of HIV non-disclosure on the healthcare engagement of women living with HIV in Canada: a comprehensive review of the evidence

Public health advocates argue that the overly broad use of the criminal law against PLWH undermines efforts to engage individuals in healthcare and complicates gendered barriers to linkage and retention in care experienced by women living with HIV (WLWH).

Prevalence and predictors of facing a legal obligation to disclose HIV serostatus to sexual partners among people living with HIV who inject drugs in a Canadian setting:a cross-sectional analysis.

Almost half the participants in the analytic sample would face a legal obligation to disclose to sexual partners under these circumstances (with an increased burden among women), adding further risk of criminalization within this marginalized and vulnerable community.

How women living with HIV react and respond to learning about Canadian law that criminalises HIV non-disclosure: ‘how do you prove that you told?’

This paper highlights the ways in which women living with HIV respond to learning about the criminalisation of HIV non-disclosure, and the most common emergent themes included: the way the law reproduces social and legal injustices; gendered experiences of intimate injustice; and the relationship between disclosure and violence against womenliving with HIV.

HIV disclosure as practice and public policy

The findings of this study suggest that the heightened pressure of criminal sanction on decision-making about disclosure in personal interactions does not address difficulties in HIV transmission and is unlikely to result in enhanced prevention.

Discussing the Limits of Confidentiality: The Impact of Criminalizing HIV Nondisclosure on Public Health Nurses' Counseling Practices

Whether and how public health nurses endeavor to control information about the limits of confidentiality at the outset of HIV posttest counseling is explored, and variation in practices is indicated, as nurses pragmatically balance ethical and professional concerns.

‘ … They should understand why … ' The knowledge, attitudes and impact of the HIV criminalisation law on a sample of HIV+ women living in Ontario

There is need for the law implementers to consider these findings if they are to support the public health efforts to control HIV.

A quantitative study of Michigan's criminal HIV exposure law

Evidence of an effect of Michigan's HIV exposure law on seropositive status disclosure was mixed and further research is needed to examine the various forms of HIV exposure laws among diverse groups of persons living with or at increased risk of acquiring HIV.

Ending overly broad HIV criminalization: Canadian scientists and clinicians stand for justice

The authors hope that others around the world will take similar action and adopt laws that specifically allow for HIV criminalization, and prosecutions for HIV non‐disclosure, exposure and transmission have been reported in at least 49 countries.

Sexual practices and STI/HIV testing among gay, bisexual, and men who have sex with men in Ottawa, Canada: examining nondisclosure prosecutions and HIV prevention

Results suggest that nondisclosure prosecutions appear to have affected the STI testing practices of the participants in this research who were: (a) the most likely to have reported a sexual history involving unprotected receptive anal sex, and (b) the least likely toHave undergone testing for STIs.
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