People with HIV fear unfair treatment in courts

WASHINGTON, DC — Nearly half of HIV-positive respondents to a recently released survey on HIV criminalization say they believe they will not receive a fair hearing in the criminal justice system if they ever face charges for failing to disclose their status to sexual partners.

The findings come from the preliminary results of a study released at the International AIDS Conference in Washington DC in late July. The results, researchers say, show HIV criminal laws have created a hostile legal environment for those living with HIV.

Those preliminary results included the responses of 2,076 people living with HIV in the United States. The responses were collected online during June and July.

The study found that 49 percent said they didn’t “trust” they would get a fair hearing if they were charged in criminal court for failing to disclose their HIV-positive status to sex partners, while 30 percent said they were unsure if they would receive a fair hearing. Twenty-one percent of respondents said they trusted the system would provide a fair hearing.

“To me, that’s shocking,” says Laurel Sprague, lead researcher for the Sero Project, which sponsored the survey. The organization advocates against HIV criminal laws.

“People felt that because stigma against people with HIV is so great, that the minute they walk into a courtroom as a positive person that there is already a bias against them as not reliable or not trustworthy,” added Sprague. “And so, even if they are falsely accused, they fear they can still end up in prison.”

In addition, the survey found that 29 percent of respondents living with HIV had worried “a few times” about being falsely accused under their state’s HIV disclosure laws. Another nine percent said they worried “frequently” about false accusations.

Likely adding to that worry, 48 percent of respondents said it was “not clear” to them what the law prohibited, and 30 percent said it was only “somewhat clear.” Sixty-three percent reported they were unsure whether there was a law in their state requiring that they disclose their HIV status to sex partners.

Seventy-three percent of the respondents reported that they were not informed about the existence of criminal laws when they tested positive.

Sprague says the survey shows “tremendous alienation and vulnerability” of people with HIV in relation to the criminal justice system in the U.S.

The CDC reports that 32 states have HIV-specific criminal statutes. In 1990, the Ryan White CARE Act was passed, providing needed cash to help pay for care and treatment of people with HIV. In the law was a provision requiring states to certify that they had a way to prosecute intentional transmission of HIV in order to be eligible for the funds.

The laws were ostensibly passed in order to force people to disclose their status to prevent new infections. But Sprague says the Sero Project survey didn’t find the criminal laws were a major factor in disclosure. In an analysis of nearly 200 open-ended responses as to why people with HIV disclosed or did not disclose their status, criminal laws were cited as a reason by only five people, and only one of those people cited the laws as the only reason.

The Sero Project study also indicated that just under half of respondents said it was either “very” or “somewhat” reasonable for people to avoid testing for the virus in order to avoid prosecution. A slightly lower number (about 42 percent) of respondents felt it was reasonable to avoid treatment in order to avoid prosecution.

Adding more evidence to advocates’ claims that HIV prosecutions may inhibit testing, the study also found that 25 percent of respondents said at least one person had told them that they did not want to get tested because of a fear of prosecution.

These findings echo the results of a recent Canadian study.

In the wake of a series of high-profile HIV nondisclosure prosecutions, researchers surveyed men who have sex with men in Ottawa, Canada. They found that a significant minority of participants — 17 percent — said the prosecutions had “affected their willingness to get tested for HIV,” and nearly 14 percent said the prosecutions “made them afraid to speak with nurses and physicians about their sexual practices.”

The researchers found that this same group reported receiving less testing for HIV and other sexually transmitted infections, was more likely to engage in higher-risk sexual activities, and had a higher number of recent sexual partners.



Comments

ronb68 08.11.12

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    Fery 12.24.12

    Despite the respectable nmbeur of coiled aneurysms presented by Van Rooij, patient populations between the St. Elisabeth hospital in Tilburg and both the University Hospitals of Toronto (TWH) and Paris (Bicetre) seem to be different. Experiences and the decision as to what is of clinical importance derived from those different patient populations will naturally differ, too. No group that presents large nmbeurs or groups that present hypotheses are to be condemned solely on the fact of their different approach towards the advancement of science. Sentences such as Any theories like the one from Bicetre are just speculations not supported by facts , should be used more cautiously in a scientific forum. Concerning the specific question at hand, in our data bank at the TWH in Toronto encompassing 1917 patients with intracranial aneurysms we have 147 patients with (true) giant aneurysms, and four patients in whom the giant aneurysms were multifocal when also taking into account those that measure >10mm, the nmbeur rises to 15. Interestingly, they all exhibit similar features including: rim like contrast enhancement, perifocal edema, onion-skin layering of the intramural hematoma and bleeding sites distant from the perfused lumen, similar to our experience with the 23 giant aneurysms seen in the CHU Bicetre (which is why we think that these aneurysms are not the same entity as classical saccular aneurysms and why we think that other treatment strategies may have to be contemplated making this distinction a clinically important one). Although simplicity is beautiful, it may not always add new insights, since advances in our understanding of diseases are not always derived from large nmbeurs but via observational studies, hypotheses and theories.

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Faisal 09.15.12

I think this is an interesting poll beaucse it is certainly reflective of my own behavior. I would buy healthy food to eat normally but i would buy processed food to binge on. It is not easy to binge on healthy food, but even a taste of fatty foods would make me want to binge. It is much easier not to binge if there is no food of that kind around but i used to buy binge food just in case and then always end up binging. GB

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ck letyane 04.11.13

i matched the R250 air time. when selecting the net work iam using (vodacom) it says completed with some errors. what does that mean? is this fake or true,

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