Shadow of HIV exceptionalism 40 years later.
HIV infection and AIDS
ethics
general medicine / internal medicine
public health ethics
quality of healthcare
Journal
Journal of medical ethics
ISSN: 1473-4257
Titre abrégé: J Med Ethics
Pays: England
ID NLM: 7513619
Informations de publication
Date de publication:
11 2021
11 2021
Historique:
received:
16
09
2020
revised:
28
12
2020
accepted:
01
01
2021
pubmed:
29
1
2021
medline:
3
11
2021
entrez:
28
1
2021
Statut:
ppublish
Résumé
During the AIDS epidemic in the 1980s, it was crucial that providers take steps to protect patients by managing HIV with the perspective of 'HIV exceptionalism'. However, in 2020, the social and historical barriers erected by this concept, as demonstrated in this patient's case, are considerably impeding progress to end the epidemic. With significant medical advances in HIV treatment and prevention, the policies informed by HIV exceptionalism now paradoxically perpetuate stigma and inequities, particularly for people of colour. To improve overall HIV care, the medical community must move past HIV exceptionalism by liberalising diagnostics, instituting clinician implicit bias training and advocating to fully decriminalise HIV non-disclosure.
Identifiants
pubmed: 33504629
pii: medethics-2020-106908
doi: 10.1136/medethics-2020-106908
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
727-728Subventions
Organisme : NIAID NIH HHS
ID : T32 AI007044
Pays : United States
Informations de copyright
© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.