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Consent Policies and Rates of HIV Testing
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To the Editor: In their Research Letter, Dr Zetola and colleagues1 reported that human immunodeficiency virus (HIV) testing rates and number of positive tests increased significantly in San Francisco after the requirement for written informed consent was eliminated. However, our experience has been different.
Since 1985, confidential HIV testing has been available in Latium Region free of charge, after a pretest visit in public counseling and testing sites. Starting in January 1989, the Regional Health Department allowed persons referred by other nonspecialist physicians (eg, general practitioners) to obtain an HIV test without a pretest visit; all tested persons still have had to receive their test results during a posttest visit. In 1985-1989, the number of persons tested for HIV in our counseling and testing site in a 6-month period ranged between 180 and 460, without any significant trend over time, although this number increased progressively after the 1989 policy change . . . [Full Text of this Article]
Enrico Girardi, MD
girardi@inmi.it
Vincenzo Puro, MD;
Gabriella De Carli, MD;
Nicoletta Orchi, MD;
Giuseppe Ippolito, MD
Department of Epidemiology
National Institute for Infectious Diseases "Lazzaro Spallanzani"
Rome, Italy
RELATED LETTERS
Association Between Rates of HIV Testing and Elimination of Written Consents in San Francisco
Nicola M. Zetola, Jeffrey D. Klausner, Barbara Haller, Patricia Nassos, and Mitchell H. Katz
JAMA. 2007;297(10):1061-1062.
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Consent Policies and Rates of HIV Testing—Reply
Jeffrey D. Klausner, Nicola Zetola, and Mitchell H. Katz
JAMA. 2007;297(22):2479.
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