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Clinical Pediatrics
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Complexities in HIV Consent in Adolescents

Wing Wah Ho, MD

Department of Pediatrics, Division of General Pediatrics, Mount Sinai School of Medicine, NY

Julie Brandfield, Esq

LegalHealth, New York Legal Assistance Group, NY

Randye Retkin, Esq

LegalHealth, New York Legal Assistance Group, NY

Danielle Laraque, MD

Department of Pediatrics, Division of General Pediatrics, Mount Sinai School of Medicine, NY

A large proportion of people infected with the human immunodeficiency virus (HIV) are adolescents. Unfortunately, there is no uniform policy on minors’ rights to consent to HIV testing and treatment. The process of obtaining consent is complex and depends on several factors, including individual state HIV laws and laws relating to a minor’s capacity to consent to general health care. These issues are particularly relevant given the growth of HIV in this population. In this review, the complex laws of informed consent and confidentiality surrounding HIV disease in adolescents are reviewed. Familiarity with these laws by the clinician is essential to halting the HIV epidemic in adolescents and will be underscored.

Clinical Pediatrics, Vol. 44, No. 6, 473-478 (2005)
DOI: 10.1177/000992280504400602
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