OBJECTIVE: The purpose of this study was to assess informed consent to human immunodeficiency virus (HIV) testing in a perinatal HIV transmission study in a major referral hospital serving a largely Black population in South Africa. METHODS: First-time antenatal clinic attenders who were randomly selected from those enrolled in the perinatal HIV study (n = 56) answered questionnaires before and after counseling. RESULTS: Knowledge of HIV transmission and prevention, high at the outset, was little improved after counseling. The acceptance rate for HIV testing was high. Despite assurances that participation was voluntary, 88% of the women said they felt compelled to participate in the study. CONCLUSIONS: Informed consent in this setting was truly informed but not truly voluntary.
OBJECTIVE: The purpose of this study was to assess informed consent to human immunodeficiency virus (HIV) testing in a perinatal HIV transmission study in a major referral hospital serving a largely Black population in South Africa. METHODS: First-time antenatal clinic attenders who were randomly selected from those enrolled in the perinatal HIV study (n = 56) answered questionnaires before and after counseling. RESULTS: Knowledge of HIV transmission and prevention, high at the outset, was little improved after counseling. The acceptance rate for HIV testing was high. Despite assurances that participation was voluntary, 88% of the women said they felt compelled to participate in the study. CONCLUSIONS: Informed consent in this setting was truly informed but not truly voluntary.
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Keywords:
Biomedical and Behavioral Research; Empirical Approach; Health Care and Public Health; King Edward VIII Hospital (Durban)
Authors: Ruth D Ellis; Issaka Sagara; Anna Durbin; Alassane Dicko; Donna Shaffer; Louis Miller; Mahamadoun H Assadou; Mamady Kone; Beh Kamate; Ousmane Guindo; Michael P Fay; Dapa A Diallo; Ogobara K Doumbo; Ezekiel J Emanuel; Joseph Millum Journal: Am J Trop Med Hyg Date: 2010-10 Impact factor: 2.345
Authors: Gail E Henderson; Amy L Corneli; David B Mahoney; Daniel K Nelson; Charles Mwansambo Journal: J Empir Res Hum Res Ethics Date: 2007-06 Impact factor: 1.742