Testing for sexually transmitted infections in a population-based sexual health survey: development of an acceptable ethical approach
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
N. Field, C. Tanton, C. H. Mercer, S. Nicholson, K. Soldan, S. Beddows, C. Ison, A. M. Johnson & P. Sonnenberg
Journal of Medical Ethics 38 (6):380-382 (2012)
Population-based research is enhanced by biological measures, but biological sampling raises complex ethical issues. The third British National Survey of Sexual Attitudes and Lifestyles (Natsal-3) will estimate the population prevalence of five sexually transmitted infections (STIs) (Chlamydia trachomatis, Neisseria gonorrhoeae, human papillomavirus (HPV), HIV and Mycoplasma genitalium) in a probability sample aged 16–44 years. The present work describes the development of an ethical approach to urine testing for STIs, including the process of reaching consensus on whether to return results. The following issues were considered: (1) testing for some STIs that are treatable and for which appropriate settings to obtain free testing and advice are widely available (Natsal-3 provides all respondents with STI and healthcare access information), (2) limits on test accuracy and timeliness imposed by survey conditions and sample type, (3) testing for some STIs with unknown clinical and public health implications, (4) how a uniform approach is easier to explain and understand, (5) practical difficulties in returning results and cost efficiency, such as enabling wider STI testing by not returning results. The agreed approach, to perform voluntary anonymous testing with specific consent for five STIs without returning results, was approved by stakeholders and a research ethics committee. Overall, this was acceptable to respondents in developmental piloting; 61% (68 of 111) of respondents agreed to provide a sample. The experiences reported here may inform the ethical decision making of researchers, research ethics committees and funders considering population-based biological sampling
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
No citations found.
Similar books and articles
Anne Williams (2010). The Morning–After Pill. Human Reproduction and Genetic Ethics 13 (1):8-36.
M. Guedj (2006). Do French Lay People and Health Professionals Find It Acceptable to Breach Confidentiality to Protect a Patient's Wife From a Sexually Transmitted Disease? Journal of Medical Ethics 32 (7):414-419.
Alan J. Kearns, Dónal P. O'mathúna & P. Anne Scott (2010). Diagnostic Self-Testing: Autonomous Choices and Relational Responsibilities. Bioethics 24 (4):199-207.
Joann Keyton & Steven C. Rhodes (1997). Sexual Harassment: A Matter of Individual Ethics, Legal Definitions, or Organizational Policy? [REVIEW] Journal of Business Ethics 16 (2):129-146.
Harold W. Jaffe (2009). Increasing Knowledge of Hiv Infection Status Through Opt-Out Testing. Journal of Bioethical Inquiry 6 (2):229-233.
Lainie Friedman Ross (2002). Predictive Genetic Testing for Conditions That Present in Childhood. Kennedy Institute of Ethics Journal 12 (3):225-244.
Claudia Wild (2008). Polymorphism-Screening: Genetic Testing for Predisposition—Guidance for Technology Assessment. [REVIEW] Poiesis and Praxis 5 (1):1-14.
Elizabeth J. Letourneau & Charles M. Borduin (2008). The Effective Treatment of Juveniles Who Sexually Offend: An Ethical Imperative. Ethics and Behavior 18 (2 & 3):286 – 306.
Kristin Janssens, Marleen Bosmans, Els Leye & Marleen Temmerman (2006). Sexual and Reproductive Health of Asylum-Seeking and Refugee Women in Europe: Entitlements and Access to Health Services. Journal of Global Ethics 2 (2):183 – 196.
Chris MacDonald & Bryn Williams-Jones (2002). Ethics and Genetics: Susceptibility Testing in the Workplace. [REVIEW] Journal of Business Ethics 35 (3):235 - 241.
John Levi Martin & Matt George (2006). Theories of Sexual Stratification: Toward an Analytics of the Sexual Field and a Theory of Sexual Capital. Sociological Theory 24 (2):107 - 132.
Peter Budetti (1992). Universal Health Care Coverage – Pitfalls and Promise of an Employment-Based Approach. Journal of Medicine and Philosophy 17 (1):21-32.
Added to index2012-01-18
Total downloads8 ( #389,570 of 1,902,050 )
Recent downloads (6 months)4 ( #205,572 of 1,902,050 )
How can I increase my downloads?