University of Hertfordshire

Keeping confidence: HIV and the criminal law from HIV service providers’ perspectives

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Keeping confidence : HIV and the criminal law from HIV service providers’ perspectives. / Dodds, Catherine; Weait, Matthew John; Bourne, Adam; Egede, Siri.

In: Critical Public Health, Vol. 25, No. 4, 10.07.2015, p. 410-426.

Research output: Contribution to journalArticlepeer-review

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Author

Dodds, Catherine ; Weait, Matthew John ; Bourne, Adam ; Egede, Siri. / Keeping confidence : HIV and the criminal law from HIV service providers’ perspectives. In: Critical Public Health. 2015 ; Vol. 25, No. 4. pp. 410-426.

Bibtex

@article{3fe2e45ef0564416b07274b7d3e18eb3,
title = "Keeping confidence: HIV and the criminal law from HIV service providers{\textquoteright} perspectives",
abstract = "We present qualitative research findings about how perceptions of criminal prosecutions for the transmission of HIV interact with the provision of high-quality HIV health and social care in England and Wales. Seven focus groups were undertaken with a total of 75 diverse professionals working in clinical and community-based services for people with HIV. Participants{\textquoteright} understanding of the law in this area was varied, with many knowing the basic requirements for a prosecution, yet lacking confidence in the best way to communicate key details with those using their service. Prosecutions for HIV transmission have influenced, and in some instances, disrupted the provision of HIV services, creating ambivalence and concern among many providers about their new role as providers of legal information. The way that participants approached the topic with service users was influenced by their personal views on individual and shared responsibility for health, their concerns about professional liability and their degree of trust in non-coercive health promotion approaches to managing public health. These findings reveal an underlying ambivalence among many providers about how they regard the interface between criminal law, coercion and public health. It is also apparent that in most HIV service environments, meaningful exploration of practical ethical issues is relatively rare. The data presented here will additionally be of use to managers and providers of HIV services in order that they can provide consistent and confident support and advice to people with HIV.",
keywords = "HIV, clinical care, criminal law",
author = "Catherine Dodds and Weait, {Matthew John} and Adam Bourne and Siri Egede",
note = "Post-print unavailable.",
year = "2015",
month = jul,
day = "10",
doi = "10.1080/09581596.2015.1019835",
language = "English",
volume = "25",
pages = "410--426",
journal = "Critical Public Health",
issn = "0958-1596",
publisher = "Routledge",
number = "4",

}

RIS

TY - JOUR

T1 - Keeping confidence

T2 - HIV and the criminal law from HIV service providers’ perspectives

AU - Dodds, Catherine

AU - Weait, Matthew John

AU - Bourne, Adam

AU - Egede, Siri

N1 - Post-print unavailable.

PY - 2015/7/10

Y1 - 2015/7/10

N2 - We present qualitative research findings about how perceptions of criminal prosecutions for the transmission of HIV interact with the provision of high-quality HIV health and social care in England and Wales. Seven focus groups were undertaken with a total of 75 diverse professionals working in clinical and community-based services for people with HIV. Participants’ understanding of the law in this area was varied, with many knowing the basic requirements for a prosecution, yet lacking confidence in the best way to communicate key details with those using their service. Prosecutions for HIV transmission have influenced, and in some instances, disrupted the provision of HIV services, creating ambivalence and concern among many providers about their new role as providers of legal information. The way that participants approached the topic with service users was influenced by their personal views on individual and shared responsibility for health, their concerns about professional liability and their degree of trust in non-coercive health promotion approaches to managing public health. These findings reveal an underlying ambivalence among many providers about how they regard the interface between criminal law, coercion and public health. It is also apparent that in most HIV service environments, meaningful exploration of practical ethical issues is relatively rare. The data presented here will additionally be of use to managers and providers of HIV services in order that they can provide consistent and confident support and advice to people with HIV.

AB - We present qualitative research findings about how perceptions of criminal prosecutions for the transmission of HIV interact with the provision of high-quality HIV health and social care in England and Wales. Seven focus groups were undertaken with a total of 75 diverse professionals working in clinical and community-based services for people with HIV. Participants’ understanding of the law in this area was varied, with many knowing the basic requirements for a prosecution, yet lacking confidence in the best way to communicate key details with those using their service. Prosecutions for HIV transmission have influenced, and in some instances, disrupted the provision of HIV services, creating ambivalence and concern among many providers about their new role as providers of legal information. The way that participants approached the topic with service users was influenced by their personal views on individual and shared responsibility for health, their concerns about professional liability and their degree of trust in non-coercive health promotion approaches to managing public health. These findings reveal an underlying ambivalence among many providers about how they regard the interface between criminal law, coercion and public health. It is also apparent that in most HIV service environments, meaningful exploration of practical ethical issues is relatively rare. The data presented here will additionally be of use to managers and providers of HIV services in order that they can provide consistent and confident support and advice to people with HIV.

KW - HIV

KW - clinical care

KW - criminal law

U2 - 10.1080/09581596.2015.1019835

DO - 10.1080/09581596.2015.1019835

M3 - Article

VL - 25

SP - 410

EP - 426

JO - Critical Public Health

JF - Critical Public Health

SN - 0958-1596

IS - 4

ER -