AIDS & Public Policy Journal 6, no. 3 (Fall 1991): 135-41
Robert J. Buchanan et al.
The purpose of this article is to present the results of a study of state legislators who were surveyed about their attitudes on Medicaid coverage of AIDS-related care and the difficult choices on the allocation of Medicaid spending among competing health-care demands. A descriptive analysis of survey responses is prov
AIDS & Public Policy Journal 6, no. 3 (Fall 1991): 130-4
Inge B. Corless and Michael J. Belyea
Data that reflect the potential for sexual or intravenous exposure to HIV can be useful in targeting populations and localities for AIDS prevention education when seroprevalence data are not available. The purpose of this study is to identify proxy measures (measures indicating the potential for HIV exposure) among dat
AIDS & Public Policy Journal 6, no. 3 (Fall 1991): 125-9
Nancy E. Moss et al.
This article reports on the use of medical-care services and related charges for patients with HIV-symptomatic disease attending six California hospital clinics. Particular attention is paid to the components of outpatient charges, since outpatient care may be especially important for HIV patients who have not progress
AIDS & Public Policy Journal 6, no. 3 (Fall 1991): 121-4
W. Robert Lange, Carlos S. Contoreggi, and John C. Ball
The distribution of AIDS cases is not uniform on a global basis. As of January 1991, 60 percent of reported cases occurred in the Western Hemisphere, down from 70 percent two years earlier. In the Western Hemisphere, the United States accounts for 82 percent of the cases, and four countries (the US,
AIDS & Public Policy Journal 6, no. 3 (Fall 1991): 116-20
Daniel Fernando
My ethnographic experience among IVDUs has clearly demonstrated that needle sharing is driven by the legal restrictions on access to sterile syringes and the criminalization of drug paraphernalia possession, which limit the supply and raise the price of syringes in the illegal market. This forces IVDUs to use any avail
AIDS & Public Policy Journal 6, no. 3 (Fall 1991): 109-15
Edward H. Kaplan
This article offers a new approach to evaluating needle-exchange programs that employs the needles themselves as primary data. Via syringe tracking and testing (STT) it is possible to obtain rapid and relatively unobtrusive estimates of needle sharing, needle-return rates and circulation times, and changes in the rate
AIDS & Public Policy Journal 6, no. 3 (Fall 1991): 107-8
Alvin Novick
In the multiple realms that are encompassed by AIDS and public policy, much of the work and much of the inspiration for envisioning and implementing policy is done by an array of players. Many of them are academic scholars, many are professionals in applied fields, and many are neither. I believe we need an enhanced fo
AIDS & Public Policy Journal 6, no. 2 (Summer 1991): 98-103
Abdolazim Houshyar
This article sets forth a methodology for analyzing the costs and benefits of an intervention policy aimed at slowing the AIDS epidemic by screening pregnant women in high-risk regions of the United States . In particular, it focuses on the effect of a program of voluntary, confidential screening followed by voluntary
AIDS & Public Policy Journal 6, no. 2 (Summer 1991): 91-97
Anne C. Hartwig and Jane D. Eckland
The goal of this study was to examine the opinions of state education administrators regarding HIV-positive children and their admission to public schools. Underlying this examination is the notion that persons knowledgeable about AIDS and HIV infection are key to the process of policy development. First, the attitudes
AIDS & Public Policy Journal 6, no. 2 (Summer 1991): 88-89
Don C. Des Jarlais
The AIDS epidemic among intravenous drug users in developed and developing countries has greatly increased interest in the details of illicit drug use. Thus it may be possible to greatly reduce the transmission of HIV by preventing the sharing of drug injection equipment, without necessarily having to reduce the use of
AIDS & Public Policy Journal 6, no. 2 (Summer 1991): 83-7
Ernestine S. Pantel
This article examines three questions that must be answered in order to develop and make available a responsive home- and community-based component in a comprehensive, long-term care system for persons with HIV-related illnesses: 1) What service model will form the framework for system design? 2) How will access to the
AIDS & Public Policy Journal 6, no. 2 (Summer 1991): 76-82
Paul A. Landsbergis, Ronald L. Caplan, and Michael Greenberg
This article reviews current union activities and policies on AIDS nationwide, describes the results of a pilot survey of AIDS-related union policies and activities in New Jersey, and discusses the policy implications of these national trends and survey results for union activities. (Our companion study of New Jersey b
AIDS & Public Policy Journal 6, no. 2 (Summer 1991): 69-75
John Leonard and Robert W. Wood
AIDS Policy Reports is a series of documents on AIDS public policy issues recently produced by the Seattle-King County Department of Public Health. These reports are not scholarly analyses of the sort generally published in the AIDS & Public Policy Journal, nor are they lengthy legal or procedural documents of the
AIDS & Public Policy Journal 6, no. 2 (Summer 1991): 64-68
Mark Barnes et al.
In a new program initiative, the AIDS Institute of the New York State Department of Health (NYSDOH) surveyed these civil surgeons to determine HIV counseling and testing practices in their offices and provided the civil surgeons with education on HIV counseling, testing, and treatment. More than one-fourth of the prov
AIDS & Public Policy Journal 6, no. 2 (Summer 1991): 59-63
J. Curtis McMillen and Victor Groze
The purpose of this article is to provide an overview of the child welfare policy dilemmas created by the difficulty in diagnosing HIV infection in infants and young children and to make some limited policy recommendations.
AIDS & Public Policy Journal 6, no. 1 (Spring 1991): 46-53
Abdolazim Houshyar
This article presents a simple, dynamic model for predicting the spread of human immunodeficiency virus (HIV) infection in populations of gay men. The effect of voluntary screening of high-risk men on the spread of the virus will be studied. The model allows variation of any of the parameters, and their effects on the
AIDS & Public Policy Journal 6, no. 1 (Spring 1991): 41-45
J. Charrel et al.
Over the years of the epidemic, the initial state of shock has subsided, and the world is beginning to learn to live with AIDS. It now seems possible to adopt a calmer, more rational, and more constructive approach to these ethical problems. In our public health laboratory, we became interested in all of the ethical pr
AIDS & Public Policy Journal 6, no. 1 (Spring 1991): 37-40
C. Manuel et al.
In relation to AIDS and health-care providers, legal requirements amount to little: what is to be found in the relevant texts concerns recommendations on precautions to be observed when treating infected patients and the conditions that define professional illness and/or professional accidents among health-care workers
AIDS & Public Policy Journal 6, no. 1 (Spring 1991): 31-36
C. Manuel et al.
AIDS has deeply disturbed our ideas about our society and ourselves and has thus given us the opportunity to rediscover the world. Throughout history, faced with successive threats to its cohesion, our social organization has always hesitated between two solutions: the elimination of risk factors and the protection of
AIDS & Public Policy Journal 6, no. 1 (Spring 1991): 28-30
M.P. Larher et al.
The concept of medical confidentiality is intertwined with the notion that the physician-patient relationship is a private one. Government intervention in the field of health has, first, modified this relationship by obliging physicians to serve the public health (by mandating the reporting of patients contagious disea
AIDS & Public Policy Journal 6, no. 1 (Spring 1991): 25-27
D. Reviron et al.
This article concentrates on the ethical approach to the problems of prevention. We will first review the publications and legislation aimed at protecting blood product recipients. We will then define the various conflicting opinions and measures proposed in literature for protecting the blood donor. Lastly, we will re
AIDS & Public Policy Journal 6, no. 1 (Spring 1991): 15-24
Alfred J. Fortin
This article consists of four separate but related discussions that are all motivated by an interest in how medical ethics has come to address the issues that are emerging from recent AIDS research in the Third World. These discussions are meant to explore the political character of medical ethics, paying particular at
AIDS & Public Policy Journal 6, no. 1 (Spring 1991): 3-14
Rupert E.D. Whitaker and Richard K. Edwards
This article analyzes technical and methodological issues underlying the U.S. HIV testing program; develops the model in terms of its specified data premises, the sources of which are assessed; and presents the results of an analysis using the model, which are evaluated in terms of their adequacy in answering the polic
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