Important note: Information in this article was accurate in 1995. The state of the art may have changed since the publication date.
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Reuters NewMedia, Inc. - 12 Nov 1995
"The data on physician attitudes raise the possibility that infants labeled as HIV-positive, whether infected or not, may suffer discrimination," according to the study published in the American Journal of Public Health.
Betty Wolder Levin, a public health expert at Brooklyn College, and her colleagues surveyed 1,508 neonatalogists -- newborn specialists -- in 1991, and found statistically significant differences in how they would hypothetically treat such babies.
For instance, 98 percent would recommend lifesaving cardiac surgery for a newborn with no risk for AIDS versus 93 percent for a baby whose mother was infected with the human immunodeficiency virus (HIV), which causes AIDS. And only half would recommend the surgery if the baby was known to be infected.
The discrepancies were even sharper for chronic dialysis for kidney illness.
The doctors generally believed the children at risk for AIDS would have short, poor-quality lives.
Since the survey in 1991, there have been improvements in preventing infection of babies and some successes in lengthening the lives of babies who do get AIDS. Those medical developments could change how doctors deal with these complex decisions.
In an accompanying editorial, Gordon Avery of the pediatrics department at George Washington University said the research "suggests that negative perceptions about AIDS may even shade the treatment of infants who are free of infection themselvs but who have been born to HIV-positive mothers."
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