Attitudes towards involuntary incarceration for tuberculosis: a survey of Union members
Identifieur interne : 004282 ( Main/Exploration ); précédent : 004281; suivant : 004283Attitudes towards involuntary incarceration for tuberculosis: a survey of Union members
Auteurs : J. T. Denholm [France, Australie] ; J. J. Amon [États-Unis] ; R. O'Brien [France] ; A. Narain [France] ; S. J. Kim [France] ; A. El Sony [France, Soudan] ; M. E. Edginton [France]Source :
- The International journal of tuberculosis and lung disease [ 1027-3719 ] ; 2014.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Répression, Santé publique.
English descriptors
- KwdEn :
Abstract
BACKGROUND: Policies involving the use of involuntary incarceration for tuberculosis (TB) are highly ethically controversial. To encourage ethical reflection within the International Union Against Tuberculosis and Lung Disease (The Union), the Ethics Advisory Group (EAG) surveyed members regarding their attitudes and values relating to involuntary incarceration for TB. METHODS: Members of the Union TB section were invited to respond to an anonymous web-based survey. The survey included both multiple choice questions describing a range of scenarios regarding involuntary incarceration, and free-text fields inviting respondents to provide general comments on ethical issues. RESULTS: The survey was completed by 194 participants, 33 (17%) of whom were opposed to involuntary incarceration on principle. The age and sex of the respondents was not associated with likelihood of principled opposition; respondents from North America were least likely to be opposed to involuntary incarceration (P = 0.02). Respondents were most likely to consider involuntary incarceration for persons with known multidrug-resistant TB or a history of previous treatment default, and least likely where people lived alone, were university-educated or the main income provider for their families. CONCLUSION: This survey found a wide range of viewpoints regarding involuntary incarceration, and highlights a number of key elements in ethical engagement with the tensions surrounding involuntary incarceration. We provide commentary on approaches to ethical policy making in the light of these findings.
Affiliations:
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T." last="Denholm">J. T. Denholm</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Ethics Advisory Group, International Union Against Tuberculosis and Lung Disease</s1><s2>Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Victorian Infectious Disease Service, Royal Melbourne Hospital, at the Peter Doherty Institute for Infection and Immunity</s1><s2>Parkville, Victoria</s2><s3>AUS</s3><sZ>1 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Parkville, Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Amon, J J" sort="Amon, J J" uniqKey="Amon J" first="J. J." last="Amon">J. J. Amon</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Health and Human Rights Division, Human Rights Watch</s1><s2>New York, New York</s2><s3>USA</s3><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="O Brien, R" sort="O Brien, R" uniqKey="O Brien R" first="R." last="O'Brien">R. O'Brien</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Ethics Advisory Group, International Union Against Tuberculosis and Lung Disease</s1><s2>Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Narain, A" sort="Narain, A" uniqKey="Narain A" first="A." last="Narain">A. Narain</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Ethics Advisory Group, International Union Against Tuberculosis and Lung Disease</s1><s2>Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Kim, S J" sort="Kim, S J" uniqKey="Kim S" first="S. J." last="Kim">S. J. Kim</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Ethics Advisory Group, International Union Against Tuberculosis and Lung Disease</s1><s2>Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="El Sony, A" sort="El Sony, A" uniqKey="El Sony A" first="A." last="El Sony">A. El Sony</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Ethics Advisory Group, International Union Against Tuberculosis and Lung Disease</s1><s2>Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>The Epidemiology Laboratory (Epi-Lab)</s1><s2>Khartoum</s2><s3>SDN</s3><sZ>6 aut.</sZ></inist:fA14><country>Soudan</country><wicri:noRegion>The Epidemiology Laboratory (Epi-Lab)</wicri:noRegion></affiliation></author><author><name sortKey="Edginton, M E" sort="Edginton, M E" uniqKey="Edginton M" first="M. E." last="Edginton">M. E. Edginton</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Ethics Advisory Group, International Union Against Tuberculosis and Lung Disease</s1><s2>Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j" type="main">The International journal of tuberculosis and lung disease</title><title level="j" type="abbreviated">Int. j. tuberc. lung dis.</title><idno type="ISSN">1027-3719</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">The International journal of tuberculosis and lung disease</title><title level="j" type="abbreviated">Int. j. tuberc. lung dis.</title><idno type="ISSN">1027-3719</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Attitude</term><term>Carceral environment</term><term>Ethics</term><term>Prisoner</term><term>Public health</term><term>Repression</term><term>Respiratory disease</term><term>Surveillance</term><term>Survey</term><term>Transmission</term><term>Tuberculosis</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Tuberculose</term><term>Pathologie de l'appareil respiratoire</term><term>Attitude</term><term>Milieu carcéral</term><term>Répression</term><term>Prisonnier</term><term>Enquête</term><term>Surveillance</term><term>Ethique</term><term>Santé publique</term><term>Transmission</term><term>Incarcération</term><term>Droits fondamentaux</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Répression</term><term>Santé publique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">BACKGROUND: Policies involving the use of involuntary incarceration for tuberculosis (TB) are highly ethically controversial. To encourage ethical reflection within the International Union Against Tuberculosis and Lung Disease (The Union), the Ethics Advisory Group (EAG) surveyed members regarding their attitudes and values relating to involuntary incarceration for TB. METHODS: Members of the Union TB section were invited to respond to an anonymous web-based survey. The survey included both multiple choice questions describing a range of scenarios regarding involuntary incarceration, and free-text fields inviting respondents to provide general comments on ethical issues. RESULTS: The survey was completed by 194 participants, 33 (17%) of whom were opposed to involuntary incarceration on principle. The age and sex of the respondents was not associated with likelihood of principled opposition; respondents from North America were least likely to be opposed to involuntary incarceration (P = 0.02). Respondents were most likely to consider involuntary incarceration for persons with known multidrug-resistant TB or a history of previous treatment default, and least likely where people lived alone, were university-educated or the main income provider for their families. CONCLUSION: This survey found a wide range of viewpoints regarding involuntary incarceration, and highlights a number of key elements in ethical engagement with the tensions surrounding involuntary incarceration. We provide commentary on approaches to ethical policy making in the light of these findings.</div></front></TEI><affiliations><list><country><li>Australie</li><li>France</li><li>Soudan</li><li>États-Unis</li></country><region><li>État de New York</li><li>Île-de-France</li></region><settlement><li>Paris</li></settlement></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Denholm, J T" sort="Denholm, J T" uniqKey="Denholm J" first="J. T." last="Denholm">J. T. Denholm</name></region><name sortKey="Edginton, M E" sort="Edginton, M E" uniqKey="Edginton M" first="M. E." last="Edginton">M. E. Edginton</name><name sortKey="El Sony, A" sort="El Sony, A" uniqKey="El Sony A" first="A." last="El Sony">A. El Sony</name><name sortKey="Kim, S J" sort="Kim, S J" uniqKey="Kim S" first="S. J." last="Kim">S. J. Kim</name><name sortKey="Narain, A" sort="Narain, A" uniqKey="Narain A" first="A." last="Narain">A. Narain</name><name sortKey="O Brien, R" sort="O Brien, R" uniqKey="O Brien R" first="R." last="O'Brien">R. O'Brien</name></country><country name="Australie"><noRegion><name sortKey="Denholm, J T" sort="Denholm, J T" uniqKey="Denholm J" first="J. T." last="Denholm">J. T. Denholm</name></noRegion></country><country name="États-Unis"><region name="État de New York"><name sortKey="Amon, J J" sort="Amon, J J" uniqKey="Amon J" first="J. J." last="Amon">J. J. Amon</name></region></country><country name="Soudan"><noRegion><name sortKey="El Sony, A" sort="El Sony, A" uniqKey="El Sony A" first="A." last="El Sony">A. El Sony</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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