ArticleThe Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics2020
Whether to Waive Parental Permission in HIV Prevention Research Among Adolescents: Ethical and Legal Considerations.
Article in The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- The Use of Waivers of Guardian Permission in the United States for Pediatric Digital Health Intervention Research Since 2020: Systematic Review.Journal of medical Internet research · 2026Pooled it
- Community Stakeholders' Perspectives on Recruiting Young Adolescents (Age 10-14) in Sexual Health Research.Healthcare (Basel, Switzerland) · 2025Article
- Lessons Learned in Engaging Adolescents and Young Adults to End the US HIV Epidemic.Journal of acquired immune deficiency syndromes (1999) · 2025Article
- Engaging sexual minority adolescents in nationwide at-home HIV prevention research in the U.S.Preventive medicine reports · 2024Article
- Are Rights-Based Services Important? An Adolescent PrEP Demonstration Project in Brazil.Health and human rights · 2024Article
- Challenges in Arranging to Waive Parental Consent in HIV Prevention Studies of Adolescent Men Who have Sex with Men: The Case of HPTN 078.Journal of homosexuality · 2024Article
- Tailoring Sexual Health Research Practices to Meet the Needs of Adolescent Girls in Low- and Middle-Income Countries: Findings from Mexico.Adolescents (Basel, Switzerland) · 2024Article
- Thoughts of self-harm in adolescents: Relationship with violence in the Dominican Republic.PLOS global public health · 2024Article
- A Position Statement on Mpox as a Sexually Transmitted Disease.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023Article
- "[T]he laws need to change to reflect current society": Insights from stakeholders involved in development, review or implementation of policies about adolescent consent for HIV testing, care and research in Kenya.Journal of the International AIDS Society · 2023Article
- Parental waivers to enable adolescent participation in certain forms of health research: lessons from a South African case study.BMC medical ethics · 2022Article
- Validity of a three-item dating abuse victimization screening tool in a 11-21 year old sample.BMC pediatrics · 2022Article
- 'How come they don't talk about it in school?' Identifying adolescent barriers to PrEP use.Health education research · 2022Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
Critical ethical questions arise concerning whether studies among adolescents of new behavioral and biomedical HIV preventive interventions such as Pre-Exposure Prophylaxis (PrEP) should obtain parental permission. This paper examines the relevant regulations and ethical guidance concerning waivers of parental permission, and arguments for and against such waivers. Opponents of such waivers may argue that adolescent decision-making is "too immature" and that parents always have rights to decide how to protect their children. Yet requiring parental permission may put adolescents at risk, and/or limit adolescent participation, jeopardizing study findings' validity. This paper presents recommendations on when researchers and Institutional Review Boards (IRB) should waive parental permission, and what special protections should be adopted for adolescents who consent for themselves, e.g., assuring adolescent privacy and confidentiality, screening for capacity to consent, and identifying adolescents who are at elevated risk from study participation. We also present a series of specific areas for future research to design tools to help make these assessments, and to inform researcher and IRB decisions. These recommendations can help ensure that research is conducted that can aid adolescents at risk for HIV, while minimizing risks and protecting these individuals' rights as much as possible.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.