Mandatory Premarital Testing for Human Immunodeficiency Virus: The Illinois Experience
Turnock, Bernard J.
Kelly, Chester J.
JAMA. 1989 Jun 16; 261(23): 3415-3418.
Data obtained from the Illinois Department of Public Health were analyzed to assess the economic, social, and public health impact of legislatively mandated premarital HIV antibody testing that took effect in Illinois in January 1988. In the first six months of the program, eight seropositive individuals were identified out of 70,846 applicants for marriage licenses, at an estimated cost of $2.5 million. During the same period, the number of marriage licenses issued in Illinois decreased by 22.5% while increasing significantly in surrounding states. The authors conclude that mandatory or publicly supported HIV antibody screening in premarital and other low-prevalence populations is not cost effective. (KIE abstract)
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