Marriage and Fertility Issues: Ethical Dilemma Faced by Gay with HIV/AIDS in the Context of Chinese Culture

Lin Zhang,Hongzhou Lu,Zheng Zhu,Meiyan Sun,Lei Shen,Wei-Ti Chen,Wenxiu Sun

doi:10.23937/2643-4512/1710021

Abstract

Acquired Immunodeficiency Syndrome (AIDS) is a kind of serious infectious disease caused by Human Immunodeficiency Virus (HIV). In the report of World AIDS Day of 2015, the UNAIDS estimated that there are 3690 million HIV affected people and AIDS patients, including 200 million people newly infected with HIV and 1.2 million AIDS-related death that year. There are 15.8 million people living with HIV were accessing antiretroviral therapy as of June 2015.

Highlights

Acquired Immunodeficiency Syndrome (AIDS) is a kind of serious infectious disease caused by Human Immunodeficiency Virus (HIV) [1,2]
In China, forced by traditional stresses, most of gay with HIV need to step into marriage status and give
The analysis on the problems of marriage and births of gay with HIV from the perspective of bioethics has the assignable theoretical and practical significance; and the researcher do not know how to give answers when asked about marriage and births, so the answers are like these: 1) Tell them when wives are not infected by HIV, the probability of giving birth to healthy offspring will be big by prophylactic use of drug; 2) If the gay with HIV do not get married, ask him to think whether he love this woman who married with him; 3) If he was married, ask him can he provide a complete family and future to kids or not; 4) Advise the couples to be open-minded about the treatment to pregnant, the most important thing is to live your life well

Summary

Introduction

Acquired Immunodeficiency Syndrome (AIDS) is a kind of serious infectious disease caused by Human Immunodeficiency Virus (HIV) [1,2]. Gay men suffer dual pressures of HIV infection and not accepted by social, and they have to face social difficulties, personality difficulties, emotional difficulties as well as marriage difficulties Except for that, they have to deal with dilemma of responsibility and love while married men are despised among homosexuals. For the gay men entered heterosexual marriages, they may have sexual relations with opposite sex led the innocent women infected with HIV These “wives of homosexuals” have become a potential threat of the rising spread of AIDS [8]. In the families with single HIV-positive (husbands are HIV infected, wives are uninfected), if wives accept exposure and post exposure treatment, it is possible to have given birth a healthy offspring When these “gay men” with AIDS consult fertility problems with nurses, the nurses knew their marriages are not based on love only because of “continuing family generation” or other reasons. In applying these edicts, when is it necessary to break confidentiality and privacy?

The Research Study

Mr A and Mr B

Analysis from Gay Men Infected with HIV

Ethical dilemmas

Summary