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Table 1 Legal contextual environment for people living with HIV

From: Associations between the legal context of HIV, perceived social capital, and HIV antiretroviral adherence in North America

Law, Policy, Regulation

Geographic Location of Study Site

Can

USA

PR

CA

HI

IL

MA

NJ

NY

NC

OH

TX

WA

Protective

Laws and regulations/policies that protect people living with HIV against discrimination

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Non-discrimination laws or regulations that specify protections for vulnerable subpopulations

Yes

No

The Americans with Disabilities Act (ADA) excludes drug users and sex workers.

Punitive

Laws, regulations or policies that present obstacles to access to prevention, treatment, care and support for vulnerable subpopulations

Yes

Yes, for drug users and sex workers.

HIV-specific restrictions on entry, stay or residence

No

No*

No*

No*

No*

No*

No*

No*

No*

No*

No*

No*

Laws that specifically criminalize HIV transmission or exposure

No

Yes

No

Yes

No

Yes

No

Yes

Yes

No

Yes

No

Laws that criminalize same-sex sexual activities between consenting adults

No

No

No

No

No

No

No

No

No

No

No

No

Laws deeming commercial sex work to be illegal

No

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Laws that impose compulsory treatment for people who use drugs and/or provide for death penalty for drug offences

No Data

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Laws that allow HIV-specific enhancements to sentencing for other crimes

No

Yes

No

No

No

No

Yes

No

Yes

Yes

Yes

No

Laws that criminalize exposure/transmission to other diseases**

No

Yes

No

No

No

Yes

Yes

No

No

No

Yes

No

Laws requiring HIV disclosure

Yes

Yes

No

Yes

No

Yes

No

Yes

Yes

Yes

Yes

No

Laws requiring HIV reporting

Yes

No

No

No

No

Yes

No

Yes

Yes

Yes

Yes

No

Number of HIV prosecutions since 1981

13

10

0

18

4

4

4

4

25

22

8

0

Sample Size

100

300

100

95

200

100

100

200

150

228

200

100

  1. Note: CA = California, Can = Canada, HI = Hawai’i, IL = Illinois, MA = Massachusetts, NC = North Carolina, NJ = New Jersey, NY = New York, OH = Ohio, PR = Puerto Rico, TX = Texas, WA = Washington, UNK = unknown, *United States laws that restrict entry, stay or residence based on HIV-status were repealed in January, 2010; **including communicable or contagious disease statutes that criminalize sexually transmitted infection exposure [27].