Introduction to HIV criminalisation

How criminalisation harms individuals and communities

10 Reasons Why Criminalisation of HIV Exposure or Transmission Harms Women

Argues that applying criminal law to HIV exposure or transmission does nothing to address the epidemic of gender-based violence or the deep economic, social, and political inequalities that are at the root of women’s and girls’ disproportionate vulnerability to HIV.

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Criminalizing consensual sexual behaviour in the context of HIV: Consequences, evidence, and leadership

Provides an overview of the use of the criminal law to regulate sexual behaviour in three areas, including HIV exposure during consensual sex. The paper highlights negative effects of HIV criminalisation and argues that strong institutional leadership from UN agencies is required.

HIV Futures Seven: The Health and Wellbeing of HIV Positive People in Australia

Survey of people living with HIV found 30% were concerned about disclosing their sexual practices to service provider (and 13% were uncertain) ‘because of the current legal situation’.

Nondisclosure prosecutions and HIV prevention: Results from an Ottawa-based gay men’s sex survey

Details the relationships between nondisclosure prosecutions and STI/HIV testing practices. Only a minority of survey participants reported that HIV criminal prosecutions affected their willingness to get tested for HIV, or made them afraid to speak with nurses and physicians about their sexual practices. However, that group may also be at higher risk of HIV infection, reporting higher rates of unprotected penetrative anal intercourse and internal ejaculation with (on average) a higher number of different sexual partners within the previous two months. This same group also reported less STI/HIV testing and a preference for anonymous HIV testing.

The impact of criminalization of HIV non-disclosure on the healthcare engagement of women living with HIV in Canada: A comprehensive review of the evidence

Concludes that HIV-related criminal laws either fail to influence or increase STI testing avoidance, unprotected anonymous sexual contacts, and avoidance of health care because respondents do not feel safe speaking with health professionals. Suggests HIV-related criminal laws compromise public health and clinicians’ abilities to establish therapeutic relationships and to undertake HIV prevention and treatment work.

Keeping Confidence: HIV and the criminal law from service provider perspectives

Based on discussions with 75 service providers, this study found that criminalisation has influenced, and sometimes disrupted provision of HIV services, creating ambivalence and concern among many providers about their new role as providers of legal information. Service providers’ approach were influenced by their personal views on shared responsibility for health, concerns about professional liability and their degree of trust in non-coercive approaches to managing public health.

Impacts of criminalization on the everyday lives of people living with HIV in Canada

Based on interviews with people living with HIV, participants reported that HIV prosecutions had created a heightened sense of fear, vulnerability and stigma – “consequences that can run contrary to the ostensible objective of discouraging behaviour likely to transmit HIV.”

HIV Criminalization in California: What We Know

Highlights significant findings about Californian criminal law including that more than 800 people have come in contact with California’s criminal system based on their HIV status, with 93% of convictions requiring no proof of conduct likely to transmit HIV. Also finds HIV criminal statutes are disparately enforced based on race/ethnicity, sexuality and gender.

Prevalence and predictors of facing a legal obligation to disclose HIV serostatus to sexual partners among people living with HIV who inject drugs in a Canadian setting:a cross-sectional analysis

Observes that if both condom use and a low viral load are required to avoid criminal liability for HIV nondisclosure, many people living with HIV who inject drugs risk criminal prosecution if they do not disclose their HIV serostatus to sexual partners. Further, the article finds that Canadian law disproportionately impacts the most marginalized and vulnerable women living with HIV in Canada.

Prosecution of non-disclosure of HIV status: Potential impact on HIV testing and transmission among HIV-negative men who have sex with men

Aims to quantify the potential impact of non-disclosure prosecutions on HIV testing and transmission among MSM. Found that fear of prosecution over HIV non-disclosure was reported to reduce HIV testing willingness by a minority of HIV-negative MSM in Toronto; however, this reduction had the potential to significantly increase HIV transmission at the community level which has important public health implications.

Anxiety about HIV criminalisation among people living with HIV in Australia

Drawing on cross-sectional data from 895 people living with HIV in Australia, this paper describes associations between standard measures of mental health and resilience with a newly devised scale measuring anxiety about HIV criminalisation. Findings suggest that laws criminalising HIV transmission have a broadly negative impact on wellbeing of people living with HIV, a situation that is exacerbated for gay and bisexual men, and other people living with HIV who may face intersecting forms of marginalisation based on race, gender or class.

Impact of Canadian human immunodeficiency virus non-disclosure case law on experiences of violence from sexual partners among women living with human immunodeficiency virus in Canada: Implications for sexual rights

Study measured the reported impact of HIV non-disclosure case law on violence from sexual partners among women living with human immunodeficiency virus in Canada. Findings bolster concerns that human immunodeficiency virus criminalisation is a structural driver of intimate partner violence, compromising sexual rights of women living with HIV. HIV non-disclosure case law intersects with other oppressions to regulate women’s sexual lives.

The National HIV Criminalization survey 2021

The National HIV Criminalization Study increases our understanding of the views and experiences of people living with HIV on laws that criminalize HIV transmission, exposure, and nondisclosure of HIV status. The data in this report summarize the experiences of PLHIV in the US. Data were collected by Sero Project and community partners from August to December 2021. A

Enforcement of HIV Criminalization in Arkansas

Using data obtained from the Arkansas Crime Information Center and the Information Network of Arkansas, this study examines the enforcement of HIV criminalization laws in Arkansas since 1989. It found that HIV-related crimes in Arkansas are disproportionately enforced based on race and sex and impact Black men the most.

Criminal Code reform of HIV non‑disclosure is urgently needed: Social science perspectives on the harms of HIV criminalization in Canada

In 2022, the government of Canada began a review of the criminal law regarding HIV non-disclosure and invited feedback from the public about potential reforms to the Criminal Code. In light of this public consultation, this commentary examines social science research from Canadian scholars that documents the intersecting damaging effects of HIV criminalization. Canadian social scientists and other researchers have shown that HIV criminalization is applied in uneven and discriminatory ways, impedes HIV prevention efforts, perpetuates HIV stigma, and has a damaging impact on the daily lives of people living with HIV. The article argues that there is an urgent need for reforms that will significantly restrict how the criminal law is applied to HIV non-disclosure