Systematic review of research focused on pregnant and postpartum women living with HIV: A relational ethics perspective.
Historically, maternal HIV research has focused on prevention of mother‐to‐child transmission and child outcomes, with little focus on the health outcomes of mothers. Over the course of the HIV epidemic, the approach to including pregnant women in research has shifted. The current landscape lends it...
| Publicado en: | Bioethics Vol. 35; no. 8; pp. 829 - 839 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Wiley-Blackwell
Oct2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=152761708&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 152761708 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 02699702 6PJ jtl: Bioethics issn: 02699702 maglogo: Y pubinfo: dt: Oct2021 vid: 35 iid: 8 pid: 480 pub: Wiley-Blackwell artinfo: ui: 152761708 10.1111/bioe.12917 ppf: 829 ppct: 10 formats: tig: atl: Systematic review of research focused on pregnant and postpartum women living with HIV: A relational ethics perspective. aug: au: Weber, Alison Z. Harrison, Abigail Pellowski, Jennifer A. affil: Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence RI International Health Institute, Brown University School of Public Health, Providence RI su: Health policy Pregnancy & psychology Human research subjects Patient participation Psychology of mothers Government regulation Public health Research ethics Patient compliance Needs assessment Medical research Clinical drug trials HIV infections Systematic reviews Antiretroviral agents Puerperium Psychology of HIV-positive persons sug: subj: Health policy Pregnancy & psychology Human research subjects Patient participation Psychology of mothers Government regulation Public health Research ethics Patient compliance Needs assessment Medical research Pharmaceutical and medicine manufacturing Administration of Public Health Programs Research and Development in the Physical, Engineering, and Life Sciences (except Biotechnology) Health and Welfare Funds Clinical drug trials HIV infections Systematic reviews Antiretroviral agents Puerperium Psychology of HIV-positive persons keyword: adherence empirical ethics HIV maternal health retention adherence empirical ethics HIV maternal health retention ab: Historically, maternal HIV research has focused on prevention of mother‐to‐child transmission and child outcomes, with little focus on the health outcomes of mothers. Over the course of the HIV epidemic, the approach to including pregnant women in research has shifted. The current landscape lends itself to reviewing the public health ethics of this research. This systematic review aims to identify ethical barriers and considerations for including pregnant and postpartum women living with HIV in treatment adherence and retention research. We completed a systematic literature review following PRISMA guidelines with analysis using a relational ethics perspective. The included studies (n = 7) identified ethical barriers related to (a) women research participants as individuals, (b) partner and family dynamics, (c) community perspectives on research design and conduct, and (d) policy and regulatory implications. These broader contextual factors will yield research responsive to, and respectful of, the needs of pregnant and postpartum women living with HIV. While current regulatory and policy environments may be slow to change, actions can be taken now to foster enabling environments for research. We suggest that a relational approach to public health ethics can best support the needs of pregnant and postpartum women living with HIV; acknowledging this population as systematically disadvantaged and inseparable from their communities will best support the health of this population. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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