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Systematic review of research focused on pregnant and postpartum women living with HIV

A relational ethics perspective

Bibliographic Data

ID21504678
AuthorsAlison Z Weber (0000-0002-0892-9178, Department of Behavioral and Social Sciences Brown University School of Public Health Providence RI, corresponding author), Anna Harrison (0000-0002-1673-8486, Brown University), Abigail Harrison (0000-0003-1938-5513, Department of Behavioral and Social Sciences Brown University School of Public Health Providence RI), Jennifer A Pellowski (0000-0003-3316-4135, Department of Behavioral and Social Sciences Brown University School of Public Health Providence RI)
Year2021
Volume35
Issue8
Pages829-838
Publication date2021-10-01
Open AccessYes
TypeARTICLE
VenueBioethics (JOURNAL)
Journal identifiersISSN: 0269-9702 • E-ISSN: 1467-8519
PublisherWiley (PUBLISHER • GB)
DOI10.1111/bioe.12917
PMID34318957
OpenAlexW3184241535
LanguageEN
Citations received1
References cited5

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

Disadvantaged · Environmental health · Family medicine · MEDLINE · Political science · Population · Public health · Systematic review · Ethics in Clinical Research · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology · Gerontology

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    Open Access•Enicca Phillipine Mkhondo, A G Mudau et al.•AIDS Care•2026

  • Unethical Trials of Interventions to Reduce Perinatal Transmission of the Human Immunodeficiency Virus in Developing Countries

    Peter Lurie, Sidney M Wolfe•New England Journal of Medicine•1997

  • Consolidated criteria for reporting qualitative research (Coreq)

    A Jaure, A Tong et al.•International Journal for Quality…•2007

  • Women’s Views About a Paternal Consent Requirement for Biomedical Research in Pregnancy

    Open Access•Kristen Sullivan, Maggie Little et al.•Journal of Empirical Research on…•2018

  • Re-visioning Public Health Ethics

    Open Access•Nuala Kenny, Nuala P Kenny et al.•Canadian Journal of Public Health•2010

  • Determinants of depression and HIV-related worry among HIV-positive women who have recently given birth, Bangkok, Thailand

    Open Access•Anna Bennetts, Nathan Shaffer et al.•Social Science & Medicine•1999

Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo
Open DOIOpen Access
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