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エイズケアにおける看護師協会哺乳と授乳に関する立場:HIV関連乳児の授乳決定における公平性,自主性,アクセス,および尊重の確保

Emily Anne Barr^1,2,3,4,5, Crystal Chapman Lambert^1,2,3,4,5, Bridgette Picou^1,2,3,4,5

¹Emily Anne Barr is an Associate Professor, formerly at the Cizik School of Nursing, UTHealth at Houston, Houston, Texas, USA, and currently at the University at Buffalo School of Nursing, Buffalo, New York, USA.

The Journal of the Association of Nurses in AIDS Care : JANAC

|September 2, 2025

まとめ

HIV感染者 (PWH) は,抗レトロウイルス治療を受けているとき,感染リスクが1%未満で,安心して母乳の授乳を行うことができます. この立場声明は,PWHに対する公平性,自主性,そして判断的でない支援を強調して,情報に基づいた乳児の栄養選択を提唱しています.

科学分野:

公衆衛生
感染症
母親と子供の健康

背景:

HIV感染者 (PWH) の乳児の栄養決定は進化しています.
ウイルスを抑制する抗レトロウイルス療法によるPWHの安全な授乳は,現在の証拠に裏付けられています.
歴史的な汚名や医療従事者の不一致が情報に基づいた選択を妨げています

研究の目的:

乳児の栄養決定に PWH の権利を主張する.
授乳カウンセリングのアクセス,公平性,自主性,尊重を提唱する.
PWHの乳児の栄養補助に害を軽減するアプローチを推進する.

主な方法:

これはエイズケアにおける看護師協会 (ANAC) の立場声明です.
PWHの乳児の栄養に関する現行臨床ガイドラインをレビューした.
教育,政策改革,研究に関する勧告を概説しています.

主要な成果:

PWHにおける持続的なウイルス抑制による抗レトロウイルス療法により,母乳経由の感染リスクは1%未満です.
汚名や不一致なメッセージや罰則的な脅迫は特に疎外されたコミュニティにとって重要な課題です
共同意思決定のモデルは証拠に基づいたガイドラインでサポートされています

結論:

看護師や臨床医は判断力のない根拠に基づいた支援を提供することに重要な役割を果たします
関係性のある意思決定に根ざした害の軽減アプローチは不可欠です
医療の提供を改善し,HIV感染者の家族に対する生殖に関する正義を支援するために,政策改革と実施研究が必要である.

キーワード:

HIV ウイルス HIV の汚名授乳倫理について健康に関する公平性乳児の食事習慣について人間関係に関する意思決定ウイルス抑制

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