HIV Perspectives After 25 Years

Journal of Urban Health

, Volume 83, Issue 1, pp 59-72

First online:

Structural Interventions: Concepts, Challenges and Opportunities for Research

  • K. M. BlankenshipAffiliated withCenter for Interdisciplinary Research on AIDS, Yale University Email author 
  • , S. R. Friedman
  • , S. Dworkin
  • , J. E. Mantell

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Structural interventions refer to public health interventions that promote health by altering the structural context within which health is produced and reproduced. They draw on concepts from multiple disciplines, including public health, psychiatry, and psychology, in which attention to interventions is common, and sociology and political economy, where structure is a familiar, if contested, concept. This has meant that even as discussions of structural interventions bring together researchers from various fields, they can get stalled in debates over definitions. In this paper, we seek to move these discussions forward by highlighting a number of critical issues raised by structural interventions, and the subsequent implications of these for research.


HIV prevention Structural interventions