AIDS and Behavior

, Volume 17, Issue 6, pp 1915–1925 | Cite as

Theory, Measurement and Hard Times: Some Issues for HIV/AIDS Research

  • Samuel R. Friedman
  • Milagros Sandoval
  • Pedro Mateu-Gelabert
  • Diana Rossi
  • Marya Gwadz
  • Kirk Dombrowski
  • Pavlo Smyrnov
  • Tetyana Vasylyeva
  • Enrique R. Pouget
  • David Perlman
Original Paper

Abstract

Economic and political instability and related “big events” are widespread throughout the globe. Although they sometimes lead to epidemic HIV outbreaks, sometimes they do not—and we do not understand why. Current behavioural theories do not adequately address these processes, and thus cannot provide optimal guidance for effective intervention. Based in part on a critique of our prior “pathways” model of big events, we suggest that cultural–historical activity theory (CHAT) may provide a useful framework for HIV research in this area. Using CHAT concepts, we also suggest a number of areas in which new measures should be developed to make such research possible.

Keywords

Big events Hard times Cultural–historical activity theory Theory HIV Measurement 

Resumen

La inestabilidad económica y política y los “grandes eventos” asociados con ella están muy extendidas en todo el mundo. Los “grandes eventos” a veces conducen a brotes epidémicos de VIH, y a veces no, y no entendemos por qué. Las actuales teorías del comportamiento no abordan adecuadamente estos procesos, y por lo tanto no pueden proveer una óptima orientación para una efectiva intervención. Basándonos en parte en una crítica a nuestro modelo de las “vías” que se interconectan durante los grandes eventos, sugerimos que la Teoría de la Actividad Histórico-Cultural (CHAT en ingles) puede proporcionar un marco útil para la investigación del VIH en esta área. Utilizamos conceptos de CHAT y también sugerimos una serie de áreas en las que las nuevas medidas se deben desarrollar para hacer posible este tipo de investigación.

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Samuel R. Friedman
    • 1
  • Milagros Sandoval
    • 1
  • Pedro Mateu-Gelabert
    • 1
  • Diana Rossi
    • 2
    • 3
  • Marya Gwadz
    • 4
  • Kirk Dombrowski
    • 5
  • Pavlo Smyrnov
    • 6
  • Tetyana Vasylyeva
    • 7
  • Enrique R. Pouget
    • 1
  • David Perlman
    • 8
  1. 1.Institute of Infectious Diseases ResearchNational Development and Research Institutes, Inc.New YorkUSA
  2. 2.Intercambios Civil AssociationBuenos AiresArgentina
  3. 3.Social WorkUniversity of Buenos AiresBuenos AiresArgentina
  4. 4.New York University School of NursingNew YorkUSA
  5. 5.Department of AnthropologyJohn Jay College of Criminal JusticeNew YorkUSA
  6. 6.International HIV/AIDS Alliance in UkraineKyivUkraine
  7. 7.Department of Epidemiology at the School of Public HealthSUNY-AlbanyAlbanyUSA
  8. 8.Division of Infectious DiseasesBeth Israel Medical CenterNew YorkUSA

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