Abstract
This book on structural interventions for HIV prevention emphasizes the value of addressing the underlying environmental determinants of, facilitators of, and contributors toward unsafe behavior through structural interventions. Often used in combination with behavioral and biomedical interventions, structural interventions have the potential for greater reductions in HIV transmission due to their ability to reach entire populations rather than targeting individuals one at a time. To maximize effectiveness, when balancing among various structural, behavioral, and biomedical interventions, prevention practitioners should take into account the local epidemiology of HIV, social context, and feasibility. Moreover, they should design structural interventions that employ multiple approaches, pathways, and strategies to affect change.
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References
Adimora, A. A., & Auerbach, J. D. (2010). Structural interventions for HIV prevention in the United States. Journal of Acquired Immune Deficiency Syndromes, 55(Suppl 2), S132–S135.
Albarracin, D., Tannenbaum, M. B., Glasman, L. R., & Rothman, A. J. (2010). Modeling structural, dyadic, and individual factors: The inclusion and exclusion model of HIV related behavior. AIDS and Behavior, 14, S239–S249.
Avert. (2012). HIV testing in pregnancy. Retrieved February 3, 2012, from http://www.avert.org/hiv-testing-pregnancy.htm
Blankenship, K. M., Bray, S. J., & Merson, M. H. (2000). Structural interventions in public health. AIDS, 14(Suppl. 1), S11–S21.
Blankenship, K. M., Friedman, S. R., Dworkin, S., & Mantell, J. E. (2006). Structural interventions: Concepts, challenges and opportunities for research. Journal of Urban Health, 83(1), 59–72.
Cohen, D. A., & Scribner, R. (2000). An STD/HIV prevention intervention framework. AIDS Patient Care and STDs, 14(1), 37–45.
Connect to Protect. (2008). Structural change and youth HIV prevention: Addressing root causes. A connect to protect training guide. Retrieved May 14, 2012, from connect2protect.org/media/structural_change_guide_
Glick, P. (2005). Scaling up HIV voluntary counseling and testing in Africa: What can evaluation studies tell us about potential prevention impacts. Retrieved March 27, 2012, from http://papers.ssrn.com/sol3/papers.cfm?abstract_id = 780590
Gorbach, P. M., Ryan, C., Saphonn, V., & Detels, R. (2002). The impact of social, economic and political forces on emerging HIV epidemics. AIDS, 16(suppl 4), S35–S43.
Gupta, G. R., Parkhurst, J. O., Ogden, J. A., Aggleton, P., & Mahal, A. (2008). Structural approaches to HIV prevention. The Lancet, 372, 764–765.
Hedges, L. V., Johnson, W. D., Semaan, S., & Sogolow, E. (2002). Theoretical issues in the synthesis of HIV prevention research. Journal of AIDS, 30, S8–S14.
Katz, M. H. (2009). Structural interventions for addressing chronic health problems. Journal of the American Medical Association, 302(6), 683–685.
Latkin, C., Weeks, M. R., Glasman, L., Galletly, C., & Albarracin, D. (2010). A dynamic social systems model for considering structural factors in HIV prevention and detection. AIDS and Behavior, 14, S222–S238.
McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. Health Education Quarterly, 15(4), 351–377.
Norton, W. E., Amico, K. R., Cornman, D. H., Fisher, W. A., & Fisher, J. D. (2009). An agenda for advancing the science of implementation of evidence-based HIV prevention interventions. AIDS and Behavior, 13(3), 424–429.
Padian, N. S., McCoy, S. I., Karim, S. S., Hasen, N., Kim, J., Bartos, M., et al. (2011). HIV prevention transformed: The new prevention research agenda. The Lancet, 378, 269–278.
Parker, G. P. (1996). Empowerment, community mobilization and social change in the face of HIV/AIDS. AIDS, 10(suppl), S27–S31.
Parker, R. G., Easton, D., & Klein, C. H. (2000). Structural barriers and facilitators in HIV prevention: A review of international research. AIDS, 14(suppl 1), S22–S32.
Rotheram-Borus, M. J., Swendeman, D., & Chovnick, G. (2009). The past, present, and future of HIV prevention: Integrating behavioral, biomedical, and structural intervention strategies for the next generation of HIV prevention. Annual Review of Clinical Psychology, 5, 143–167.
Rotheram-Borus, M. J., Swendeman, D., Flannery, D., Rice, E., Adamson, D. M., & Ingram, B. (2009). Common factors in effective HIV prevention programs. AIDS and Behavior, 13(3), 399–408.
Shriver, M. D., Everett, C., & Morin, S. (2000). Structural interventions to encourage primary HIV prevention among people living with HIV. AIDS, 14(suppl 1), S57–S62.
Solomon, S., & Venkatesh, K. K. (2009). Chapter 20-Structural interventions in societal contexts. In HIV prevention: A comprehensive approach. Amsterdam, The Netherlands: Elsevier B.V.
Sumartojo, E. (2000). Structural factors in HIV prevention: Concepts, examples, and implications for research. AIDS, 14(suppl 1), S3–S10.
Sumartojo, E., Doll, L., Holgrave, D., Gayle, H., & Merson, M. (2000). Enriching the mix: Incorporating structural factors into HIV prevention. AIDS, 14(Suppl. 1), S1–S2.
Sweat, M. D., & Denison, J. A. (1995). Reducing HIV incidence in developing countries with structural and environmental interventions. AIDS, 9(Suppl. A), S251–S257.
UNAIDS. (2010). Getting to zero. Retrieved March 14, 2012, from www.unodc.org/documents/…/JC2034_UNAIDS_Strategy_en.pdf
Witt, S., & Ellen, J. (2004). Structural changes to prevent HIV: A compilation of potential strategies. Baltimore, MD: Johns Hopkins School of Medicine.
World Health Organization (WHO). (2011a). HIV prevention in generalized epidemics: Optimal interventions for global fund applications. Retrieved March 14, 2012, from whqlibdoc.who.int/publications/2011/9789241502467_eng.pdf
World Health Organization (WHO). (2011b). HIV/AIDS: HIV testing and counseling. Retrieved February 4, 2012, from http://www.who.int/hiv/topics/vct/about/en/index.html
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Golden, R., Collins, C., Cunningham, S., Newman, E., Card, J. (2013). Conclusion. In: Best Evidence Structural Interventions for HIV Prevention. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7013-7_6
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DOI: https://doi.org/10.1007/978-1-4614-7013-7_6
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