A Network-Individual-Resource Model for HIV Prevention

Abstract

HIV is transmitted through dyadic exchanges of individuals linked in transitory or permanent networks of varying sizes. To optimize prevention efficacy, a complementary theoretical perspective that bridges key individual level elements with important network elements can be a foundation for developing and implementing HIV interventions with outcomes that are more sustainable over time and have greater dissemination potential. Toward that end, we introduce a Network-Individual-Resource (NIR) model for HIV prevention that recognizes how exchanges of resources between individuals and their networks underlies and sustains HIV-risk behaviors. Individual behavior change for HIV prevention, then, may be dependent on increasing the supportiveness of that individual's relevant networks for such change. Among other implications, an NIR model predicts that the success of prevention efforts depends on whether the prevention efforts (1) prompt behavior changes that can be sustained by the resources the individual or their networks possess; (2) meet individual and network needs and are consistent with the individual's current situation/developmental stage; (3) are trusted and valued; and (4) target high HIV-prevalence networks.

Providing family planning services to remote communities in areas of high biodiversity through a Population-Health-Environment programme in Madagascar

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Behavioural interventions to reduce sexual risk for HIV in heterosexual couples: a meta-analysis

“…In the USA, two-thirds of new heterosexually transmitted infections were contracted by women 2. Heterosexual relationships are often characterised by a sexual division of power,4 shared resources5 and shared sexual networks,6 which can lead to increased heterosexual transmission of HIV 7…”

Weight Stigma in Healthcare Settings in the United Kingdom: A Review

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