2009
DOI: 10.1377/hlthaff.28.6.1655
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Transforming Social Structures And Environments To Help In HIV Prevention

Abstract: Interest in social and structural interventions for HIV prevention is growing.Such approaches modify social norms, institutions, laws, and policies to reduce vulnerability and create environments in which individuals can protect themselves against HIV infection. Examples include expanding access to sterile syringes for injecting drug users and subsidizing stable housing for low-income people. Evidence of the effectiveness of such interventions is emerging despite scientific and political obstacles to their dev… Show more

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Cited by 77 publications
(61 citation statements)
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“…[61] These interventions typically attempt to change the environment in which people engage in health-related behaviors- often by enacting policy or legislation, empowering communities and groups, enabling environmental changes; shifting harmful social norms; or catalyzing social and political change. [62], [63] Earlier structural interventions that employed community mobilization strategies and government policy initiatives have been associated with increased condom use and decreased STI rates. [64], [65], [66] More recently, investigators in India used community mobilization strategies to reduce violence, harassment, stigma, and discrimination against sex workers to reduce this population's vulnerability to HIV and other STIs.…”
Section: Interventions For Preventing Hiv Infection Among Womenmentioning
confidence: 99%
“…[61] These interventions typically attempt to change the environment in which people engage in health-related behaviors- often by enacting policy or legislation, empowering communities and groups, enabling environmental changes; shifting harmful social norms; or catalyzing social and political change. [62], [63] Earlier structural interventions that employed community mobilization strategies and government policy initiatives have been associated with increased condom use and decreased STI rates. [64], [65], [66] More recently, investigators in India used community mobilization strategies to reduce violence, harassment, stigma, and discrimination against sex workers to reduce this population's vulnerability to HIV and other STIs.…”
Section: Interventions For Preventing Hiv Infection Among Womenmentioning
confidence: 99%
“…There are a number of plausible explanations for this conceptual jump from structure to individual, including the dominance of psychological perspectives in US behavioural models, limited conceptual and empirical resources, the relative ease of implementing individual-focused programmes in under-resourced areas, political palatability and the ability to easily quantify and quickly capture positive change (Auerbach 2009, Gupta et al 2008). An additional piece to this puzzle can be found in the unsafe ⁄ safe sex link in the causal model.…”
Section: Resultsmentioning
confidence: 99%
“…Concern has been raised by a number of scholars about the behavioural and structural impediments to HIV prevention efforts to date [21][22][23][24][25]. In the developing world, HIV prevention has been characterized as a "failure" by some… Some have argued for a shift in prevention priorities [26], with others [27] "unsatisfactory results" of interventions that rely on behaviour change account for the failure.…”
Section: Discussionmentioning
confidence: 99%