Le SIDA en Afrique subsaharienne (serveur d'exploration)

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<title xml:lang="en">A typology of structural approaches to HIV prevention</title>
<author>
<name sortKey="Tsai, Alexander C" sort="Tsai, Alexander C" uniqKey="Tsai A" first="Alexander C." last="Tsai">Alexander C. Tsai</name>
<affiliation>
<nlm:aff id="A1">Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts, United States</nlm:aff>
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<idno type="pmid">22877933</idno>
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<idno type="doi">10.1016/j.socscimed.2012.06.033</idno>
<date when="2012">2012</date>
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<title xml:lang="en" level="a" type="main">A typology of structural approaches to HIV prevention</title>
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<name sortKey="Tsai, Alexander C" sort="Tsai, Alexander C" uniqKey="Tsai A" first="Alexander C." last="Tsai">Alexander C. Tsai</name>
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<nlm:aff id="A1">Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts, United States</nlm:aff>
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<title level="j">Social science & medicine (1982)</title>
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<div type="abstract" xml:lang="en">
<p id="P1">Renewed enthusiasm for biomedical HIV prevention strategies has followed the recent publication of several high-profile HIV antiretroviral therapy-based HIV prevention trials. In a recent article,
<xref ref-type="bibr" rid="R79">Roberts & Matthews (2012)</xref>
accurately note some of the shortcomings of these individually targeted approaches to HIV prevention and advocate for increased emphasis on structural interventions that have more fundamental effects on the population distribution of HIV. However, they make some implicit assumptions about the extent to which structural interventions are user-independent and more sustainable than biomedical or behavioral interventions. In this article, I elaborate a simple typology of structural interventions along these two axes and suggest that they may be neither user-independent nor sustainable and therefore subject to the same sustainability concerns, costs, and potential unintended consequences as biomedical and behavioral interventions.</p>
</div>
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<journal-id journal-id-type="nlm-journal-id">8303205</journal-id>
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<journal-id journal-id-type="nlm-ta">Soc Sci Med</journal-id>
<journal-id journal-id-type="iso-abbrev">Soc Sci Med</journal-id>
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<journal-title>Social science & medicine (1982)</journal-title>
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<article-id pub-id-type="doi">10.1016/j.socscimed.2012.06.033</article-id>
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<article-title>A typology of structural approaches to HIV prevention</article-title>
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<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Tsai</surname>
<given-names>Alexander C.</given-names>
</name>
<xref ref-type="aff" rid="A1">*</xref>
<xref ref-type="corresp" rid="CR1">*</xref>
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<aff id="A1">
<label>*</label>
Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts, United States</aff>
<author-notes>
<corresp id="CR1">
<label>*</label>
Correspondence to: Center for Global Health, Room 1529-E3, Massachusetts General Hospital, 100 Cambridge Street, 15th floor, Boston, Massachusetts 02114.
<email>actsai@partners.org</email>
.</corresp>
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<pub-date pub-type="nihms-submitted">
<day>31</day>
<month>8</month>
<year>2012</year>
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<pub-date pub-type="epub">
<day>31</day>
<month>7</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="ppub">
<month>11</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>01</day>
<month>11</month>
<year>2013</year>
</pub-date>
<volume>75</volume>
<issue>9</issue>
<fpage>1562</fpage>
<lpage>1571</lpage>
<related-article related-article-type="commentary-article" xlink:href="22495513" ext-link-type="pmcid" id="ra1" xlink:type="simple"></related-article>
<abstract>
<p id="P1">Renewed enthusiasm for biomedical HIV prevention strategies has followed the recent publication of several high-profile HIV antiretroviral therapy-based HIV prevention trials. In a recent article,
<xref ref-type="bibr" rid="R79">Roberts & Matthews (2012)</xref>
accurately note some of the shortcomings of these individually targeted approaches to HIV prevention and advocate for increased emphasis on structural interventions that have more fundamental effects on the population distribution of HIV. However, they make some implicit assumptions about the extent to which structural interventions are user-independent and more sustainable than biomedical or behavioral interventions. In this article, I elaborate a simple typology of structural interventions along these two axes and suggest that they may be neither user-independent nor sustainable and therefore subject to the same sustainability concerns, costs, and potential unintended consequences as biomedical and behavioral interventions.</p>
</abstract>
<kwd-group>
<kwd>AIDS/HIV</kwd>
<kwd>behavioural interventions</kwd>
<kwd>biomedicine</kwd>
<kwd>developing countries</kwd>
<kwd>international health</kwd>
<kwd>social determinants</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source country="United States">National Institute of Mental Health : NIMH</funding-source>
<award-id>K23 MH096620 || MH</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
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