A typology of structural approaches to HIV prevention
Identifieur interne : 001881 ( Ncbi/Merge ); précédent : 001880; suivant : 001882A typology of structural approaches to HIV prevention
Auteurs : Alexander C. Tsai [États-Unis]Source :
- Social science & medicine (1982) [ 0277-9536 ] ; 2012.
Abstract
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,
Url:
DOI: 10.1016/j.socscimed.2012.06.033
PubMed: 22877933
PubMed Central: 3443954
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PMC:3443954Le document en format XML
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<front><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>
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<contrib-group><contrib contrib-type="author"><name><surname>Tsai</surname>
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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>
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<pub-date pub-type="pmc-release"><day>01</day>
<month>11</month>
<year>2013</year>
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<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>
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<funding-group><award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source>
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