A dynamic social systems model for considering structural factors in HIV prevention and detection. AIDS Behav 2010 Dec;14(Suppl 2):222-38
Date
09/15/2010Pubmed ID
20838871Pubmed Central ID
PMC3006194DOI
10.1007/s10461-010-9804-yScopus ID
2-s2.0-78149358156 (requires institutional sign-in at Scopus site) 101 CitationsAbstract
We present a model for HIV-related behaviors that emphasizes the dynamic and social nature of the structural factors that influence HIV prevention and detection. Key structural dimensions of the model include resources, science and technology, formal social control, informal social influences and control, social interconnectedness, and settings. These six dimensions can be conceptualized on macro, meso, and micro levels. Given the inherent complexity of structural factors and their interrelatedness, HIV prevention interventions may focus on different levels and dimensions. We employ a systems perspective to describe the interconnected and dynamic processes of change among social systems and their components. The topics of HIV testing and safer injection facilities (SIFs) are analyzed using this structural framework. Finally, we discuss methodological issues in the development and evaluation of structural interventions for HIV prevention and detection.
Author List
Latkin C, Weeks MR, Glasman L, Galletly C, Albarracin DAuthors
Carol L. Galletly JD, PhD Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of WisconsinLaura R. Glasman PhD Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
HIV InfectionsHumans
Interpersonal Relations
Models, Theoretical
Risk-Taking
Sexual Behavior
Social Control, Informal
Social Environment
Social Support
Systems Theory