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A dynamic social systems model for considering structural factors in HIV prevention and detection. AIDS Behav 2010 Dec;14(Suppl 2):222-38

Date

09/15/2010

Pubmed ID

20838871

Pubmed Central ID

PMC3006194

DOI

10.1007/s10461-010-9804-y

Scopus ID

2-s2.0-78149358156 (requires institutional sign-in at Scopus site)   98 Citations

Abstract

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 D

Authors

Carol L. Galletly JD, PhD Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin
Laura 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 Infections
Humans
Interpersonal Relations
Models, Theoretical
Risk-Taking
Sexual Behavior
Social Control, Informal
Social Environment
Social Support
Systems Theory