Structural Interventions in HIV Prevention: A Taxonomy and Descriptive Systematic Review

One of the four national HIV prevention goals is to incorporate combinations of effective, evidence-based approaches to prevent HIV infection. In fields of public health, techniques that alter environment and affect choice options are effective. Structural approaches may be effective in preventing H...

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Veröffentlicht in:AIDS and behavior 2017-12, Vol.21 (12), p.3366-3430
Hauptverfasser: Sipe, Theresa Ann, Barham, Terrika L., Johnson, Wayne D., Joseph, Heather A., Tungol-Ashmon, Maria Luisa, O’Leary, Ann
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container_end_page 3430
container_issue 12
container_start_page 3366
container_title AIDS and behavior
container_volume 21
creator Sipe, Theresa Ann
Barham, Terrika L.
Johnson, Wayne D.
Joseph, Heather A.
Tungol-Ashmon, Maria Luisa
O’Leary, Ann
description One of the four national HIV prevention goals is to incorporate combinations of effective, evidence-based approaches to prevent HIV infection. In fields of public health, techniques that alter environment and affect choice options are effective. Structural approaches may be effective in preventing HIV infection. Existing frameworks for structural interventions were lacking in breadth and/or depth. We conducted a systematic review and searched CDC’s HIV/AIDS Prevention Research Synthesis Project’s database for relevant interventions during 1988–2013. We used an iterative process to develop the taxonomy. We identified 213 structural interventions: Access (65%), Policy/Procedure (32%), Mass Media (29%), Physical Structure (27%), Capacity Building (24%), Community Mobilization (9%), and Social Determinants of Health (8%). Forty percent targeted high-risk populations (e.g., people who inject drugs [12%]). This paper describes a comprehensive, well-defined taxonomy of structural interventions with 7 categories and 20 subcategories. The taxonomy accommodated all interventions identified.
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subjects Acquired immune deficiency syndrome
AIDS
Capacity Building
Capacity development
Centers for Disease Control and Prevention (U.S.)
Classification
Disease prevention
Evidence-based medicine
Evidence-based practice
Health behavior
Health care policy
Health Policy
Health Psychology
HIV
HIV Infections - prevention & control
Human immunodeficiency virus
Humans
Infectious Diseases
Intervention
Mass media
Mass media effects
Medicine
Medicine & Public Health
Mobilization
Prevention
Public Health
Public Health - methods
Social Determinants of Health
Substantive Review
Systematic review
Taxonomy
Telecommunications policy
United States
title Structural Interventions in HIV Prevention: A Taxonomy and Descriptive Systematic Review
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