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20.11.2017 | Substantive Review | Ausgabe 12/2017

AIDS and Behavior 12/2017

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

Zeitschrift:
AIDS and Behavior > Ausgabe 12/2017
Autoren:
Theresa Ann Sipe, Terrika L. Barham, Wayne D. Johnson, Heather A. Joseph, Maria Luisa Tungol-Ashmon, Ann O’Leary
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s10461-017-1965-5) contains supplementary material, which is available to authorized users.

Abstract

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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