Understanding and integrating the structural and biomedical determinants of HIV infection: a way forward for prevention.

Abstract:

PURPOSE OF REVIEW:As understanding and integrating the structural and biomedical determinants of HIV infection is essential for the success of prevention efforts, there is a need for biomedical and social scientists to work together. RECENT FINDINGS:A review of the biomedical research literature indicates that the two major routes of HIV transmission, sexual and injection drug use behaviours, are primarily understood as biological. A review of the social science literature, however, indicates that such a positioning provides a very weak basis for prevention, as these behaviours or practices are socially produced; that is, they are patterned by socio-cultural, economic and political forces as well as by biological factors. This paper compares successful with unsuccessful prevention interventions/programmes highlighting the central importance of the structural determinants of risk. For HIV-prevention programmes to be effective, the focus must shift from behaviour, for example, from vaginal intercourse, to the cultural forms in which it is enacted; that is, to marriage, concurrent partnering, sex work, and so forth. SUMMARY:This paper concludes that multidisciplinary teams provide a good starting place for the development of effective prevention programmes.

journal_name

Curr Opin HIV AIDS

authors

Kippax S

doi

10.1097/COH.0b013e32830136a0

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

489-94

issue

4

eissn

1746-630X

issn

1746-6318

pii

01222929-200807000-00013

journal_volume

3

pub_type

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