Structural approaches to HIV prevention.

By G. Gupta, J. Parkhurst, J. Ogden, P. Aggleton, A. Mahal. The Lancet, 2008

882 citations recorded by the source corpus.

Recognition that social, economic, political, and environmental factors directly affect HIV risk and vulnerability has stimulated interest in structural approaches to HIV prevention. Progress in the use of structural approaches has been limited for several reasons: absence of a clear definition; lack of operational guidance; and limited data on the effectiveness of structural approaches to the reduction of HIV incidence. In this paper we build on evidence and experience to address these gaps. We begin by defining structural factors and approaches. We describe the available evidence on their effectiveness and discuss methodological challenges to the assessment of these often complex efforts to reduce HIV risk and vulnerability. We identify core principles for implementing this kind of work. We also provide recommendations for ensuring the integration of structural approaches as part of combined prevention strategies.

Subfields: Epidemiology, General Health Professions, Infectious Diseases

View Paper: https://www.semanticscholar.org/paper/05ac7576a3656fce5890ed7cf771aa97cb2da2b2

How researchers see this paper

The researchers whose trusted networks rank it highest, strongest advocate first. Every researcher gets a different order.

In Epidemiology

1. Richard A. Burns
2. Ales Tichopád

In General Health Professions

1. Richard A. Burns
2. Colin Barr
3. A. Ferrari
4. R. Cowden
5. A. Dugan
6. Stephenie R. Chaudoir

Citations in the corpus

• Measuring factors affecting implementation of health innovations: a systematic review of structural, organizational, provider, patient, and innovation level measures (2013, background): “, local workforce, quality of public transportation surrounding implementation site) [21,22].”
• Structural Vulnerability and Health: Latino Migrant Laborers in the United States (2011, neutral): “It argues for the need to develop ‘‘structural approaches to prevention’’ (Bourgois 2008; Gupta et al. 2008).”
• Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021 (2024, background): “70,73,74 In many high-income nations, the overall rate of neonatal deaths decreased between 1990 and 2021, becoming more concentrated over time.”