HIV prevention 4 - Structural approaches to HIV prevention
HIV prevention 4 - Structural approaches to HIV prevention
复制标题
DOI：
10.1016/s0140-6736(08)60887-9
复制
发表时间：
2008-08-01
期刊：
影响因子：
168.9
通讯作者：
Mahal, Ajay
中科院分区：
文献类型：
--
作者：
Gupta, Geeta Rao;Parkhurst, Justin O.;Mahal, Ajay
认识到社会、经济、政治和环境因素直接影响艾滋病毒的风险和脆弱性，激发了对艾滋病毒预防的结构性方法的兴趣。由于以下几个原因，在使用结构性方法方面的进展有限：缺乏明确的定义;缺乏业务指导;关于减少艾滋病毒发病率的结构性方法的有效性的数据有限。在本文中，我们建立在证据和经验，以解决这些差距。我们开始定义结构因素和方法。我们描述了其有效性的现有证据，并讨论了评估这些往往是复杂的努力，以减少艾滋病毒的风险和脆弱性的方法上的挑战。我们确定了实施此类工作的核心原则。我们还提出建议，以确保将结构性办法纳入综合预防战略。
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.