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HIV and chemoprophylaxis, the importance of considering social structures alongside biomedical and behavioral intervention

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  • Roberts, Eric T.
  • Matthews, Derrick D.

Abstract

This manuscript draws connections between chemoprophylaxis and the biomedical model of disease that emphasizes individual behavior. We argue that chemoprophylactic HIV interventions have limited utility at the population-level, and that structural interventions need to be prioritized. We use the recent CAPRISA 004 and iPrEx trials to (a) critique the utility of these trials from a public health perspective by highlighting the difference between efficacy and effectiveness, (b) apply an alternative theory of health behavior as a way to reorient the field toward the discussion of the need to employ structural interventions, and (c) examine two aspects of HIV prevention efforts – funding structures and iatrogenic effects of biomedical approaches – as a means of overcoming obstacles to more widespread adoption of structural interventions.

Suggested Citation

  • Roberts, Eric T. & Matthews, Derrick D., 2012. "HIV and chemoprophylaxis, the importance of considering social structures alongside biomedical and behavioral intervention," Social Science & Medicine, Elsevier, vol. 75(9), pages 1555-1561.
    • Handle: RePEc:eee:socmed:v:75:y:2012:i:9:p:1555-1561
    DOI: 10.1016/j.socscimed.2012.02.016
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    References listed on IDEAS

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    1. Krieger, Nancy, 1994. "Epidemiology and the web of causation: Has anyone seen the spider?," Social Science & Medicine, Elsevier, vol. 39(7), pages 887-903, October.
    2. Pearce, N., 1996. "Traditional epidemiology, modern epidemiology, and public health," American Journal of Public Health, American Public Health Association, vol. 86(5), pages 678-683.
    3. Susser, M. & Susser, E., 1996. "Erratum: Choosing a future for epidemiology: I. Cras and paradigms (American Journal of Public Health (1996) 86 (668-673))," American Journal of Public Health, American Public Health Association, vol. 86(8), pages 1093-1093.
    4. Susser, M. & Susser, E., 1996. "Choosing a future for epidemiology: I. Eras and paradigms," American Journal of Public Health, American Public Health Association, vol. 86(5), pages 668-673.
    5. Susser, M. & Susser, E., 1996. "Choosing a future for epidemiology: II. From black box to Chinese boxes and eco-epidemiology," American Journal of Public Health, American Public Health Association, vol. 86(5), pages 674-677.
    6. Steckler, A. & McLeroy, K.R., 2008. "The importance of external validity," American Journal of Public Health, American Public Health Association, vol. 98(1), pages 9-10.
    7. Hatzenbuehler, M.L. & McLaughlin, K.A. & Keyes, K.M. & Hasin, D.S., 2010. "The impact of institutional discrimination on psychiatric disorders in lesbian, gay, and bisexual populations: A prospective study," American Journal of Public Health, American Public Health Association, vol. 100(3), pages 452-459.
    8. Diez-Roux, A.V., 1998. "Bringing context back into epidemiology: Variables and fallacies in multilevel analysis," American Journal of Public Health, American Public Health Association, vol. 88(2), pages 216-222.
    9. Stein, Z.A., 1990. "HIV prevention: The need for methods women can use," American Journal of Public Health, American Public Health Association, vol. 80(4), pages 460-462.
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