Department of Health, Behavior and Society, The Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USA.
AIDS Behav. 2010 Dec;14(Suppl 2):222-38. doi: 10.1007/s10461-010-9804-y.
We present a model for HIV-related behaviors that emphasizes the dynamic and social nature of the structural factors that influence HIV prevention and detection. Key structural dimensions of the model include resources, science and technology, formal social control, informal social influences and control, social interconnectedness, and settings. These six dimensions can be conceptualized on macro, meso, and micro levels. Given the inherent complexity of structural factors and their interrelatedness, HIV prevention interventions may focus on different levels and dimensions. We employ a systems perspective to describe the interconnected and dynamic processes of change among social systems and their components. The topics of HIV testing and safer injection facilities (SIFs) are analyzed using this structural framework. Finally, we discuss methodological issues in the development and evaluation of structural interventions for HIV prevention and detection.
我们提出了一个与 HIV 相关行为有关的模型，该模型强调了影响 HIV 预防和检测的结构因素的动态和社会性质。该模型的关键结构维度包括资源、科学技术、正式社会控制、非正式社会影响和控制、社会互联性以及环境。这六个维度可以从宏观、中观和微观层面进行概念化。鉴于结构因素的固有复杂性及其相互关系，HIV 预防干预措施可能侧重于不同的层面和维度。我们采用系统观点来描述社会系统及其组成部分之间相互关联和动态的变化过程。使用这个结构框架分析了 HIV 检测和更安全的注射设施 (SIFs) 的主题。最后，我们讨论了用于 HIV 预防和检测的结构干预措施的制定和评估中的方法学问题。
