ReviewJournal of the International AIDS Society2012
HIV prevention, structural change and social values: the need for an explicit normative approach.
Review in Journal of the International AIDS Society, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Institutional financial incentives in healthcare: a review of normative considerations.BMC medical ethics · 2025Pooled it
- Structural Interventions in HIV Prevention: A Taxonomy and Descriptive Systematic Review.AIDS and behavior · 2017Pooled it
- A systematic review of interventions to reduce HIV-related stigma and discrimination from 2002 to 2013: how far have we come?Journal of the International AIDS Society · 2013Pooled it
- Article
- Neighborhood Social Capital in Relation to Late HIV Diagnosis, Linkage to HIV Care, and HIV Care Engagement.AIDS and behavior · 2017Article
- Considering risk contexts in explaining the paradoxical HIV increase among female sex workers in Mumbai and Thane, India.BMC public health · 2016Article
- Investments in sexually transmitted infection research, 1997-2013: a systematic analysis of funding awarded to UK institutions.Journal of global health · 2015Article
- The structural influence of family and parenting on young people's sexual and reproductive health in rural northern Tanzania.Culture, health & sexuality · 2015Article
- Community mobilization and empowerment of female sex workers in Karnataka State, South India: associations with HIV and sexually transmitted infection risk.American journal of public health · 2014Article
- Global HIV epidemiology: A guide for strategies in prevention and care.Current HIV/AIDS reports · 2014Article
- Article
- Strengthening the enabling environment for women and girls: what is the evidence in social and structural approaches in the HIV response?Journal of the International AIDS Society · 2014Article
- 'Mum never loved me.' How structural factors influence adolescent sexual and reproductive health through parent-child connectedness: a qualitative study in rural Tanzania.African journal of AIDS research : AJAR · 2014Article
- Structural approaches for prevention of sexually transmitted HIV in general populations: definitions and an operational approach.Journal of the International AIDS Society · 2014Review
- Reducing stigma and discrimination to improve child health and survival in low- and middle-income countries: promising approaches and implications for future research.Journal of health communication · 2014Review
- Between individual agency and structure in HIV prevention: understanding the middle ground of social practice.American journal of public health · 2013Article
- Addressing the structural drivers of HIV: a luxury or necessity for programmes?Journal of the International AIDS Society · 2012Article
- Resilience and Beliefs in the Effectiveness of Current Antiretroviral Therapies Among Recently Disengaged Low-Income People of Color Living with HIV.Behavioral medicine (Washington, D.C.)Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe fact that HIV prevention often deals with politicised sexual and drug taking behaviour is well known, but structural HIV prevention interventions in particular can involve alteration of social arrangements over which there may be further contested values at stake. As such, normative frameworks are required to inform HIV prevention decisions and avoid conflicts between social goals.
methodsThis paper provides a conceptual review and discussion of the normative issues surrounding structural HIV prevention strategies. It applies political and ethical concepts to explore the contested nature of HIV planning and suggests conceptual frameworks to inform future structural HIV responses.
resultsHIV prevention is an activity that cannot be pursued without making value judgements; it is inherently political. Appeals to health outcomes alone are insufficient when intervention strategies have broader social impacts, or when incidence reduction can be achieved at the expense of other social values such as freedom, equality, or economic growth. This is illustrated by the widespread unacceptability of forced isolation which may be efficacious in preventing spread of infectious agents, but conflicts with other social values.
conclusionsWhile no universal value system exists, the capability approach provides one potential framework to help overcome seeming contradictions or value trade-offs in structural HIV prevention approaches. However, even within the capability approach, valuations must still be made. Making normative values explicit in decision making processes is required to ensure transparency, accountability, and representativeness of the public interest, while ensuring structural HIV prevention efforts align with broader social development goals as well.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.