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Multiculturalism and Social Work | San Francisco State University

Structural barriers and facilitators in HIV prevention: A review of international research.

Author: Parker,-Richard-G; Easton,-Delia; Klein,-Charles-H
Author Background: Brazilian Interdisciplinary AIDS Association (ABIA), Rio de Janeiro, Brazil
Date 6/2000
Type Journal
Journal Title: AIDS
Volume/Pages Vol 14(Suppl1): S22-S32
Subject Matter Women, AIDS Prevention, Research, International, Environment
Abstract Provides an overview of international research literature focusing on the structural and environmental factors that shape the spread of the HIV/AIDS epidemic, and that create barriers and facilitators in relation to HIV-prevention programs. Most research on structural and environmental factors can be grouped into a small number of analytically distinct but interconnected categories: economic underdevelopment and poverty; mobility, including migration, seasonal work, and social disruption due to war and political instability; and gender inequalities. A 2nd major area of international and cross-cultural research on structural and environmental factors has focused on AIDS-related policy-making, and the impact of development and public-health policies on the epidemic. A smaller subset of the research on structural factors describes and/or evaluates specific structural interventions in detail. Approaches that have received significant attention include targeted interventions developed for heterosexual women, female commercial sex workers, male truck drivers, and men who have sex with men. Challenges for future HIV/AIDS research are highlighted. (PsycINFO Database Record (c) 2000 APA, all rights reserved)