Theory, Measurement and Hard Times: Some Issues for HIV/AIDS Research

被引:30
作者
Friedman, Samuel R. [1 ]
Sandoval, Milagros [1 ]
Mateu-Gelabert, Pedro [1 ]
Rossi, Diana [2 ,3 ]
Gwadz, Marya [4 ]
Dombrowski, Kirk [5 ]
Smyrnov, Pavlo [6 ]
Vasylyeva, Tetyana [7 ]
Pouget, Enrique R. [1 ]
Perlman, David [8 ]
机构
[1] Natl Dev & Res Inst Inc, Inst Infect Dis Res, New York, NY 10010 USA
[2] Intercambios Civil Assoc, Buenos Aires, DF, Argentina
[3] Univ Buenos Aires, Buenos Aires, DF, Argentina
[4] NYU, Sch Nursing, New York, NY USA
[5] CUNY John Jay Coll Criminal Justice, Dept Anthropol, New York, NY 10019 USA
[6] Int HIV AIDS Alliance Ukraine, Kiev, Ukraine
[7] SUNY Albany, Sch Publ Hlth, Dept Epidemiol, Albany, NY 12222 USA
[8] Beth Israel Deaconess Med Ctr, Div Infect Dis, New York, NY 10003 USA
关键词
Big events; Hard times; Cultural-historical activity theory; Theory; HIV; Measurement; INJECTING DRUG-USERS; HIV PREVENTION; PEER NORMS; LOW-INCOME; HIGH-RISK; TUBERCULOSIS; AIDS; SEX; NEIGHBORHOOD; COMMUNITY;
D O I
10.1007/s10461-013-0475-3
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Economic and political instability and related "big events" are widespread throughout the globe. Although they sometimes lead to epidemic HIV outbreaks, sometimes they do not-and we do not understand why. Current behavioural theories do not adequately address these processes, and thus cannot provide optimal guidance for effective intervention. Based in part on a critique of our prior "pathways" model of big events, we suggest that cultural-historical activity theory (CHAT) may provide a useful framework for HIV research in this area. Using CHAT concepts, we also suggest a number of areas in which new measures should be developed to make such research possible.
引用
收藏
页码:1915 / 1925
页数:11
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