Adding to the HIV Prevention Portfolio - the Achievement of Structural Changes by 13 Connect to Protect Coalitions.

TitleAdding to the HIV Prevention Portfolio - the Achievement of Structural Changes by 13 Connect to Protect Coalitions.
Publication TypePublication
Year of Publication2014
AuthorsChutuape KS, Muyeed AZ, Willard N, Greenberg L, Ellen JM
Corporate AuthorsThe Adolescent Medicine Trials Network for HIV/AIDS Interventions
JournalGlob J Community Psychol Pract
Volume5
Issue2
Pagination1-8
Date Published2014
Abstract

<p>Opportunities to control risk factors that contribute to HIV transmission and acquisition extend far beyond individuals and include addressing social and structural determinants of HIV risk, such as inadequate housing, poor access to healthcare and economic insecurity. The infrastructure within communities, including the policies and practices that guide institutions and organizations, should be considered crucial targets for change. This paper examines the extent to which 13 community coalitions across the U.S. and Puerto Rico were able to achieve "structural change" objectives (i.e., new or modified practices or policies) as an intermediate step toward the long-term goal of reducing HIV risk among adolescents and young adults (12-24 years old). The study resulted in the completion of 245 objectives with 70% categorized as structural in nature. Coalitions targeted social services, education and government as primary community sectors to adopt structural changes. A median of 12 key actors and six new key actors contributed to accomplishing structural changes. Structural change objectives required a median of seven months to complete. The structural changes achieved offer new ideas for community health educators and practitioners seeking to bolster their HIV prevention agenda.</p>

Alternate JournalGlob J Community Psychol Pract
PubMed ID25632407
PubMed Central IDPMC4306189
Grant ListU01 HD040474 / HD / NICHD NIH HHS / United States
U01 HD040533 / HD / NICHD NIH HHS / United States