Targeting Structural Change for HIV Prevention: A Process and Tool for Community Application.

TitleTargeting Structural Change for HIV Prevention: A Process and Tool for Community Application.
Publication TypePublication
Year of Publication2015
AuthorsWillard N, Chutuape K, Stewart-Campbell R, Boyer CB, Ellen J
JournalHealth Promot Pract
Volume16
Issue6
Pagination837-48
Date Published2015 Nov
ISSN1524-8399
KeywordsAcquired Immunodeficiency Syndrome, Adolescent, Capacity Building, Community Networks, Cooperative Behavior, Female, Health Education, Health Services Accessibility, HIV Infections, Housing, Humans, Male, Mental Health Services, Residence Characteristics, Risk Assessment, United States, Urban Population, Young Adult
Abstract

<p>To address the persistent HIV epidemic in the United States, prevention efforts are focusing on social determinants related to HIV risk by targeting systems and structures, such as organizational and institutional policies, practices and programs, and legislative and regulatory approaches to modify features of the environment that influence HIV risk. With limited evidenced-based examples, communities can benefit from strategic planning resources that help them consider developing structural-level changes that target root causes of HIV risk. In this article, we present the Connect to Protect® project that outlines a process and a tool to move from general ideas to specific structural changes. Examples from 14 coalitions are also provided. Using the process and tools presented here can provide a launching pad for other coalitions seeking to build an HIV prevention agenda and for practitioners seeking to incorporate structural changes for community health promotion. </p>

DOI10.1177/1524839915574831
Alternate JournalHealth Promot Pract
PubMed ID25776019
PubMed Central IDPMC4573386
Grant ListU01 HD040474 / HD / NICHD NIH HHS / United States
U01 HD040533 / HD / NICHD NIH HHS / United States
U01 040533 / / PHS HHS / United States
U01 HD 040474 / HD / NICHD NIH HHS / United States