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Understanding and integrating the structural and biomedical determinants of HIV infection: a way forward for prevention Susan Kippax National Centre in HIV Social Research, University of Purpose of review New South Wales, Sydney, Australia As understanding and integrating the structural and biomedical determinants of HIV Correspondence to Susan Kippax, National Centre in infection is essential for the success of prevention efforts, there is a need for biomedical HIV Social Research, University of New South Wales, and social scientists to work together. Sydney, Australia Tel: +61 2 93854743; cell: þ61 414 385 266; Recent findings e-mail: s.kippax@unsw.edu.au A review of the biomedical research literature indicates that the two major routes of HIV transmission, sexual and injection drug use behaviours, are primarily understood as Current Opinion in HIV and AIDS 2008, 3:489– biological. A review of the social science literature, however, indicates that such a positioning provides a very weak basis for prevention, as these behaviours or practices are socially produced; that is, they are patterned by socio-cultural, economic and political forces as well as by biological factors. This paper compares successful with unsuccessful prevention interventions/programmes highlighting the central importance of the structural determinants of risk. For HIV-prevention programmes to be
Current Opinion in HIV and Aids – Wolters Kluwer Health
Published: Jul 1, 2008
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