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Structural approaches to HIV prevention

Open access
Gupta, Geeta Rao, Parkhurst, Justin O, Ogden, Jessica A, Aggleton, Peter, Mahal, Ajay·2008·The Lancet
DOI 10.1016/s0140-6736(08)60887-9
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Abstract

Recognition that social, economic, political, and environmental factors directly affect HIV risk and vulnerability has stimulated interest in structural approaches to HIV prevention. Progress in the use of structural approaches has been limited for several reasons: absence of a clear definition; lack of operational guidance; and limited data on the effectiveness of structural approaches to the reduction of HIV incidence. In this paper we build on evidence and experience to address these gaps. We begin by defining structural factors and approaches. We describe the available evidence on their effectiveness and discuss methodological challenges to the assessment of these often complex efforts to reduce HIV risk and vulnerability. We identify core principles for implementing this kind of work. We also provide recommendations for ensuring the integration of structural approaches as part of combined prevention strategies.

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Metadata

Authors
Gupta, G. R., Parkhurst, J. O., Ogden, J. A., Aggleton, P., & Mahal, A.
Venue
The Lancet
Publisher
Elsevier BV
Published
2008-08
Volume
372
Issue
9640
Pages
764-775
ISSN
  • 0099-5355 (ISSN-L)
  • 0140-6736
DOI
10.1016/s0140-6736(08)60887-9
OpenAlex
W2139955327
Cited by
842
References
5
FWCI
30.49
Type
journal article
Language
en
Open access
green
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)

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CoChat. (2026). Citation check: Structural approaches to HIV prevention. https://app.cochat.ai/papers/10.1016/s0140-6736(08)60887-9
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Gupta, G. R., Parkhurst, J. O., Ogden, J. A., Aggleton, P., & Mahal, A. (2008). Structural approaches to HIV prevention. The Lancet. https://doi.org/10.1016/s0140-6736(08)60887-9

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