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. 2014 Oct;18(10):1821-34.
doi: 10.1007/s10461-013-0643-5.

Socially-integrated transdisciplinary HIV prevention

Samuel R Friedman  1 , Martin J Downing Jr, Pavlo Smyrnov, Georgios Nikolopoulos, John A Schneider, Britt Livak, Gkikas Magiorkinis, Liudmyla Slobodianyk, Tetyana I Vasylyeva, Dimitrios Paraskevis, Mina Psichogiou, Vana Sypsa, Melpomeni M Malliori, Angelos Hatzakis
Affiliations

Socially-integrated transdisciplinary HIV prevention

Samuel R Friedman et al. AIDS Behav. 2014 Oct.

Abstract

Current ideas about HIV prevention include a mixture of primarily biomedical interventions, socio-mechanical interventions such as sterile syringe and condom distribution, and behavioral interventions. This article presents a framework for socially-integrated transdisciplinary HIV prevention that may improve current prevention efforts. It first describes one socially-integrated transdisciplinary intervention project, the Transmission Reduction Intervention Project. We focus on how social aspects of the intervention integrate its component parts across disciplines and processes at different levels of analysis. We then present socially-integrated perspectives about how to improve combination antiretroviral treatment (cART) processes at the population level in order to solve the problems of the treatment cascade and make "treatment as prevention" more effective. Finally, we discuss some remaining problems and issues in such a social transdisciplinary intervention in the hope that other researchers and public health agents will develop additional socially-integrated interventions for HIV and other diseases.

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Figures

Fig. 1
Fig. 1
Number and percentage of HIV-infected persons engaged in selected stages of the continuum of HIV care—United States. HIV human immunodeficiency virus, ART antiretroviral therapy. *HIV-infected, N = 1,178,350; HIV-diagnosed, n=941,950 Source [127]. †Calculated as estimated number diagnosed (941,950) × estimated percentage linked to care (77 %); n = 725,302 Sources [128, 129]. §Calculated as estimated number diagnosed (941,950) × estimated percentage retained in care (51%); n = 480,395 Sources [–131]. Calculated as estimated number retained in HIV care (480,395) × percentage prescribed ART in MMP (88.8 %); n = 426,590. Source Data from the Medical Monitoring Project. **Calculated as estimated number on ART (426,590) × percentage with suppressed viral load in MMP (77.0%); n = 328,475 (28% of the estimated 1,178,350 persons in the United States who are infected with HIV) Source Data from the Medical Monitoring Project. Source [30]
Fig. 2
Fig. 2
Social network and venue recruiting
Fig. 3
Fig. 3
Perspectives on relevant actors and forces. a Power imbalance perspective. b Consciousness-raising perspective. *Uncertain intermediate roles include higher-level nurses, non-elite doctors, directors of community organizations
See this image and copyright information in PMC

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