Theory, Measurement and Hard Times: Some Issues for HIV/AIDS Research

Friedman, Samuel; Sandoval, Milagros; Mateu-Gelabert, Pedro; Rossi, Diana; Gwadz, Marya; Dombrowski, Kirk; Smyrnov, Pavlo; Vasylyeva, Tetyana; Pouget, Enrique; Perlman, David
July 2013
AIDS & Behavior;Jul2013, Vol. 17 Issue 6, p1915
Academic Journal
Economic and political instability and related 'big events' are widespread throughout the globe. Although they sometimes lead to epidemic HIV outbreaks, sometimes they do not-and we do not understand why. Current behavioural theories do not adequately address these processes, and thus cannot provide optimal guidance for effective intervention. Based in part on a critique of our prior 'pathways' model of big events, we suggest that cultural-historical activity theory (CHAT) may provide a useful framework for HIV research in this area. Using CHAT concepts, we also suggest a number of areas in which new measures should be developed to make such research possible.


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