Applying behavioral and social science theory to HIV prevention: The need for structural- level approaches

Richard A. Crosby, Ralph J. DiClemente

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Set in the context of high-impact prevention, this chapter provides a brief historical account of how theory application to HIV prevention has evolved from individual-level models to structural-level approaches. The chapter describes the value and limitations of applying behavioral science and social science theories to the pandemic and describes several models and theory-based approaches. It then proceeds to identify emerging, structural-level approaches to achieving population-level HIV prevention in developing and developed countries. The chapter distinguishes structural-level interventions from multilevel interventions, and it describes strengths and weaknesses of structural-level approaches to achieving high-impact prevention. In so doing, several critical principles of structural-level approaches are identified.

Original languageEnglish
Title of host publicationStructural Interventions for HIV Prevention
Subtitle of host publicationOptimizing Strategies for Reducing New Infections and Improving Care
Number of pages18
ISBN (Electronic)9780190675486
StatePublished - Jan 1 2018

Bibliographical note

Publisher Copyright:
© Oxford University Press 2019. All rights reserved.


  • AIDS
  • Behavioral theory
  • HIV
  • Population-level approaches
  • Social science theory
  • Structural-level approaches

ASJC Scopus subject areas

  • General Medicine


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