Social conditions and the AIDS pandemic: A proposed framework for structural- level in terventions

Richard A. Crosby, Ralph J. DiClemente, Jacqueline P. Sims

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


This chapter describes the AIDS pandemic as being intimately linked with inequitable social conditions. The case is made that these social inequities must be the primary “target” of HIV prevention efforts. The five pillar model is introduced and used as guide for illustrating the inherent value of structural-level interventions to the goal of ending AIDS. The chapter further makes the case that rectifying social inequities is the basis for going beyond the goal of ending AIDS and moving toward global health for all people. The chapter describes the social drivers of the pandemic, a prevention paradigm, and a proposed framework for structural-level interventions.

Original languageEnglish
Title of host publicationStructural Interventions for HIV Prevention
Subtitle of host publicationOptimizing Strategies for Reducing New Infections and Improving Care
Number of pages14
ISBN (Electronic)9780190675486
StatePublished - Jan 1 2018

Bibliographical note

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


  • AIDS pandemic
  • Five pillar model
  • Social conditions
  • Social inequities
  • Upstream prevention

ASJC Scopus subject areas

  • General Medicine


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