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Structural Interventions In Public Health

K. Blankenship, S. J. Bray, M. Merson
Published 2000 · Medicine

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Objective: To review structural interventions in public health, identify distinct approaches to structural interventions, and assess their implications for HIV-prevention interventions. Method: The MEDLINE, HealthStar, PsychInfo and Sociofile databases were searched on specific health issues, types of public health interventions, and conceptual topics (e.g. empowerment, social structure, and inequality) to compile a list of public health interventions in the United States. We excluded interventions focused on testing and surveillance unless they specifically facilitated prevention, and educational or media campaigns focused on increasing individuals' level of knowledge about a particular health problem. Results: The term 'structural' is used to refer to interventions that work by altering the context within which health is produced or reproduced. Structural interventions locate the source of public-health problems in factors in the social, economic and political environments that shape and constrain individual, community, and societal health outcomes. We identified two dimensions along which structural interventions can vary. They may locate the source of health problems in factors relating to availability, acceptability, or accessibility; and they may be targeted at the individual, organizational, or environmental levels. All together, this framework suggests nine kinds of structural interventions, and it is possible to identify examples of each kind of intervention across a range of public health issues. Conclusions: The relevance of this framework for developing HIV prevention interventions is considered.
This paper references
Putting a lid on injury costs: the economic impact of the California motorcycle helmet law.
W. Max (1998)
Saving Lives Through Tax Policy
R. Hamburg (1993)
Changes in sun-related attitudes and behaviours, and reduced sunburn prevalence in a population at high risk of melanoma.
D. Hill (1993)
Risk compensation and the Illinois seat belt use law.
S. M. Rock (1993)
Unintentional, nonfatal firearm-related injuries. A preventable public health burden.
N. Sinauer (1996)
Using Cultural Knowledge in Health Promotion: Breastfeeding among the Navajo
A. Wright (1997)
Charleston Policy: Substance or Abuse, The
Kimani Paul-Emile (1989)
Evaluation of antismoking advertising campaigns.
L. Goldman (1998)
Injury prevention. Second of two parts.
F. Rivara (1997)
The effect of drinking and driving interventions on alcohol-involved traffic crashes within a comprehensive community trial.
R. Voas (1997)
Prospective countywide evaluation of the effects of motor vehicle safety device use on hospital resource use and injury severity.
M. C. Henry (1996)
Comments. Center for Interdisciplinary Research on AIDS Conference on Using Law to Regulate Behavior: AIDS and the Criminalization of Sex
D. Roberts (1999)
Injury prevention strategies to promote helmet use decrease severe head injuries at a level I trauma center.
C. Mock (1995)
Reducing cigarette consumption in California: tobacco taxes vs an anti-smoking media campaign.
T. Hu (1995)
Geography links STD to alcohol availability
EA Klonoff
ATDS experts argue against segregating HIV inmates
C Bray (2000)
Compliance with the 1992 California motorcycle helmet use law.
J. Kraus (1995)
Effects of restrictive licensing of handguns on homicide and suicide in the District of Columbia.
C. Loftin (1991)
Societal interventions to prevent child abuse and neglect.
T. Hay (1994)
J. Adams (1985)
The effect of the 1992 California motorcycle helmet use law on motorcycle crash fatalities and injuries.
J. Kraus (1994)
Stamping out the butts
E. Murrieta (1994)
Firearm training and storage.
D. Hemenway (1995)
Surveillance and prevention of residential-fire injuries.
S. Mallonee (1996)
Building a neighborhood network: interorganizational collaboration to prevent child abuse and neglect.
E. Mulroy (1997)
Minors' access to single cigarettes in California.
H. Landrine (1998)
Free meals for all city students : income limits , ' stigma ' removed
DfFranza (1998)
An investigation of behavioural adaptation to airbags and antilock brakes among taxi drivers.
F. Sagberg (1997)
Structural factors in HIV prevention: concepts, examples, and implications for research
E. Sumartojo (2000)
The effect of directly observed therapy on the rates of drug resistance and relapse in tuberculosis.
S. Weis (1994)
Risk compensation--the case of road lighting.
T. Assum (1999)
Promoting the selection of low-fat milk in elementary school cafeterias in an inner-city Latino community: evaluation of an intervention.
H. Wechsler (1998)
Evaluation of a method for reducing unlicensed driving: the Washington and Oregon license plate sticker laws.
R. Voas (1997)
The role of designated driver programs in the prevention of alcohol-impaired driving: a critical reassessment.
W. Dejong (1992)
Injury prevention. First of two parts.
F. Rivara (1997)
Skin cancer control in Australia. The balance between primary prevention and early detection.
R. Marks (1995)
Increasing car seat use for toddlers from inner-city families.
B. Louis (1997)
Youth access to tobacco: the effects of age, gender, vending machine locks, and "it's the law" programs.
J. Difranza (1996)
Cost as a barrier to condom use: the evidence for condom subsidies in the United States.
D. Cohen (1999)
Can Difficult-to-Reuse Syringes Reduce the Spread of HIV Among Injection Drug Users?
J. Caulkins (1998)
Eleven years of community-based directly observed therapy for tuberculosis.
C. Chaulk (1995)
Can difficult - to - reuse syringes reduce the spread of HIV among IDUs ?
E Kaplan (2000)
Regulating sex and sexuality
Sanchez l (1999)
A critical analysis of "moderation" advertising sponsored by the beer industry: are "responsible drinking" commercials done responsibly?
W. Dejong (1992)
Methodological issues in testing the hypothesis of risk compensation.
B. Dulisse (1997)
The war against the sex trade
A. Henderson (1994)
Regulation of firearms.
D. Hemenway (1998)
Annotated Bibliography orStructural Initiatives in Non-HIV Public Health Areas, Atlanta, GA: Centers for Disease
SJ Bray (1999)
Reconsidering the effects of seat belt laws and their enforcement status.
T. Dee (1998)
Public knowledge about characteristics of moles and melanomas.
R. Borland (1992)
Evaluation of a promotional strategy to increase bicycle helmet use by children
PC Parkin (1992)
Advertising health: the case for counter-ads.
L. Dorfman (1993)
Social services and social support: blended programs for families at risk of child maltreatment.
J. Miller (1988)
The problem and sociocultural context of single-cigarette sales.
E. Klonoff (1994)
Effects of minimum drinking age laws on alcohol use, related behaviors and traffic crash involvement among American youth: 1976-1987.
P. O'Malley (1991)
Implementation of condom social marketing in Louisiana, 1993 to 1996.
D. Cohen (1999)
Melanoma prevention: behavioral and nonbehavioral factors in sunburn among an Australian urban population.
D. Hill (1992)
Condoms and seat belts: the parallels and the lessons
J. Richens (2000)
An advocacy intervention program for women with abusive partners: Initial evaluation
C. Sullivan (1992)
The use of legal action in New York City to ensure treatment of tuberculosis.
M. R. Gasner (1999)
Evaluation of a promotional strategy to increase bicycle helmet use by children.
P. Parkin (1993)
Effects of restrictive handgun laws.
Blackman Ph (1992)

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K. Blankenship (2008)
Harm Reduction Journal
E. Drucker (2004)
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R. Miller (2012)
HIV / AIDS in Tanzania: gender based structural interventions.
S. Mlangwa (2007)
HIV/AIDS in the transitional countries of Eastern Europe and Central Asia.
Martin C. Donoghoe (2005)
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Kirsten Stoebenau (2018)
A Structural Approach to Examining Prostate Cancer Risk for Rural Southern African American Men
D. Griffith (2007)
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Catherine G Geanuracos (2007)
Towards comprehensive early abortion service delivery in high income countries: insights for improving universal access to abortion in Australia
A. Dawson (2016)
Leveling Up: On the Potential of Upstream Health Informatics Interventions to Enhance Health Equity
T. Veinot (2019)
A Dose-Dependent Relationship between Exposure to a Street-Based Drug Scene and Health-Related Harms among People Who Use Injection Drugs
K. Debeck (2011)
Containing HIV/AIDS in India: the unfinished agenda.
P. Chandrasekaran (2006)
CommunityMobilizationandEmpowermentofFemaleSex WorkersinKarnatakaState,SouthIndia:Associations WithHIVandSexuallyTransmittedInfectionRisk
Tara S Beattie (2014)
Integrating a Structural Level Intervention and Community Based Testing as an HIV Prevention
MOMS: formative evaluation and subsequent intervention for mothers living with HIV
S. Davies (2009)
"They arrested me for loving a schoolgirl": ethnography, HIV, and a feminist assessment of the age of consent law as a gender-based structural intervention in Uganda.
Shanti A. Parikh (2012)
Exploring the influence of social determinants on HIV risk behaviors and the potential application of structural interventions to prevent HIV in women.
Arlene E. Edwards (2014)
Resources and obstacles to developing and implementing a structural intervention to prevent HIV in San Salvador, El Salvador.
J. Dickson-Gomez (2010)
Structural barriers and human rights related to HIV prevention and treatment in Zimbabwe
J. Amon (2009)
Coalition formation to address structural determinants of methamphetamine use in Thailand.
N. Willard (2015)
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