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Context, Culture, and Collaboration in AIDS Interventions: Ecological Ideas for Enhancing Community Impact

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Abstract

The paper describes developments in preventive interventions in AIDS/HIV that signal the emergence of a new perspective focusing on community-level intervention and community-level impact. These developments are reviewed, and a ecological framework from community psychology is offered as an integrating and guiding mind-set for future community impact interventions. Key ingredients are community assessment, the ecology of lives lived in different sociocultural communities, the development of collaborative relationships, and enhancing community empowerment through the development of local community resources. The perspective is outlined using existing examples of AIDS/HIV preventive interventions, which focus on such community-level issues as norms regarding sexual risk behavior. The paper concludes with a call to explore more fully the wisdom found in existing community-level work in the AIDS/HIV area and to develop an ecological mind-set when engaging in preventive community interventions.

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References

  • Aggleton, P. (1993). Promoting whose health? Models of health promotion and education about HIV disease. Advances in Medical Sociology, 3, 185–200.

    Google Scholar 

  • Airhihenbuwa, C.O., DiClemente, R.J., Wingwood, G.M., & Lowe, A. (1992). HIV/AIDS education and prevention among African-Americans: A focus on culture. AIDS Education and Prevention 4(3, 267–276.

    Google Scholar 

  • Altman, D. G. (1995). Strategies for community health intervention: Promises, paradoxes, pitfalls. Psychosomatic Medicine, 57, 226–233.

    Google Scholar 

  • Amaro, H. (1995). Love, Sex, and Power: Considering women's realities in HIV prevention. American Psychologist, 50(6, 437–447.

    Google Scholar 

  • Aral, S.O., & Fransen, L. (1995). STD/HIV prevention in Turkey: Planning a sequence of interventions. AIDS Education and Prevention, 7(6), 544–553.

    Google Scholar 

  • Asthana, S., & Oostvogels, R. (1996). Community participation in HIV prevention: Problems and prospects for community-based strategies among female sex workers in Madras. Social Science and Medicine, 43(2), 133–148.

    Google Scholar 

  • Barker, R. G. (1968). Ecological psychology: Concepts and methods for studying the environment of human behavior. Stanford, CA: Stanford University Press.

    Google Scholar 

  • Beeker, C., Guenther-Grey, C., & Raj, A. (1998). Community empowerment paradigm drift and the primary prevention of HIV/AIDS. Social Science Medicine, 46 (7, 831–842.

    Google Scholar 

  • Bronfenbrenner, U.(1979). The ecology of human development: Experiments by nature and design. Cambridge: Harvard University Press.

    Google Scholar 

  • Carey, J. W. (1993). Linking qualitative and quantitative methods: Integrating culture factors into public health. Qualitative Health Research, 3(2, 298–318.

    Google Scholar 

  • de Zalduondo, B.O. (1991). Prostitution viewed cross-culturally: Towards reconceptualizing sex work in AIDS intervention research. Journal of Sex Research, 28(2, 223–248.

    Google Scholar 

  • Dowsett, G. (1995). Sexual contexts, HIV prevention and gay men. Venereology, 8(4), 243–250.

    Google Scholar 

  • Feldman, D. A., O'Hara, P., Baboo, K. S., Chitalu, N. W., & Lu, Y. (1997). HIV prevention among Zambian adolescents: Developing a value utilization/norm change model. Social Science and Medicine, 44(4, 455–468.

    Google Scholar 

  • Friedman, S. R., Neaigus, A., de Jarlais, D. C., Sotheran, J. L., Woods, J., Sufian, M., Stepherson, B., & Sterk, C. (1992). Social intervention against AIDS among injecting drug users. British Journal of Addiction, 87, 393–404.

    Google Scholar 

  • Freudenberg, N., Eng, E., Flay, B., Parcel, G., Rogers, T., & Wallerstein, N. (1995). Strengthening individual and community capacity to prevent disease and promote health: In search of relevant theories and principles. Health Education Quarterly, 22(3), 290–306.

    Google Scholar 

  • Freudenberg. N. & Zimmerman, M.A. (Eds.) (1995). AIDS prevention in the community: Lessons from the first decade. American Public Health Association: Washington, D.C.

    Google Scholar 

  • Grace, W.C., Fernandez, I., Battjes, R.J., Sloboda, Z., & Genser, S.G. (1994). Organizational psychology perspectives on Enhancing National HIV prevention research among drug abusers. Psychology of Addictive Behaviors, 8(3), 191–197.

    Google Scholar 

  • Gruber, J. & Trickett, E.J. (1987). Can we empower others? The paradox of empowerment in the governing of an alternative public school. American Journal of Community Psychology, 15, 353–372.

    Google Scholar 

  • Gupta, G.R., & Weiss E. (1993). Women's lives and sex: Implications for AIDS prevention. Culture, Medicine, and Psychiatry, 17, 399–412.

    Google Scholar 

  • Guydish, J., & Sanstad, K. H., (1992). Behavior change among intravenous drug users: The role of community-based interventions. Psychology of Addictive Behaviors, 6(2, 91–99.

    Google Scholar 

  • Herdt, G. & Boxer, A. M. (1991). Ethnographic issues in the study of AIDS. Journal of Sex Research, 28(2, 171–187.

    Google Scholar 

  • Higgins, D. L., O'Reilly, K., Tashima, N., Crain, C., Beeker, C., Goldbaum, G., Elifson, C. S., Galavotti, C., & Gunther-Grey, C. (1996). Using formative research to lay the foundation for community level HIV prevention efforts: An example from the AIDS community demonstration projects. Public Health Reports, 3 Supplement 1, 28–35.

    Google Scholar 

  • Huygens, P., Kajura, E., Seeley, J., & Barton, T. (1996). Rethinking methods for the study of sexual behavior. Social Science and Medicine, 42(2), 221–231.

    Google Scholar 

  • Iscoe, I. (1974). Community psychology and the competent community. American Psychologist, 29, 607–613.

    Google Scholar 

  • Kegeles, S.M., Hays, R.B., & Coates, T.J. (1996). The Mpowerment project: A community-level HIV prevention intervention for young gay men. American Journal of Public Health, 86(8), 1129–1136.

    Google Scholar 

  • Kelly, J. A. & Kalichman, S. C. (1995). Increased attention to human sexuality can improve HIV-AIDS prevention efforts: Key research issues and directions. Journal of Consulting and Clinical Psychology, 63(6, 907–918.

    Google Scholar 

  • Kelly, J.A., St. Lawrence, J.S., Diaz, Y., Stevenson, L.Y., Hauth, A.C., Brasfield, T.L., Kalichman, S.C., Smith, J.E., & Andrew, M.E. (1991). HIV risk behavior reduction following intervention with key option leaders of population: An experimental analysis. American Journal of Public Health, 81(2), 168–171.

    Google Scholar 

  • Kelly, J.A., St. Lawrence, J.S., Stevenson, Y., Hauth, A.C., Kalichman, S.C., Diaz, Y.E., Brasfield, T.L., Koob, J.J., & Morgan, M.G. (1992). Community AIDS/HIV risk reduction: The effects of endorsements by popular people in three cities. American Journal of Public Health, 82(11), 1483–1489.

    Google Scholar 

  • Kelly, J. G. (1986). Content and process: An ecological view of the interdependence of practice and research. American Journal of Community Psychology, 14, 581–589.

    Google Scholar 

  • Kelly, J. G. (1979). Adolescent boys in high school: A psychological study of coping and adaptation. Hillsdale, NJ.: Erlbaum.

    Google Scholar 

  • Kelly, J. G. (1970). Antidotes for arrogance: Training for a community psychology. American Psychologist, 25, 524–531.

    Google Scholar 

  • Kelly, J.G. (1968). Toward an ecological conception of preventive interventions. In J.W. Carter, Jr. (Ed.). Research contributions from psychology to community mental health. New York, NY: Behavioral Publications.

    Google Scholar 

  • Kelly, J. G. (1966). Ecological constraints on mental health services. American Psychologist, 21, 535–539.

    Google Scholar 

  • Kuhn, T. H. (1970). The structure of scientific revolutions. Chicago: University of Chicago Press.

    Google Scholar 

  • Lackey, J. F., Moberg, D. P., & Balistrieri, M. (1997). By whose standards? Reflections on empowerment evaluation and grassroots groups. Evaluation Practice, 18 (2, 137–146.

    Google Scholar 

  • Latkin, C. (1998). Outreach iin natural settings: The use of peer leaders for HIV prevention among injecting drug users' networks. Public Health Reports (Supplement 1), 151–159.

  • Latkin, C., Mandell, W., Oziemkowska, M., Celentano, D., Vlahov, D., Ensminger, M., & Knowlton, A. (1995). Using social network analysis to study patterns of drug use among urban drug users at high risk for HIV/AIDS. Drug and Alcohol Dependence, 38, 1–9.

    Google Scholar 

  • Latkin, C., Mandell, W., Vlahov, D., Oziemkowska, M., Knowlton, A., & Celentano, D. (1994). My place, your place, or no place: Behavior settings as a risk factor for HIV-related injection practices of drug users in Baltimore, Maryland. American Journal of Community Psychology, 22, 415–430.

    Google Scholar 

  • Maticka-Tyndale, E., Elkins, D., Haswell-Elkins, M., Ruikakoirn, D., Kuyyakanond, T., & Stam, K. (1997). Contexts and patterns of men's commercial sexual partnerships in Northeastern Thailand: Implications for AIDS prevention. Social Science and Medicine, 44(2, 199–213.

    Google Scholar 

  • Mitchell, R.M., & Trickett, E.J., (1980). Social networks as mediators of social support: An analysis of the determinants and effects of social networks. Community Mental Health Journal, 16, 27–44.

    Google Scholar 

  • Moos, R. H. (1974). Evaluating treatment environments: A social ecological approach. New York: Wiley.

    Google Scholar 

  • Moos, R. H. (1975). Evaluating correctional and community settings. New York: Wiley.

    Google Scholar 

  • Moos, R. H. (1979). Evaluating educational environments. San Francisco: Jossey-Bass.

    Google Scholar 

  • Nakyonyi, M. M. (1993). HIV/AIDS education participation by the African community. Canadian Journal of Public Health, Supplement 1, S19–S23.

  • O'Neill, P. & Trickett, E. J. (1982). Community consultation. San Francisco: Jossey-Bass.

    Google Scholar 

  • Power, R., Jones, S., Kearns, G., Ward., J, Perera, J. (1995). Drug users networks, coping strategies, a HIV prevention in the community. The Journal of Drug Issues, 25(3), 565–581.

    Google Scholar 

  • Rappaport, J. (1987). Terms of empowerment/exemplars of prevention: Toward a theory for community psychology. American Journal of Community Psychology, 15(2), 121–148.

    Google Scholar 

  • Reed, G.M., & Collins, B.E. (1994). Mental health research and service delivery: A three communities model. Psychosocial Rehabilitation Journal, 17(4), 69–81.

    Google Scholar 

  • Rhodes, T., Stimson, G. V., & Quirk, A. (1996). Sex, drugs, intervention, and research: From the individual to the social. Substance Use and Misuse, 31(3, 375–407.

    Google Scholar 

  • Sampson, R., Raudenbush, S., & Earls, F. (1997). Neighborhoods and violent crime: A multilevel study of collective efficacy. Science, 277, 918–924.

    Google Scholar 

  • Sarason, S. B. (1981). Psychology misdirected. New York: Free Press.

    Google Scholar 

  • Seibt, A.C., Ross, M.W., Krepcho, M., Hedrich, A., McAlister, A., & Ferna'ndez-Esquer, M.E. (1995). Relationship between safe sex and acculturation into the gay subculture. AIDS Care, 7 Suppl. 1, s85-s88.

    Google Scholar 

  • Singer, M. & Marxuach-Rodriquez, L. (1996). Applying anthropology to the prevention of AIDS: The Latino Gay Men's Mental Health Project. Human Organization, 55(2, 141–148.

    Google Scholar 

  • Singer, M. & Weeks, M. (1996). Preventing AIDS in communities of color: Anthropology and social pervention. Human Organization, 55(4, 488–492.

    Google Scholar 

  • Singer, S.M., Willms, D.G., Adrien, A, Baxter, J., Brabazon, C., Leaune, V., Godin, G., Maticka-Tyndale, & Cappon, P. (1996). Many voices: Sociocultural results of the ethnocultural communities facing AIDS study in Canada. Canadian Journal of Public Health, 87, s26-s32.

    Google Scholar 

  • Stevenson, H.C., & White, J.J. (1994). AIDS prevention struggles in ethnocultural neighborhoods: Why research partnerships with community based organizations can't wait. AIDS Education and Prevention, 6(2), 126–139.

    Google Scholar 

  • Tawil, O., Verster, A., & O'Reilly, K. R. (1995). Enabling approaches for HIV/AIDS prevention: Can we modify the environment and minimize the risk? AIDS, 9, 291–306.

    Google Scholar 

  • Treadway, L. & Yoakam. J. (1992). Creating a safer school environment for lesbian and gay students. Journal of School Health, 62(7, 352–357.

    Google Scholar 

  • Trickett, E. J. (2000). Collaboration and Social Inquiry: The Multiple Roles of Relationships in Creating Useful and Valid Knowledge. Unpublished paper, University of Maryland.

  • Trickett, E.J. (1997). The Interdependence of Schools and Communities: Developing an Ecological Mind-Set on School-Community Collaboration. In W. Martin and J. Swartz ((Eds.), Applied Ecological Psychology for Schools within Communities: Assessment and Intervention. (Pp. 139–166), Mahwah, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Trickett, E.J. (1996). A future for community psychology: The contexts of diversity and the diversity of contexts. American Journal of Community Psychology, 24(2, 209–229.

    Google Scholar 

  • Trickett, E.J. (1995). The community context of disaster and traumatic stress: An ecological perspective from community psychology. In S.E. Hobfoll and M. deVries ((Eds.). Extreme Community Stress: Impact and Intervention. The Hague, The Netherlands, Martinus Nijhof.

    Google Scholar 

  • Trickett, E.J. (1984). Towards a Distinctive Community Psychology: An Ecological metaphor for Training and the Conduct of Research. American Journal of Community Psychology, 12, 261–279.

    Google Scholar 

  • Trickett, E. J., Barone, C., & Watts, R. (2000). Contextual influences in mental health consultation: Toward an ecological perspective on radiating change. In J. Rappaport & E. Seidman ((Eds), Handbook of Community Psychology (pp. 303–330). New York: Kluwer Academic/Plenum Publishers.

    Google Scholar 

  • Trickett, E. J. & Birman, D. (1989). Taking ecology seriously: A community development approach to individually-based interventions. In L. Bond and B. Compas, ((Eds.), Primary prevention in the schools. Hanover, NH: University of New England Press.

    Google Scholar 

  • Trickett, E. J., Kelly, J. G., & Todd, D. M. (1972). The social environment of the high school: Guidelines for individual change and organizational development. In S. Golann & C. Eisdorfer ((Eds.), Handbook of commuity mental health (pp. 331–406). New York: Appleton-Century-Crofts.

    Google Scholar 

  • Trickett, E.J., Kelly, J. G., & Vincent, T. A. (1985). The spirit of ecological inquiry in community research. In E. Susskind & D. Klein (Eds.), Community research: Methods, paradigms, and applications. New York: Praeger.

    Google Scholar 

  • Trickett, E.J. & Mitchell, R.E. (1993). An ecological metaphor for research and intervention in community psychology. In Gibbs, M.S., Lachenmeyer, J.R. and Sigal, J. Community Psychology: Theoretical and Empirical Approaches, 2nd edition, New York, Wiley.

    Google Scholar 

  • Trickett, E.J. & Schmid, K. (1993). The social context of the school: An ecological perspective on school, adolescents in schools, and intervention in schools. In P. Tolan and B. Cohler (Eds.) Handbook of Clinical Research and Practice with Adolescents. New York: Wiley & Sons.

    Google Scholar 

  • Walker, G. & Small, S. (1991). AIDS, crack, poverty, and race in the African-American community: The need for an ecosystem approach. Journal of Independent Social Work, 5(3–4), 69–91.

    Google Scholar 

  • Weeks, M. R., Schensul, J. J., Williams, S.S., Singer, M., & Grier, M. (1995). AIDS prevention for African-American and Latina women: Building culturally and gender-appropriate intervention. AIDS Education and Prevention, 7(3), 251–263.

    Google Scholar 

  • Weiss, C. H. (1977). Survey researchers and minority communities. Journal of Social Issues, 33(4), 20–35.

    Google Scholar 

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  1. University of Illinois at Chicago, Chicago, IL

    Edison J. Trickett

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Trickett, E.J. Context, Culture, and Collaboration in AIDS Interventions: Ecological Ideas for Enhancing Community Impact. The Journal of Primary Prevention 23, 157–174 (2002). https://doi.org/10.1023/A:1019964215050

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