title: Theory, measurement and hard times: some issues for HIV/AIDS research.
abstract: 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.
authors.affiliation: Institute of Infectious Diseases Research, National Development and Research Institutes, Inc., 71 West 23rd Street, 8th Floor, New York, NY 10010, USA. friedman@ndri.org
authors.forename: Samuel R
authors.initials: SR
authors.lastname: Friedman
authors.forename: Milagros
authors.initials: M
authors.lastname: Sandoval
authors.forename: Pedro
authors.initials: P
authors.lastname: Mateu-Gelabert
authors.forename: Diana
authors.initials: D
authors.lastname: Rossi
authors.forename: Marya
authors.initials: M
authors.lastname: Gwadz
authors.forename: Kirk
authors.initials: K
authors.lastname: Dombrowski
authors.forename: Pavlo
authors.initials: P
authors.lastname: Smyrnov
authors.forename: Tetyana
authors.initials: T
authors.lastname: Vasylyeva
authors.forename: Enrique R
authors.initials: ER
authors.lastname: Pouget
authors.forename: David
authors.initials: D
authors.lastname: Perlman
mesh_terms: D035843:Biomedical Research / Q000191:economics; D003469:Culture; D057172:Economic Recession; D058872:Epidemics / Q000517:prevention & control; D015991:Epidemiologic Measurements; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans; D008962:Models, Theoretical
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