title: Socially-integrated transdisciplinary HIV prevention.
abstract: Current ideas about HIV prevention include a mixture of primarily biomedical interventions, socio-mechanical interventions such as sterile syringe and condom distribution, and behavioral interventions. This article presents a framework for socially-integrated transdisciplinary HIV prevention that may improve current prevention efforts. It first describes one socially-integrated transdisciplinary intervention project, the Transmission Reduction Intervention Project. We focus on how social aspects of the intervention integrate its component parts across disciplines and processes at different levels of analysis. We then present socially-integrated perspectives about how to improve combination antiretroviral treatment (cART) processes at the population level in order to solve the problems of the treatment cascade and make "treatment as prevention" more effective. Finally, we discuss some remaining problems and issues in such a social transdisciplinary intervention in the hope that other researchers and public health agents will develop additional socially-integrated interventions for HIV and other diseases.
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: Martin J
authors.initials: MJ
authors.lastname: Downing
authors.forename: Pavlo
authors.initials: P
authors.lastname: Smyrnov
authors.forename: Georgios
authors.initials: G
authors.lastname: Nikolopoulos
authors.forename: John A
authors.initials: JA
authors.lastname: Schneider
authors.forename: Britt
authors.initials: B
authors.lastname: Livak
authors.forename: Gkikas
authors.initials: G
authors.lastname: Magiorkinis
authors.forename: Liudmyla
authors.initials: L
authors.lastname: Slobodianyk
authors.forename: Tetyana I
authors.initials: TI
authors.lastname: Vasylyeva
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Paraskevis
authors.forename: Mina
authors.initials: M
authors.lastname: Psichogiou
authors.forename: Vana
authors.initials: V
authors.lastname: Sypsa
authors.forename: Melpomeni M
authors.initials: MM
authors.lastname: Malliori
authors.forename: Angelos
authors.initials: A
authors.lastname: Hatzakis
mesh_terms: D017280:Condoms / Q000706:statistics & numerical data; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology / Q000635:transmission; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D054625:Healthcare Disparities / Q000706:statistics & numerical data*; D006801:Humans; D033183:Interdisciplinary Communication; D010802:Phylogeny; D015397:Program Evaluation; D011634:Public Health; D058996:Quality Improvement; D011787:Quality of Health Care / Q000458:organization & administration*; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D013997:Time Factors; D019562:Viral Load