Open AccessBetween Individual Agency and Structure in HIV Prevention: Understanding the Middle Ground of Social Practice
Author(s) -
Susan Kippax,
Niamh Stephenson,
Richard Parker,
Peter Aggleton
Publication year - 2013
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.2013.301301
Subject(s) - agency (philosophy) , vulnerability (computing) , centrality , public relations , sociology , social psychology , political science , medicine , psychology , social science , computer security , mathematics , combinatorics , computer science
When HIV prevention targets risk and vulnerability, it focuses on individual agency and social structures, ignoring the centrality of community in effective HIV prevention. The neoliberal concept of risk assumes individuals are rational agents who act on information provided to them regarding HIV transmission. This individualistic framework does not recognize the communities in which people act and connect. The concept of vulnerability on the other hand acknowledges the social world, but mainly as social barriers that make it difficult for individuals to act. Neither approach to HIV prevention offers understanding of community practices or collective agency, both central to success in HIV prevention to date. Drawing on examples of the social transformation achieved by community action in Australia and Brazil, this article focuses on this middle ground and its role in effective HIV prevention.