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Community empowerment paradigm drift and the primary prevention of HIV/AIDS

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  • Beeker, Carolyn
  • Guenther-Grey, Carolyn
  • Raj, Anita

Abstract

Long discussed in the public health arena, the concept of empowerment has only recently entered the discourse on the primary prevention of HIV/AIDS in the United States. Despite its broad appeal, empowerment has not been systematically incorporated into theory-based interventions, which may reflect a lack of consensus on the meaning of empowerment, how to measure it, and the intervention strategies it implies. The purpose of this paper is to consider the relevance of empowerment to community interventions for persons at risk for HIV, particularly women. The origins of empowerment are reviewed; community empowerment as an intervention framework is described and its core assumptions defined. There is some evidence of the growing influence of empowerment and related concepts in recent HIV-related policy, research, and programs funded through the Centers for Disease Control and Prevention. However, adoption of an empowerment framework for HIV prevention will require further theory and measurement development, as well as changes in how public health researchers and practitioners work with the communities they serve.

Suggested Citation

  • Beeker, Carolyn & Guenther-Grey, Carolyn & Raj, Anita, 1998. "Community empowerment paradigm drift and the primary prevention of HIV/AIDS," Social Science & Medicine, Elsevier, vol. 46(7), pages 831-842, April.
    • Handle: RePEc:eee:socmed:v:46:y:1998:i:7:p:831-842
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    Citations

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    Cited by:

    1. Jeff Naidoo & Jeffrey T. Huber & Pamela Cupp & Qishan Wu, 2013. "Modeling the relationship between an emerging infectious disease epidemic and the body of scientific literature associated with it: The case of HIV/AIDS in the United States," Journal of the Association for Information Science & Technology, Association for Information Science & Technology, vol. 64(2), pages 380-391, February.
    2. Lindsay E. Young & John A. Schneider, 2021. "The Co-Evolution of Network Structure and PrEP Adoption among a Large Cohort of PrEP Peer Leaders: Implications for Intervention Evaluation and Community Capacity-Building," IJERPH, MDPI, vol. 18(11), pages 1-19, June.
    3. Maticka-Tyndale, Eleanor & Tenkorang, Eric Y., 2010. "A multi-level model of condom use among male and female upper primary school students in Nyanza, Kenya," Social Science & Medicine, Elsevier, vol. 71(3), pages 616-625, August.
    4. Chinn, Deborah, 2011. "Critical health literacy: A review and critical analysis," Social Science & Medicine, Elsevier, vol. 73(1), pages 60-67, July.
    5. Caroline Masquillier & Edwin Wouters & Dimitri Mortelmans & Brian Van Wyk, 2015. "On the Road to HIV/AIDS Competence in the Household: Building a Health-Enabling Environment for People Living with HIV/AIDS," IJERPH, MDPI, vol. 12(3), pages 1-29, March.
    6. Ning Li & Xiaomei Li & Xueliang Wang & Jin Shao & Juanhua Dou, 2014. "A Cross-Site Intervention in Chinese Rural Migrants Enhances HIV/AIDS Knowledge, Attitude and Behavior," IJERPH, MDPI, vol. 11(4), pages 1-16, April.

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