MHS-2410 Lecture Notes - Lecture 36: Planned Economy, Social Forces, International Sanctions

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Rhodes and simic: transition and the hiv risk environment. The spread of hiv is shaped by variations in population behavior and public health response, which themselves are shaped by differences in social cultural, economic, and political conditions. Transition is a form of environmental change that can disrupt individual and community level risk reduction, weakening the capacity of public health response. Risk environment: risk factors exogenous to the individual: physical, social, economic, and policy at two levels. The micro-risk environment: focuses on personal decisions as well as the influence of community level norms and practices. The macro-risk environment: captures structural factors such as laws, military actions, economic conditions, and wider cultural beliefs. Transition has led to economic and social dislocation, creating an environment that allows illicit drug markets, drug injecting, and related hiv risk to thrive. Political transition, expanding transport and communication networks, which fostered migration and mixing of populations, and the growth of trade links.

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