Theory, measurement and hard times: Some issues for HIV/AIDS research

Samuel R. Friedman, Milagros Sandoval, Pedro Mateu-Gelabert, Diana Rossi, Marya Gwadz, Kirk Dombrowski, Pavlo Smyrnov, Tetyana Vasylyeva, Enrique R. Pouget, David Perlman

Research output: Contribution to journalArticlepeer-review

34 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)1915-1925
Number of pages11
JournalAIDS and Behavior
Issue number6
StatePublished - Jul 2013
Externally publishedYes


  • Big events
  • Cultural-historical activity theory
  • HIV
  • Hard times
  • Measurement
  • Theory

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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