HIV risk and the alcohol environment: advancing an ecological epidemiology for HIV/AIDS

Alcohol Res Health. 2010;33(3):179-83.


The study of individual risk factors is inadequate to address the current public health challenges associated with HIV/AIDS. Rather, an ecological epidemiological study of HIV/AIDS is needed to address these challenges. A socioecological framework has been proposed for HIV/AIDS, including influences at the individual level, the interpersonal level, the neighborhood level, and the societal level. This framework provides the basis for a conceptual model with specific risk factors at each of these levels and cross-level associations. The nature of the associations also is important, in particular the assumption that the neighborhood alcohol environment exerts its effect on HIV risk through both direct and indirect pathways.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Acquired Immunodeficiency Syndrome / diagnosis
  • Acquired Immunodeficiency Syndrome / epidemiology*
  • Acquired Immunodeficiency Syndrome / prevention & control
  • Alcohol Drinking / epidemiology
  • Alcohol Drinking / prevention & control
  • Alcoholism / diagnosis
  • Alcoholism / epidemiology*
  • Alcoholism / prevention & control
  • Animals
  • HIV Infections / diagnosis
  • HIV Infections / epidemiology
  • HIV Infections / prevention & control
  • Humans
  • Risk Factors
  • Social Environment*