| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w17865 |
| 来源ID | Working Paper 17865 |
| Stimulating Demand for AIDS Prevention: Lessons from the RESPECT Trial | |
| Damien de Walque; William H. Dow; Carol Medlin; Rose Nathan | |
| 发表日期 | 2012-02-23 |
| 出版年 | 2012 |
| 语种 | 英语 |
| 摘要 | HIV-prevention strategies have yielded only limited success so far in slowing down the AIDS epidemic. This paper examines novel intervention strategies that use incentives to discourage risky sexual behaviors. Widely-adopted conditional cash transfer programs that offer payments conditioning on easily monitored behaviors, such as well-child health care visits have shown positive impact on health outcomes. Similarly, contingency management approaches have successfully used outcome-based rewards to encourage behaviors that aren't easily monitored, such as stopping drug abuse. These strategies have not been used in the sexual domain, so we assess how incentives can be used to reduce risky sexual behavior. After discussing theoretical pathways, we discuss the use of sexual-behavior incentives in the Tanzanian RESPECT trial. There, participants who tested negative for sexually transmitted infections are eligible for outcome-based cash rewards. The trial was well-received in the communities, with high enrollment rates and over 90% of participants viewing the incentives favorably. After one year, 57% of enrollees in the "low-value" reward arm stated that the cash rewards "very much" motivated sexual behavioral change, rising to 79% in the "high-value" reward arm. Despite its controversial nature, we argue for further testing of such incentive-based approaches to encouraging reductions in risky sexual behavior. |
| 主题 | Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w17865 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/575540 |
| 推荐引用方式 GB/T 7714 | Damien de Walque,William H. Dow,Carol Medlin,et al. Stimulating Demand for AIDS Prevention: Lessons from the RESPECT Trial. 2012. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w17865.pdf（148KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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