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“给我钱”:经济激励措施提高了大学生衣原体筛查率:一项试点研究。

'Show me the money': financial incentives increase chlamydia screening rates among tertiary students: a pilot study.

作者信息

Currie Marian J, Schmidt Matthias, Davis Belinda K, Baynes Anne M, O'Keefe Elissa J, Bavinton Tim P, McNiven Michelle, Martin Sarah J, Bowden Francis J

机构信息

Academic Unit of Internal Medicine, Australian National University Medical School, Canberra Clinical School, Canberra Hospital, Woden, ACT, Australia.

出版信息

Sex Health. 2010 Mar;7(1):60-5. doi: 10.1071/SH08091.

DOI:10.1071/SH08091
PMID:20152098
Abstract

BACKGROUND

We hypothesise that text-messaging and financial incentives would increase tertiary student participation in chlamydia screening.

METHODS

A cross-sectional study was conducted over two phases on eight tertiary campuses during 2007. During Phase 1 (6 months) study activities were advertised through student organisations and media. Education and screening were offered during a range of student activities. During Phase 2 (4 days) education and screening were offered via text messages. Non-financial incentives were offered during Phase 1 and a $10 cash incentive was offered during Phase 2. Rates of specimens provided by students and the direct costs incurred during each phase were compared.

RESULTS

2786 students attended the 31 activities conducted in Phase 1. Of these, 627 students (22.5%) provided urine specimens for chlamydia testing. During Phase 2, the dissemination of 866 text messages resulted in urine specimens from 392 students (45.3%). Costs per test were AUD $175.11 in Phase 1 and AUD $27.13 in Phase 2.

CONCLUSIONS

Compared with more labour intensive (and therefore more expensive) screening activities conducted over a 6-month period, offering a small financial incentive to tertiary students through text messaging over a 4-day period significantly increased participation in on-campus chlamydia screening. This model could readily be applied to other populations to increase participation in chlamydia screening.

摘要

背景

我们假设短信提醒和经济激励措施能够提高大学生参与衣原体筛查的比例。

方法

2007年,在八个大学校园分两个阶段开展了一项横断面研究。在第一阶段(6个月),通过学生组织和媒体宣传研究活动。在一系列学生活动期间提供教育和筛查服务。在第二阶段(4天),通过短信提供教育和筛查服务。在第一阶段提供非经济激励措施,在第二阶段提供10澳元的现金激励。比较了各阶段学生提供的样本率和所产生的直接成本。

结果

2786名学生参加了第一阶段开展的31项活动。其中,627名学生(22.5%)提供了衣原体检测的尿液样本。在第二阶段,发送的866条短信促使392名学生(45.3%)提供了尿液样本。第一阶段每次检测的成本为175.11澳元,第二阶段为27.13澳元。

结论

与在6个月内开展的劳动强度更大(因而成本更高)的筛查活动相比,在4天内通过短信向大学生提供小额经济激励显著提高了校园衣原体筛查的参与率。该模式可轻易应用于其他人群,以提高衣原体筛查的参与率。

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