Lo Nathan C, Lowe Anita, Bendavid Eran
Nathan C. Lo (
Anita Lowe is a medical student at Stanford University School of Medicine.
Health Aff (Millwood). 2016 May 1;35(5):856-63. doi: 10.1377/hlthaff.2015.0828.
The President's Emergency Plan for AIDS Relief (PEPFAR) has been the largest funder of abstinence and faithfulness programming in sub-Saharan Africa, with a cumulative investment of over US $1.4 billion in the period 2004-13. We examined whether PEPFAR funding for abstinence and faithfulness programs, which aimed to reduce the risk of HIV transmission, was associated with a relative change in five outcomes indicative of high-risk sexual behavior: number of sexual partners in the past twelve months for men and for women, age at first sexual intercourse for men and for women, and teenage pregnancies. Using nationally representative surveys from twenty-two sub-Saharan African countries, we compared trends between people living in countries that received PEPFAR abstinence and faithfulness funding and those living in countries that did not in the period 1998-2013. We found no evidence to suggest that PEPFAR funding was associated with population-level reductions in any of the five outcomes. These results suggest that alternative funding priorities for HIV prevention may yield greater health benefits.
总统防治艾滋病紧急救援计划（PEPFAR）一直是撒哈拉以南非洲地区禁欲和忠贞项目的最大资助者，在2004年至2013年期间累计投资超过14亿美元。我们研究了旨在降低艾滋病毒传播风险的PEPFAR禁欲和忠贞项目资金，是否与五个表明高危性行为的结果的相对变化相关：男性和女性在过去十二个月中的性伴侣数量、男性和女性首次性行为的年龄以及少女怀孕情况。我们利用来自22个撒哈拉以南非洲国家的具有全国代表性的调查数据，比较了1998年至2013年期间接受PEPFAR禁欲和忠贞项目资金的国家的人群与未接受该资金的国家的人群之间的趋势。我们没有发现证据表明PEPFAR资金与这五个结果中的任何一个在人群层面的减少有关。这些结果表明，预防艾滋病毒的其他资金优先事项可能会带来更大的健康益处。
