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促进HIV检测及HIV/AIDS知识的传播与持续传播:来自埃塞俄比亚一项随机对照试验的证据。

Promotion and Persistence of HIV Testing and HIV/AIDS Knowledge: Evidence From a Randomized Controlled Trial in Ethiopia.

作者信息

Kim Hyuncheol Bryant, Haile Beliyou, Lee Taewha

机构信息

Department of Policy Analysis and Management, Cornell University, Ithaca, NY, USA.

International Food Policy Research Institute (IFPRI), Washington, D.C., USA.

出版信息

Health Econ. 2017 Nov;26(11):1394-1411. doi: 10.1002/hec.3425. Epub 2016 Sep 26.


DOI:10.1002/hec.3425
PMID:27671119
Abstract

We use data from a randomized controlled trial in Ethiopia and examine the causal effects of HIV/AIDS education, home-based voluntary HIV counseling and testing (VCT), and conditional cash transfers (CCT) for facility-based VCT on HIV/AIDS knowledge and demand for HIV testing. HIV/AIDS education significantly increases HIV/AIDS knowledge but has a limited effect on testing take-up. However, when HIV/AIDS education is combined with either home-based VCT or CCT for facility-based VCT, take-up increases substantially by about 63 and 57 percentage points, respectively. We also demonstrate evidence of persistence in test-taking behavior, where past HIV testing does not dampen demand for testing. Lastly, we find suggestive evidence that home-based VCT could be more effective at detecting HIV-positive cases relative to CCT for facility-based VCT. Our findings highlight the importance of geographic accessibility in the testing decision and persistence in demand for HIV testing. Copyright © 2016 John Wiley & Sons, Ltd.

摘要

我们使用来自埃塞俄比亚一项随机对照试验的数据,研究了艾滋病病毒/艾滋病教育、家庭自愿咨询检测(VCT)以及针对机构自愿咨询检测的有条件现金转移支付(CCT)对艾滋病病毒/艾滋病知识和艾滋病病毒检测需求的因果效应。艾滋病病毒/艾滋病教育显著增加了艾滋病病毒/艾滋病知识,但对检测接受率的影响有限。然而,当艾滋病病毒/艾滋病教育与家庭自愿咨询检测或针对机构自愿咨询检测的有条件现金转移支付相结合时,检测接受率分别大幅提高了约63和57个百分点。我们还证明了检测行为存在持续性,即过去的艾滋病病毒检测并未抑制检测需求。最后,我们发现有暗示性证据表明,相对于针对机构自愿咨询检测的有条件现金转移支付,家庭自愿咨询检测在检测艾滋病病毒阳性病例方面可能更有效。我们的研究结果凸显了地理可及性在检测决策中的重要性以及对艾滋病病毒检测需求的持续性。版权所有© 2016约翰·威利父子有限公司。

相似文献

[1]
Promotion and Persistence of HIV Testing and HIV/AIDS Knowledge: Evidence From a Randomized Controlled Trial in Ethiopia.

Health Econ. 2017-11

[2]
Factors influencing the uptake of voluntary HIV counseling and testing in rural Ethiopia: a cross sectional study.

BMC Public Health. 2016-3-8

[3]
Knowledge of HIV/AIDS and attitude towards voluntary counseling and testing among adults.

J Natl Med Assoc. 2006-12

[4]
WITHDRAWN: Home-based HIV voluntary counseling and testing in developing countries.

Cochrane Database Syst Rev. 2010-2-17

[5]
Changing patterns in HIV/AIDS stigma and uptake of voluntary counselling and testing services: the results of two consecutive community surveys conducted in the Western Cape, South Africa.

AIDS Care. 2013

[6]
Voluntary HIV counseling and testing service in Northwest Ethiopia: the cases of counselor's perception, client's satisfaction, and in-service observations.

Ethiop Med J. 2011-7

[7]
The knowledge, attitude and practice of voluntary counselling and testing (VCT) for HIV/AIDS among undergraduates in a polytechnic in southeast, Nigeria.

Niger J Med. 2006

[8]
Knowledge, attitude and practice towards voluntary counseling and testing among university students in North West Ethiopia: a cross sectional study.

BMC Public Health. 2013-8-2

[9]
Home-based HIV voluntary counseling and testing in developing countries.

Cochrane Database Syst Rev. 2007-10-17

[10]
Factors affecting voluntary HIV counselling and testing among men in Ethiopia: a cross-sectional survey.

BMC Public Health. 2012-6-15

引用本文的文献

[1]
Experiences and perceptions of conditional cash incentive provision and cessation among people with HIV for care engagement: a qualitative study.

BMC Public Health. 2025-3-22

[2]
KNOWLEDGE, STIGMA, AND HIV TESTING: AN ANALYSIS OF A WIDESPREAD HIV/AIDS PROGRAM.

J Dev Econ. 2023-1

[3]
Experiences and perceptions of conditional cash incentive provision and cessation among people with HIV for care engagement: A qualitative study.

Res Sq. 2024-2-7

[4]
Impact of family networks on uptake of health interventions: evidence from a community-randomized control trial aimed at increasing HIV testing in South Africa.

J Int AIDS Soc. 2023-8

[5]
Demand creation for HIV testing services: A systematic review and meta-analysis.

PLoS Med. 2023-3

[6]
Spending money to make change: Association of methamphetamine abstinence and voucher spending among contingency management pilot participants in South Africa.

J Subst Abuse Treat. 2020-5

[7]
Conditional economic incentives to improve HIV prevention and treatment in low-income and middle-income countries.

Lancet HIV. 2019-10

[8]
The use of home-based HIV testing and counseling in low-and-middle income countries: a scoping review.

BMC Public Health. 2019-1-31

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