Linnemayr Sebastian, MacCarthy Sarah, Wagner Zachary, Barreras Joanna L, Galvan Frank H
RAND Corporation, Santa Monica, USA.
Bienestar Human Services, Inc. Los Angeles, USA.
J AIDS Clin Res. 2018;9(11). doi: 10.4172/2155-6113.1000780. Epub 2018 Nov 30.
In this short communication, we discuss some key behavioral economic (BE) biases that likely minimize HIV prevention efforts, explore why certain key populations such as men who have sex with men or transgender women-may be more likely to succumb to these biases, and suggest how incentives informed by BE can support these populations in their effort to remain HIV-negative. Based on our formative work in an ongoing study, we discuss two important insights regarding the use of incentives to inform future HIV prevention efforts. First, participants often expressed more excitement for prizes that were viewed as fun (e.g., movie gift cards) or luxurious (e.g., cosmetics gift cards) rather than necessities (e.g., grocery store gift cards) of the same financial value and suggests that including an element of fun can be a powerful tool for incentivizing safe HIV-related behavior. Second, participants preferred not to be "paid" to display health behaviors, indicating the way incentives are given out (and perceived) is central to their success. Going forward, a BE perspective can help improve the impact of incentives - and increase their cost-effectiveness by carefully adapting them to the preferences of their recipients.
在这篇简短的通讯文章中,我们讨论了一些可能会使艾滋病预防工作成效降低的关键行为经济学(BE)偏差,探究了为何某些关键人群,如同性恋男性或跨性别女性,可能更容易受到这些偏差的影响,并提出基于行为经济学的激励措施如何能够帮助这些人群努力保持艾滋病毒阴性。基于我们在一项正在进行的研究中的前期工作,我们讨论了关于利用激励措施为未来艾滋病预防工作提供参考的两个重要见解。首先,参与者通常对被视为有趣(如电影礼品卡)或奢华(如化妆品礼品卡)的奖品表现出更高的兴奋度,而非具有相同经济价值的生活必需品(如杂货店礼品卡),这表明加入趣味性元素可能是激励与艾滋病相关的安全行为的有力工具。其次,参与者不希望因展示健康行为而被“付费”,这表明激励措施的发放方式(以及被认知的方式)对其成效至关重要。展望未来,行为经济学视角有助于提高激励措施的影响力,并通过根据接受者的偏好进行精心调整来提高其成本效益。