Department of Epidemiology, School of Public Health, University of Washington, UW Box # 351619, Seattle, WA, 98195, USA.
Department of Global Health, School of Public Health, University of Washington, Seattle, WA, USA.
Curr HIV/AIDS Rep. 2022 Oct;19(5):409-414. doi: 10.1007/s11904-022-00624-y. Epub 2022 Aug 31.
We explored different behavioral economics (BE) mechanisms through which pre-exposure prophylaxis (PrEP) initiation and adherence could be impacted and examined recent work using BE principles to further HIV prevention efforts. We also generated new intervention ideas based on existing HIV testing and ART adherence literature.
There is limited work that uses BE principles to design interventions to increase PrEP initiation and adherence, mostly involving financial incentives. The recent works highlighted involve financial incentives and demonstrate that key populations are open to accepting monetary incentives to increase PrEP initiation and improve adherence. However, there are mixed results on the long-term impacts of using incentives to modify behavior. While there are a few ongoing studies that utilize BE principles to increase PrEP use, there is need to develop studies that test these concepts, to promote PrEP initiation and adherence. We suggest methods of exploring non-incentives-based ideas to increase PrEP use in key populations.
目的综述：我们探讨了不同的行为经济学（BE）机制，这些机制可能会影响到暴露前预防（PrEP）的起始和依从性，并研究了最近利用 BE 原理来进一步推动 HIV 预防工作的相关研究。我们还基于现有的 HIV 检测和 ART 依从性文献，提出了新的干预思路。
最近发现：目前，利用 BE 原理设计干预措施以提高 PrEP 的起始和依从性的工作有限，主要涉及经济激励。最近的研究强调了经济激励的作用，并表明关键人群愿意接受经济激励来提高 PrEP 的起始率和改善依从性。然而，使用激励措施来改变行为的长期影响存在混合结果。虽然有一些正在进行的研究利用 BE 原理来增加 PrEP 的使用，但需要开展研究来检验这些概念，以促进 PrEP 的起始和依从性。我们建议探索非激励措施来增加关键人群 PrEP 使用的方法。
