Department of Economics, Old Dominion University, Norfolk, Virginia, USA.
LGBT Policy Lab, Vanderbilt University, Nashville, Tennessee, USA.
Health Econ. 2023 Sep;32(9):2047-2079. doi: 10.1002/hec.4712. Epub 2023 Jun 9.
We present evidence that Earvin "Magic" Johnson's announcement that he contracted HIV served as a public-health catalyst for rapidly correcting the public's understanding of who was at risk of infection. Using a novel identification strategy, we present evidence that there was a large but temporary increase in the number of AIDS diagnoses for heterosexual men following the announcement. This effect was concentrated in areas with greater prior exposure to Johnson. We show that these men were both more likely to have been diagnosed via a formal blood test and less likely to die within 1 decade of their initial diagnosis-suggesting that Johnson's announcement caused an intertemporal substitution in testing which prolonged patients' lifespans as a result of earlier access to medical care. We estimate that Johnson's announcement caused approximately 800 additional heterosexual males in the United States in metropolitan statistical areas with National Basketball Association franchises men to discover their underlying AIDS diagnosis and, of whom, were more likely to live at least 1 decade beyond their initial diagnosis date.
我们提供的证据表明,埃尔文“魔术师”约翰逊宣布感染艾滋病毒,这一事件迅速纠正了公众对哪些人面临感染风险的理解,成为公共卫生的催化剂。我们使用一种新颖的识别策略,证明在宣布之后,异性恋男性的艾滋病诊断数量出现了短暂但显著的增加。这种影响集中在先前接触过约翰逊的地区。我们发现,这些男性更有可能通过正规血液检测进行诊断,而且在最初诊断后的 10 年内死亡的可能性较小——这表明约翰逊的宣布导致了检测的跨期替代,由于更早地获得医疗护理,从而延长了患者的寿命。我们估计,约翰逊的宣布导致美国有大约 800 名额外的异性恋男性在拥有国家篮球协会特许经营权的大都市统计区发现了他们潜在的艾滋病诊断,其中至少有 10 年以上的时间超过了最初的诊断日期。