Yang Dean, Allen James, Mahumane Arlete, Riddell James, Yu Hang
University of Michigan, Department of Economics and Gerald R. Ford School of Public Policy, 735 S. State Street, Room 3316, Ann Arbor, MI 48109 and NBER.
Department of Economics and Gerald R. Ford School of Public Policy, University of Michigan, 735 S. State Street, Ann Arbor, MI 48109.
J Dev Econ. 2023 Jan;160. doi: 10.1016/j.jdeveco.2022.102958. Epub 2022 Aug 6.
Using randomized methodologies, we study a common community HIV/AIDS program that seeks to promote HIV testing by improving knowledge and reducing stigmatizing attitudes. Contrary to expectations, the program has a substantial negative effect on HIV testing rates. We provide evidence of likely mechanisms behind the program's negative effect: it inadvertently increased misinformation about HIV transmission methods, and worsened HIV-related stigmatizing attitudes. Subsequent household-level randomized treatments providing correct information and addressing stigma concerns counteract the program's negative effect on HIV testing. These findings highlight the importance of improving knowledge and alleviating stigma concerns when promoting HIV testing.
我们采用随机方法，研究了一个常见的社区艾滋病毒/艾滋病项目，该项目旨在通过提高知识水平和减少污名化态度来促进艾滋病毒检测。与预期相反，该项目对艾滋病毒检测率产生了重大负面影响。我们提供了该项目负面影响背后可能机制的证据：它无意中增加了关于艾滋病毒传播方式的错误信息，并加剧了与艾滋病毒相关的污名化态度。随后在家庭层面进行的随机治疗提供了正确信息并解决了污名问题，抵消了该项目对艾滋病毒检测的负面影响。这些发现凸显了在促进艾滋病毒检测时提高知识水平和减轻污名问题的重要性。
