Richterman Aaron, Aitcheson Nancy, Durnwald Celeste, Curley Cara, Short William R, Jean Louis Mirabelle, Momplaisir Florence, Thirumurthy Harsha
Division of Infectious Diseases, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA.
AIDS Behav. 2025 Feb;29(2):556-561. doi: 10.1007/s10461-024-04539-0. Epub 2024 Nov 1.
Behavioral economics research suggests poverty may influence behavior by reducing mental bandwidth, increasing future discounting, and increasing risk aversion. It is plausible these decision-making processes are further impaired in the context of HIV or pregnancy. In this cross-sectional study of 86 low-income women in Philadelphia, HIV was associated with lower mental bandwidth (one of two measures) and lower risk aversion. Pregnancy was not associated with any decision-making factors. In secondary analyses, viral suppression was associated with greater mental bandwidth (one of two measures), and antenatal clinic attendance with lower future discounting. Anti-poverty interventions may be beneficial to improve HIV-related health behaviors.
行为经济学研究表明，贫困可能通过减少心理带宽、增加未来贴现以及增加风险厌恶来影响行为。在感染艾滋病毒或怀孕的情况下，这些决策过程可能会进一步受损，这似乎是合理的。在这项对费城86名低收入女性的横断面研究中，感染艾滋病毒与较低的心理带宽（两种测量指标之一）和较低的风险厌恶有关。怀孕与任何决策因素均无关联。在二次分析中，病毒抑制与更大的心理带宽（两种测量指标之一）有关，而产前诊所就诊与较低的未来贴现有关。反贫困干预措施可能有助于改善与艾滋病毒相关的健康行为。
