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首页> 外文期刊>AIDS and behavior >Behavioral Economics Matters for HIV Research: The Impact of Behavioral Biases on Adherence to Antiretrovirals (ARVs)
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Behavioral Economics Matters for HIV Research: The Impact of Behavioral Biases on Adherence to Antiretrovirals (ARVs)

机译：艾滋病研究的行为经济学意义：行为偏见对抗逆转录病毒药物（ARV）依从性的影响

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摘要

Behavioral economics (BE) has been used to study a number of health behaviors such as smoking and drug use, but there is little knowledge of how these insights relate to HIV prevention and care. We present novel evidence on the prevalence of the common behavioral decision-making errors of present-bias, overoptimism, and information salience among 155 Ugandan HIV patients, and analyze their association with subsequent medication adherence. 36 % of study participants are classified as present-biased, 21 % as overoptimistic, and 34 % as having salient HIV information. Patients displaying present-bias were 13 % points (p = 0.006) less likely to have adherence rates above 90 %, overoptimistic clients were 9 % points (p = 0.04) less likely, and those not having salient HIV information were 17 % points (p < 0.001) less likely. These findings indicate that BE may be used to screen for future adherence problems and to better design and target interventions addressing these behavioral biases and the associated suboptimal adherence.
机译：行为经济学（BE）已被用于研究许多健康行为，例如吸烟和吸毒，但对这些见解与HIV预防和护理之间的关系知之甚少。我们提供了有关155名乌干达HIV患者中当前偏见，过度乐观和信息显着性的普遍行为决策错误的普遍性的新证据，并分析了他们与后续药物依从性的关系。 36％的研究参与者被归类为当前偏见，21％被归类为过度乐观，34％被归为具有明显的HIV信息。表现出偏见的患者依从率高于90％的可能性降低13％（p = 0.006），过分乐观的服务对象的依从率降低9％（p = 0.04），而那些没有获得明显HIV信息的患者则下降17％（p = 0.04）。 p <0.001）的可能性较小。这些发现表明，BE可以用于筛选未来的依从性问题，并更好地设计和针对这些行为偏差和相关的次优依从性的干预措施。

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