Incentivizing HIV/STI Testing: A Systematic Review of the Literature

被引:72
作者
Lee, Ramon [1 ]
Cui, Rosa R. [2 ]
Muessig, Kathryn E. [3 ]
Thirumurthy, Harsha [4 ]
Tucker, Joseph D. [5 ]
机构
[1] Harvard Univ, Sch Med, Boston, MA 02163 USA
[2] Columbia Univ Coll Phys & Surg, New York, NY 10032 USA
[3] Univ N Carolina, Gillings Sch Global Publ Hlth, Dept Hlth Behav, Chapel Hill, NC USA
[4] Univ N Carolina, Gillings Sch Global Publ Hlth, Dept Hlth Policy & Management, Chapel Hill, NC USA
[5] Univ N Carolina, Sch Med, UNC Project China, Chapel Hill, NC USA
关键词
HIV/AIDS; Sexually transmitted diseases; Incentive; Conditional cash transfer; Voucher Contingency management; SEXUALLY-TRANSMITTED INFECTIONS; CONDITIONAL CASH TRANSFERS; CLUSTER-RANDOMIZED-TRIAL; MIDDLE-INCOME COUNTRIES; FINANCIAL INCENTIVES; ANTIRETROVIRAL THERAPY; DISEASE-CONTROL; HEALTH-CARE; DRUG-USERS; HIV;
D O I
10.1007/s10461-013-0588-8
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Suboptimal HIV/STI testing uptake has a profound impact on morbidity and mortality. Incentives have been effective in other areas of medicine and may improve HIV/STI testing uptake rates. This study reviewed the effects of incentives on HIV/STI testing uptake. A systematic search of seven databases was undertaken. Testing uptake was defined as test implementation and/or test result retrieval. Incentives were defined as monetary or non-monetary rewards or free-of-charge testing vouchers. Seven studies were included. All seven studies demonstrated higher rates of uptake in an incentivized group. Incentives offered at a non-clinical setting demonstrated more significant differences in uptake rates compared to incentives offered at a clinical setting. Incentivizing HIV/STI testing uptake, especially testing at a non-clinical setting, may be a useful tool to modify health behavior. Further research is needed to understand how incentives could be an effective component within a comprehensive HIV/STI control strategy.
引用
收藏
页码:905 / 912
页数:8
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