The indirect impact of antiretroviral therapy: Mortality risk, mental health, and HIV-negative labor supply
The indirect impact of antiretroviral therapy: Mortality risk, mental health, and HIV-negative labor supply
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DOI：
10.1016/j.jhealeco.2015.07.008
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发表时间：
2015-12-01
影响因子：
3.5
通讯作者：
Kohler, Hans-Peter
中科院分区：
文献类型：
--
作者：
Baranov, Victoria;Bennett, Daniel;Kohler, Hans-Peter
为了减轻艾滋病毒/艾滋病流行的负担，国际捐助者最近开始在撒哈拉以南非洲的部分地区提供免费的抗逆转录病毒疗法。抗逆转录病毒疗法大大延长了艾滋病毒携带者的寿命，降低了其传染性。这篇论文表明，抗逆转录病毒药物的可获得性增加了艾滋病毒阴性者的工作时间，这些人没有看护义务，他们不直接从药物中受益。差异性设计比较了居住在ART附近和远离ART的人在获得治疗前后的差异。接下来，我们将探讨这种模式的可能原因。虽然我们不能准确地确定机制，但我们发现ART的可用性大大降低了主观死亡风险，并改善了心理健康。这些结果显示了艾滋病毒/艾滋病流行的未记录的经济后果和医疗创新的一个重要外部性。他们还提供了疾病环境和心理健康之间联系的第一个证据。(C)2015爱思唯尔B.V.保留所有权利。
To reduce the burden of the HIV/AIDS epidemic, international donors recently began providing free antiretroviral therapy (ART) in parts of Sub-Saharan Africa. ART dramatically prolongs life and reduces infectiousness for people with HIV. This paper shows that ART availability increases work time for HIV-negative people without caretaker obligations, who do not directly benefit from the medicine. A difference-in-difference design compares people living near and far from ART, before and after treatment becomes available. Next we explore the possible reasons for this pattern. Although we cannot pinpoint the mechanism, we find that ART availability substantially reduces subjective mortality risk and improves mental health. These results show an undocumented economic consequence of the HIV/AIDS epidemic and an important externality of medical innovation. They also provide the first evidence of a link between the disease environment and mental health. (C) 2015 Elsevier B.V. All rights reserved.