A qualitative exploration of health-related present bias among HIV-positive adults in Uganda.
A qualitative exploration of health-related present bias among HIV-positive adults in Uganda.
复制标题
对乌干达艾滋病毒阳性成年人中与健康相关的偏见的定性探索。
DOI：
10.1080/09540121.2021.2004298
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发表时间：
2023
期刊：
影响因子：
1.7
通讯作者：
Linnemayr,Sebastian
中科院分区：
文献类型：
--
作者：
MacCarthy,Sarah;Mendoza-Graf,Alexandra;JenningsMayo-Wilson,Larissa;Wagner,Zachary;Saya,Uzaib;Chemusto,Harriet;Mukasa,Barbara;Linnemayr,Sebastian
决策错误，如目前的偏见（PB）可以有重要的后果，健康行为，但已在金融领域进行了大量的研究。我们进行了一项混合方法的研究PB的背景下，在乌干达（n= 39）的临床登记的成年人的ART坚持。具体来说，我们通过询问更早可用的药物之间的偏好来量化PB，以最大限度地减少头痛与更晚可用的药物来治疗头痛。我们描述了PB参与者之间的人口统计学相似性，并定性地探讨了参与者如何在健康的背景下反映他们的PB（或不存在）。报告PB的参与者主要是男性，单身/未婚，年龄较大，教育和收入水平较高，艾滋病毒进展更严重。三个常见的原因提供了更多的现在偏见的选择：（1）想避免疼痛，（2）想回到工作岗位，（3）担心一个人的健康恶化，如果他/她没有立即解决他们的疾病。虽然金融领域的PB通常表明，较贫穷的人更喜欢立即获得奖励，而不是较富裕的人，但我们的研究结果表明，健康状况不佳可能是PB的一个驱动因素。需要进一步的研究来建立在这些发现的基础上，并告知程序如何构建关于显示PB的患者的ART依从性的关键信息。ClinicalTrials.gov
Decision-making errors such as present bias (PB) can have important consequences for health behaviors, but have been largely studied in the financial domain. We conducted a mixed-method study on PB in the context of ART adherence among clinic-enrolled adults in Uganda (n= 39). Specifically, we quantified PB by asking about preferences between medication available sooner to minimize headaches versus available later to cure headaches. We describe demographic similarities among PB participants and qualitatively explored how participants reflected on their PB (or absence thereof) in the context of health. Participants reporting PB were predominantly male, single/unmarried, older, had higher levels of education and income and more advanced HIV progression. Three common reasons for more present-biased choices provided were: (1) wanting to avoid pain, (2) wanting to return to work, and (3) fear of one’s health worsening if s/he did not address their illness immediately. While PB in the financial domain often suggests that poorer individuals are more likely to prefer immediate rewards over their wealthier counterparts, our results suggest poor health is potentially a driving factor of PB. Further research is needed to build on these finding and inform how programs can frame key messages regarding ART adherence to patients displaying PB.Trial registration: ClinicalTrials.gov identifier: NCT03494777.