A savings intervention to reduce men's engagement in HIV risk behaviors

减少男性艾滋病毒危险行为的储蓄干预措施

• 批准号: 10437933
• 负责人: HARSHA THIRUMURTHY
• 金额: $ 62.49万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-01 至 2026-03-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10437933
• 关键词: AIDS prevention; Address; Africa South of the Sahara; Age; Alcohol abuse; Alcohol consumption; Alcohols; Automobile Driving; Behavior; Behavior Therapy; Behavioral; Behavioral Mechanisms; Chlamydia; Communicable Diseases; Complement; Control Groups; Data; Decision Making; Eastern Africa; Economics; Education; Effectiveness; Effectiveness of Interventions; Equilibrium; Expenditure; Female; Future; Gambling; Goals; Gonorrhea; HIV; HIV risk; Health; Health behavior; Health education; Heavy Drinking; High Prevalence; Human Herpesvirus 2; Incentives; Incidence; Income; Individual; Intervention; Interview; Investments; Kenya; Link; Longterm Follow-up; Low income; Male Circumcision; Measures; Medical; Multiple Partners; Outcome; Participant; Perception; Periodicity; Pilot Projects; Policies; Prize; Public Health; Qualitative Methods; Randomized; Randomized Controlled Trials; Research; Research Personnel; Rewards; Risk; Risk Behaviors; Role; Sampling; Savings; Security; Services; Sexually Transmitted Diseases; Southern Africa; Surveys; Syphilis; Testing; Training; Unsafe Sex; Vocational Education; Woman; Women' s Health; antiretroviral therapy; base; behavior change; behavior influence; design; discounting; economic behavior; economic outcome; empowerment; female sex worker; financial incentive; financial literacy; follow-up; group intervention; health economics; high risk; high risk men; high risk sexual behavior; improved; infection burden; infection risk; innovation; interest; low income country; men; pre-exposure prophylaxis; programs; psychologic; randomized trial; response; scale up; sex; sexual HIV transmission; sexual relationship

Project Abstract In much of eastern and southern Africa, the incidence of HIV and other sexually transmitted infections (STIs) remains high despite the scale-up of promising biomedical and behavioral interventions. Recent studies have documented the crucial role of transactional sex – the exchange of money, material support or goods in age- disparate, sexual relationships – and heavy alcohol use in driving HIV/STI incidence and influencing men's and women's health outcomes. Existing policy responses to this challenge have largely focused on women, with various interventions to reduce women's engagement in transactional sex such as education subsidies, vocational training, and cash transfers for economic empowerment. However, the effectiveness of these interventions has been hindered by the relative lack of programs that target men's behavior. There is a vital need for interventions that can reduce men's engagement in risky behaviors that increase HIV/STI risk. This project will test an innovative, theoretically-motivated economic intervention to reduce men's engagement in transactional sex and other risky behaviors. Leveraging innovations in mobile financial services and research on savings behavior in low-income countries, our intervention will motivate high-risk, income-earning men in Kenya to reduce their spending on risky behaviors and instead save their disposable income in local bank accounts. These bank accounts will include (a) additional incentives to save in the form of lottery-based rewards linked to amounts saved, (b) opportunities to develop savings goals, and (c) periodic reminders about the incentives and goals. Through a direct economic mechanism (incentives to shift expenditures from the present to the future) and a psychological mechanism (increasing future orientation), this intervention can generate significant behavior change and improve health outcomes. We will conduct a randomized controlled trial among high-risk men to determine effects of the savings intervention on their health and economic outcomes. Specific aims of the project are as follows. Aim 1: Determine the impact of the savings intervention on incidence of HIV and other STIs. Aim 2: Determine intervention impacts on savings and expenditures as well as risky health behaviors. Aim 3: Quantitatively and qualitatively assess mechanisms of behavior change among participants and among a sample of female partners. By testing an intervention to promote forward- looking behavior and reduce the risk of acquiring HIV and other STIs in a high HIV/STI burden setting, this project has high potential for scientific and public health impact.

项目摘要