Preferences for Conditional Economic Incentives to Improve Pre-exposure Prophylaxis Adherence: A Discrete Choice Experiment Among Male Sex Workers in Mexico

Abstract Pre-exposure prophylaxis (PrEP) is highly effective in preventing HIV but requires sustained adherence. Conditional economic incentives (CEIs) can improve medication-taking behaviors, yet preferences for programs that employ CEIs to increase PrEP use among male sex workers (MSWs) have not been investigated. We conducted a discrete choice experiment in Mexico City to elicit stated preferences for a CEI-based PrEP adherence program among MSWs. Respondents expressed their preferences for different program characteristics: incentive amount; incentive format; incentive type; and adherence-verification method. We used a random utility logit model to estimate the relative importance of each attribute and estimated willingness-to-pay. MSWs preferred a higher, fixed incentive, with PrEP adherence measured via hair sampling. MSWs were willing to forego up to 21% of their potential maximum CEI amount to ensure receipt of a fixed payment. MSWs are highly willing to accept a CEI-based intervention for PrEP adherence, if offered along with fixed payments..

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:26

Enthalten in:

Aids and behavior - 26(2021), 3 vom: 27. Aug., Seite 833-842

Sprache:

Englisch

Beteiligte Personen:

Salinas-Rodríguez, Aarón [VerfasserIn]
Sosa-Rubí, Sandra G. [VerfasserIn]
Chivardi, Carlos [VerfasserIn]
Rodríguez-Franco, Roxana [VerfasserIn]
Gandhi, Monica [VerfasserIn]
Mayer, Kenneth H. [VerfasserIn]
Operario, Don [VerfasserIn]
Gras-Allain, Nathalie [VerfasserIn]
Vargas-Guadarrama, Galileo [VerfasserIn]
Galárraga, Omar [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

BKL:

44.78$jImmunkrankheiten

Themen:

Adherence
Discrete choice experiment
HIV
Male sex workers
PrEP
Willingness to accept

Anmerkungen:

© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021

doi:

10.1007/s10461-021-03443-1

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2129409393