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 |
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Erscheinungsjahr: |
2021 |
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Erschienen: |
2021 |
Enthalten in: |
Zur Gesamtaufnahme - volume:26 |
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Enthalten in: |
Aids and behavior - 26(2021), 3 vom: 27. Aug., Seite 833-842 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Salinas-Rodríguez, Aarón [VerfasserIn] |
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Links: |
Volltext [lizenzpflichtig] |
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BKL: | |
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Themen: |
Adherence |
Anmerkungen: |
© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021 |
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doi: |
10.1007/s10461-021-03443-1 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
OLC2129409393 |
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520 | |a 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. | ||
650 | 4 | |a HIV | |
650 | 4 | |a Male sex workers | |
650 | 4 | |a Willingness to accept | |
650 | 4 | |a Adherence | |
650 | 4 | |a PrEP | |
650 | 4 | |a Discrete choice experiment | |
700 | 1 | |a Sosa-Rubí, Sandra G. |4 aut | |
700 | 1 | |a Chivardi, Carlos |4 aut | |
700 | 1 | |a Rodríguez-Franco, Roxana |4 aut | |
700 | 1 | |a Gandhi, Monica |4 aut | |
700 | 1 | |a Mayer, Kenneth H. |4 aut | |
700 | 1 | |a Operario, Don |4 aut | |
700 | 1 | |a Gras-Allain, Nathalie |4 aut | |
700 | 1 | |a Vargas-Guadarrama, Galileo |4 aut | |
700 | 1 | |a Galárraga, Omar |4 aut | |
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