Economic, health, and behavioral dimensions of HIV treatment scale-up

扩大艾滋病毒治疗的经济、健康和行为层面

基本信息

批准号：
8847174
负责人：
Jacob Bor
金额：
$ 15.39万
依托单位：
BOSTON UNIVERSITY MEDICAL CAMPUS
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-03-20 至 2019-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8847174
关键词：
Address Adult Affect Africa African Age Area Behavior Belief Caring Cessation of life Chronic Disease Clinic Cognitive Collection Communities Complex Consequences of HIV Cost-Benefit Analysis Costs and Benefits Data Data Analyses Decision Making Development Dimensions Disinhibition Economics Education Effectiveness Environment Epidemiology Evaluation Exposure to Focus Groups Future Goals HIV HIV Infections HIV risk Health Health Benefit Health Care Seeking Behavior Health behavior Human immunodeficiency virus test Individual Intervention Interview Investments Lead Life Life Cycle Stages Life Expectancy Light Longitudinal Surveys Mentors Methods Modeling Morbidity - disease rate Patients Perception Play Population Population Study Prevention Productivity Psychology Public Sector Qualitative Methods Randomized Reading Research Research Activity Research Design Research Personnel Research Project Grants Risk Role Rural School Enrollments Schools Science Services Sex Behavior Shapes Site South Africa Surveys Testing Training Training Activity Wit analytical tool antiretroviral therapy base behavior influence behavioral economics behavioral health brief intervention care seeking career cohort design economic evaluation economic outcome efficacy trial expectation experience follow-up health economics high risk sexual behavior human capital improved informant member mortality novel population health programs public health relevance scale up school health sex risk skills theories transmission process two-arm study uptake young adult

Address Adult Affect Africa African Age Area Behavior Belief Caring Cessation of life Chronic Disease Clinic Cognitive Collection Communities Complex Consequences of HIV Cost-Benefit Analysis Costs and Benefits Data Data Analyses Decision Making Development Dimensions Disinhibition Economics Education Effectiveness Environment Epidemiology Evaluation Exposure to Focus Groups Future Goals HIV HIV Infections HIV risk Health Health Benefit Health Care Seeking Behavior Health behavior Human immunodeficiency virus test Individual Intervention Interview Investments Lead Life Life Cycle Stages Life Expectancy Light Longitudinal Surveys Mentors Methods Modeling Morbidity - disease rate Patients Perception Play Population Population Study Prevention Productivity Psychology Public Sector Qualitative Methods Randomized Reading Research Research Activity Research Design Research Personnel Research Project Grants Risk Role Rural School Enrollments Schools Science Services Sex Behavior Shapes Site South Africa Surveys Testing Training Training Activity Wit analytical tool antiretroviral therapy base behavior influence behavioral economics behavioral health brief intervention care seeking career cohort design economic evaluation economic outcome efficacy trial expectation experience follow-up health economics high risk sexual behavior human capital improved informant member mortality novel population health programs public health relevance scale up school health sex risk skills theories transmission process two-arm study uptake young adult

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项目摘要

DESCRIPTION: This proposed four-year development period will be used for research and training activities that will give Dr. Bor the skills and experience necessary to become an independent investigator. Dr. Bor's long-term career goal is to apply the theory and analytical tools of economics to the study of population health, with a focus on HIV treatment and prevention. Building on a strong background in quantitative data analysis, Dr. Bor has proposed a training plan to develop skills in mixed methods study designs, content area expertise in behavioral economics, and epidemiological approaches to causal inference. The training plan will involve formal coursework, directed readings on specific topics, and a mentored research project. The research will investigate how the scale-up of HIV treatment in rural South Africa has shaped beliefs about the HIV risk environment, and how these beliefs influence behaviors related to HIV testing, sexual behavior, and human capital investment (e.g., education). Although the health benefits of ART for HIV patients are well documented, less is known about how increased availability of ART has influenced economic, health, and care-seeking behaviors at the community level. These spillover effects have implications for cost-benefit analyses of ART scale-up, and may inform interventions to increase HIV testing, care, and treatment. The proposed research will combine analysis of existing data from a health and demographic surveillance site in rural KwaZulu-Natal with collection of primary qualitative, survey, and experimental data in a mixed methods design. A brief intervention to increase take up of HIV testing will be developed and piloted in a randomized evaluation.

描述：拟议的四年发展期将用于研究和培训活动，这将为博士提供成为独立研究人员所必需的技能和经验。 Bor博士的长期职业目标是将经济学的理论和分析工具应用于人口健康的研究，重点是艾滋病毒治疗和预防。 BOR博士在定量数据分析方面具有强大的背景，提出了一项培训计划，以开发混合方法研究设计，行为经济学的内容领域专家以及分类推理的流行病学方法。培训计划将涉及正式的课程，有关特定主题的定向阅读以及心理研究项目。该研究将调查南非农村地区的艾滋病毒治疗的规模扩大如何影响对艾滋病毒风险环境的信念，以及这些信念如何影响与艾滋病毒测试，性行为和人力资本投资（例如教育）有关的行为。尽管对艾滋病毒患者的健康益处有充分的文献记载，但对艺术的增加如何影响社区层面的经济，健康和寻求护理行为的了解却少了。这些Spilover效应对艺术规模的成本效益分析具有影响，并可能告知干预措施以增加HIV测试，护理和治疗。拟议的研究将结合对粗糙夸祖鲁 - 纳塔尔省健康和人口监视地点的现有数据的分析，并在混合方法设计中收集了主要定性，调查和实验数据。在随机评估中将开发并试行，以增加艾滋病毒测试的简短干预措施。