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

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，这些活动将使博尔博士获得成为独立研究者所需的技能和经验。博尔博士的长期职业目标是应用理论和分析工具。 Bor 博士以定量数据分析的强大背景为基础，将经济学研究转向人口健康研究，重点关注艾滋病毒治疗和预防，提出了一项培训计划，以培养混合方法研究设计的技能、行为领域的专业知识。行为经济学和流行病学方法培训计划将包括正式课程、特定主题的定向阅读和指导研究项目。该研究将调查南非农村地区艾滋病毒治疗的扩大如何塑造了人们对艾滋病毒风险环境的信念。这些信念影响与艾滋病毒检测、性行为和人力资本投资（例如教育）相关的行为，尽管抗逆转录病毒治疗对艾滋病毒患者的健康益处已有充分记录，但人们对抗逆转录病毒治疗的可用性如何影响经济、健康和健康却知之甚少。以及社区寻求护理的行为这些溢出效应对扩大 ART 的成本效益分析具有影响，并可能为增加艾滋病毒检测、护理和治疗的干预措施提供信息。拟议的研究将结合对农村健康和人口监测站点的现有数据的分析。夸祖鲁-纳塔尔省将通过混合方法设计收集主要定性、调查和实验数据，以制定一项简短的干预措施，并在随机评估中进行试点。