幸存的坏消息:没有治疗选择的健康信息
Alberto Ciancio1, Fabrice Kämpfen2, Hans-Peter Kohler3
1University of Glasgow, Adam Smith Business School and IZA.
概括
在没有可用的治疗的情况下知道自己的艾滋病毒状况导致了负面的健康结果. 发现自己是艾滋病毒阳性的个人经历了生存率的降低,并参与了更危险的行为.
科学领域:
- 公共卫生 公共卫生
- 行为经济学是一种行为经济学.
- 医学伦理 医学伦理
背景情况:
- 对危及生命的疾病缺乏有效的治疗方法可能会使个人健康信息的披露复杂化.
- 在医疗干预有限的环境中,透露敏感的健康数据可能会无意中造成伤害.
研究的目的:
- 为了研究学习人类免疫缺陷病毒 (HIV) 状态对健康行为和抗逆转录病毒治疗不可用时的生存的影响.
- 评估在资源有限的环境中接受HIV阳性诊断的长期后果.
主要方法:
- 在马拉维进行了一项随机对照试验,以检查学习艾滋病毒检测结果的激励措施的影响.
- 长度随访持续了15年,以追踪参与者的生存率和行为变化.
主要成果:
- 那些知道自己是艾滋病毒阳性的人的生存率比那些不知道自己的状况的人低23个百分点,其影响持续超过15年.
- 接受艾滋病毒阳性诊断与增加参与危险健康行为,增加焦虑水平和更高的折扣率有关.
结论:
- 在没有治疗的情况下,披露艾滋病毒状况可能会导致不良健康结果,包括降低生存率和有害的行为变化.
- 这些发现强调了在传播敏感健康信息时,治疗可用性的关键重要性,以防止负面后果.
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