Incentivizing HIV/STI Testing: A Systematic Review of the Literature
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Suboptimal HIV/STI testing uptake has a profound impact on morbidity and mortality. Incentives have been effective in other areas of medicine and may improve HIV/STI testing uptake rates. This study reviewed the effects of incentives on HIV/STI testing uptake. A systematic search of seven databases was undertaken. Testing uptake was defined as test implementation and/or test result retrieval. Incentives were defined as monetary or non-monetary rewards or free-of-charge testing vouchers. Seven studies were included. All seven studies demonstrated higher rates of uptake in an incentivized group. Incentives offered at a non-clinical setting demonstrated more significant differences in uptake rates compared to incentives offered at a clinical setting. Incentivizing HIV/STI testing uptake, especially testing at a non-clinical setting, may be a useful tool to modify health behavior. Further research is needed to understand how incentives could be an effective component within a comprehensive HIV/STI control strategy.
- World Health Organization. Towards universal access: scaling up priority HIV/AIDS interventions in the health sector. Geneva: WHO Press; 2009.
- Cherutich P, Bunnell R, Mermin J. HIV testing: current practice and future directions. Curr HIV/AIDS Rep. 2013;10(2):134–41. CrossRef
- Hogg RS, et al. Improved survival among HIV-infected individuals following initiation of antiretroviral therapy. JAMA. 1998;279(6):450–4. CrossRef
- Rothman RE. Current Centers for Disease Control and Prevention guidelines for HIV counseling, testing, and referral: critical role of and a call to action for emergency physicians. Ann Emerg Med. 2004;44(1):31–42. CrossRef
- Gullette DL, Rooker JL, Kennedy RL. Factors associated with sexually transmitted infections in men and women. J Community Health Nurs. 2009;26(3):121–30. CrossRef
- Ellen JM, et al. An investigation of geographic clustering of repeat cases of gonorrhea and chlamydial infection in San Francisco, 1989–1993: evidence for core groups. J Infect Dis. 1997;175(6):1519–22. CrossRef
- O’Donoghue T, Rabin M. Doing it now or later. Am Econ Rev. 1999;89(1):103–24. CrossRef
- Ranganathan M, Lagarde M. Promoting healthy behaviours and improving health outcomes in low and middle income countries: a review of the impact of conditional cash transfer programmes. Prev Med. 2012;55(Suppl):S95–105. CrossRef
- de Walque D, et al. Incentivising safe sex: a randomised trial of conditional cash transfers for HIV and sexually transmitted infection prevention in rural Tanzania. BMJ Open. 2012;2:e000747. CrossRef
- Baird SJ, et al. Effect of a cash transfer programme for schooling on prevalence of HIV and herpes simplex type 2 in Malawi: a cluster randomised trial. Lancet. 2012;1320–9.
- Malotte CK, Hollingshead JR, Rhodes F. Monetary versus nonmonetary incentives for TB skin test reading among drug users. Am J Prev Med. 1999;16(3):182–8. CrossRef
- Malotte CK, Rhodes F, Mais KE. Tuberculosis screening and compliance with return for skin test reading among active drug users. Am J Public Health. 1998;88(5):792–6. CrossRef
- Pilling S, et al. Psychosocial interventions and opioid detoxification for drug misuse: summary of NICE guidance. BMJ. 2007;335(7612):203–5. CrossRef
- Lussier JP, et al. A meta-analysis of voucher-based reinforcement therapy for substance use disorders. Addiction. 2006;101:192–203. CrossRef
- Budney AJ, et al. Adding voucher-based incentives to coping skills and motivational enhancement improves outcomes during treatment for marijuana dependence. J Consult Clin Psychol. 2000;68(6):1051–61. CrossRef
- Volpp KG, et al. A randomized, controlled trial of financial incentives for smoking cessation. N Engl J Med. 2009;360(7):699–709. CrossRef
- Lagarde M, Haines A, Palmer N. Conditional cash transfers for improving uptake of health interventions in low- and middle-income countries: a systematic review. JAMA. 2007;298(16):1900–10. CrossRef
- Handa S, Davis B. The experience of conditional cash transfers in Latin America and the Caribbean. Dev Policy Rev. 2006;24(5):513–36. CrossRef
- Nguyen HT, et al. Encouraging maternal health service utilization: an evaluation of the Bangladesh voucher program. Soc Sci Med. 2012;74(7):989–96. CrossRef
- de Savigny D, et al. Introducing vouchers for malaria prevention in Ghana and Tanzania: context and adoption of innovation in health systems. Health Policy Plan. 2012;27(Suppl 4):iv32–43. CrossRef
- Owens DK, et al. AHRQ series paper 5: grading the strength of a body of evidence when comparing medical interventions—agency for healthcare research and quality and the effective health-care program. J Clin Epidemiol. 2010;63(5):513–23.
- Chacko MR, et al. Failure of a lottery incentive to increase compliance with return visit for test-of-cure culture for Neisseria gonorrhoeae. Sex Transm Dis. 1987;14(2):75–8. CrossRef
- Geringer WM, Hinton M. Three models to promote syphilis screening and treatment in a high risk population. J Community Health. 1993;18(3):137–51. CrossRef
- Malotte CK, et al. Comparison of methods to increase repeat testing in persons treated for gonorrhea and/or chlamydia at public sexually transmitted disease clinics. Sex Transm Dis. 2004;31(11):637–42. CrossRef
- Haukoos JS, et al. The effect of financial incentives on adherence with outpatient human immunodeficiency virus testing referrals from the emergency department. Acad Emerg Med. 2005;12(7):617–21. CrossRef
- Thornton RL. The demand for, and impact of learning HIV status. Am Econ Rev. 2008;98(5):1829–63. CrossRef
- Currie MJ, et al. ‘Show me the money’: financial incentives increase chlamydia screening rates among tertiary students: a pilot study. Sex Health. 2010;7(1):60–5. CrossRef
- Nglazi MD, et al. An incentivized HIV counseling and testing program targeting hard-to-reach unemployed men in Cape Town, South Africa. J Acquir Immune Defic Syndr. 2012;59(3):e28–34. CrossRef
- World Bank's Development Data Group. Country and Lending Groups. 2012. http://data.worldbank.org/about/country-classifications/country-and-lending-groups.
- Pettifor A, et al. Can money prevent the spread of HIV? A review of cash payments for HIV prevention. AIDS Behav. 2012;16(7):1729–38. CrossRef
- Haug NA, Sorensen JL. Contingency management interventions for HIV-related behaviors. Curr HIV/AIDS Rep. 2006;3(4):154–9. CrossRef
- Galarraga O, et al. Conditional economic incentives to improve HIV treatment adherence: literature review and theoretical considerations. AIDS Behav. 2013;17(7):2283–92.
- Sutherland K, Leatherman S, Christianson J. Paying the patient: does it work? Quest Qual Improv Perform. 2008.
- Jeffery RW. Financial incentives and weight control. Prev Med. 2012;55(Suppl):S61–7. CrossRef
- Giuffrida A, Torgerson DJ. Should we pay the patient? Review of financial incentives to enhance patient compliance. BMJ. 1997;315(7110):703–7. CrossRef
- Holmes K. Sexually transmitted diseases. 4th ed. New York: McGraw-Hill Professional; 2007. p. 2192.
- Loewenstein G. Asymmetric paternalism to improve health behaviors. JAMA. 2007;298(20):2. CrossRef
- Deren S, et al. The impact of providing incentives for attendance at AIDS prevention sessions. Public Health Rep. 1994;109(4):548–54.
- Carey MP, et al. Recruiting patients from a sexually transmitted disease clinic to sexual risk reduction workshops: are monetary incentives necessary? J Public Health Manag Pract. 2005;11(6):516–21. CrossRef
- Meuwissen LE, et al. Uncovering and responding to needs for sexual and reproductive health care among poor urban female adolescents in Nicaragua. Trop Med Int Health. 2006;11(12):1858–67. CrossRef
- Corbett EL, et al. Uptake of workplace HIV counselling and testing: a cluster-randomised trial in Zimbabwe. PLoS Med. 2006;3(7):e238. doi:10.1371/journal.pmed.0030238.
- Lugada E, et al. Comparison of home and clinic-based HIV testing among household members of persons taking antiretroviral therapy in Uganda: results from a randomized trial. J Acquir Immune Defic Syndr. 2010;55(2):245–52. CrossRef
- Beyrer C, et al. Expanding the space: inclusion of most-at-risk populations in HIV prevention, treatment, and care services. J Acquir Immune Defic Syndr. 2011;57(Suppl 2):S96–9. CrossRef
- Tucker JD, et al. Social entrepreneurship for sexual health (SESH): a new approach for enabling delivery of sexual health services among most-at-risk populations. PLoS Med. 2012;9(7):e1001266. CrossRef
- Tucker JD, Bien CH, Peeling RW. Point-of-care testing for sexually transmitted infections: recent advances and implications for disease control. Curr Opin Infect Dis. 2013;26(1):73–9. CrossRef
- Incentivizing HIV/STI Testing: A Systematic Review of the Literature
AIDS and Behavior
Volume 18, Issue 5 , pp 905-912
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Sexually transmitted diseases
- Conditional cash transfer
- Contingency management
- Industry Sectors
- Author Affiliations
- 1. Harvard Medical School, Boston, MA, USA
- 2. Columbia University College of Physicians and Surgeons, New York, NY, USA
- 3. Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- 4. Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- 5. UNC Project-China, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA