The impact of public testing for human immunodeficiency virus

被引:44
作者
Boozer, MA [1 ]
Philipson, TJ
机构
[1] Yale Univ, New Haven, CT 06520 USA
[2] Univ Chicago, B Harris Grad Sch Publ Policy, Chicago, IL 60637 USA
[3] Univ Chicago, Dept Econ, Chicago, IL 60637 USA
[4] Univ Chicago, Sch Law, Chicago, IL 60637 USA
关键词
D O I
10.2307/146387
中图分类号
F [经济];
学科分类号
02 ;
摘要
in this paper, we estimate the behavioral responses by individuals to the type of information-intervention a public human immunodeficiency virus (HIV) testing program would typify. A unique feature of the data we Else is that the survey itself altered the allocation of information held by respondents by administrating a blood test for HN as part of a longitudinal survey. Our framework for the demand for information on HN implies that because only individuals who are suprised by the results of the intervention respond to it, in our case low-risk individuals who test HIV-positive or high-risk individuals who test HN-negative, an information-intervention of this type may have surprising effects. Our framework also implies that looking just at the aggregate effects of an HN testing program is a,misleading indicator of the behavioral responsiveness of the average individual to the information intervention. We find that although the aggregate effect of the testing program is quite small, the effects disaggregated by private beliefs are consistent with information elastic behavior for the average individual. In addition, the subgroups of the population affected by a publicly subsidized testing program may have roughly off-setting behavioral responses, which may lead to little effect or possibly even perverse outcomes with regards to an objective of lowering disease transmission.
引用
收藏
页码:419 / 446
页数:28
相关论文
共 30 条
[1]   The responsiveness of the demand for condoms to the local prevalence of AIDS [J].
Ahituv, A ;
Hotz, VJ ;
Philipson, T .
JOURNAL OF HUMAN RESOURCES, 1996, 31 (04) :869-897
[2]  
AINSWORTH M, 1997, CONFRONTING AIDS PUB
[3]  
ANDERSON R M, 1991
[4]  
[Anonymous], 1985, LONGITUDINAL ANAL LA
[5]  
[Anonymous], 1993, Private Choices and Public Health: The AIDS Epidemic in an Economic Perspective
[6]   USING THE LONGITUDINAL STRUCTURE OF EARNINGS TO ESTIMATE THE EFFECT OF TRAINING-PROGRAMS [J].
ASHENFELTER, O ;
CARD, D .
REVIEW OF ECONOMICS AND STATISTICS, 1985, 67 (04) :648-660
[7]   THE ECONOMIC-IMPACT OF AIDS IN THE UNITED-STATES [J].
BLOOM, DE ;
CARLINER, G .
SCIENCE, 1988, 239 (4840) :604-610
[8]   BENEFITS AND COSTS OF HIV TESTING [J].
BLOOM, DE ;
GLIED, S .
SCIENCE, 1991, 252 (5014) :1798-1804
[9]  
BOND EW, 1982, AM ECON REV, V72, P836
[10]  
BOOZER MA, 1996, 750 YALE U