Le SIDA en Afrique subsaharienne (serveur d'exploration)

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<title xml:lang="en">Can money prevent the spread of HIV? A review of cash payments for HIV prevention</title>
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<name sortKey="Pettifor, Audrey" sort="Pettifor, Audrey" uniqKey="Pettifor A" first="Audrey" last="Pettifor">Audrey Pettifor</name>
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<nlm:aff id="A1">Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA</nlm:aff>
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<name sortKey="Macphail, Catherine" sort="Macphail, Catherine" uniqKey="Macphail C" first="Catherine" last="Macphail">Catherine Macphail</name>
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<nlm:aff id="A2">Wits Reproductive Health and HIV Research Institute</nlm:aff>
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<name sortKey="Nguyen, Nadia" sort="Nguyen, Nadia" uniqKey="Nguyen N" first="Nadia" last="Nguyen">Nadia Nguyen</name>
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<nlm:aff id="A1">Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA</nlm:aff>
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<name sortKey="Rosenberg, Molly" sort="Rosenberg, Molly" uniqKey="Rosenberg M" first="Molly" last="Rosenberg">Molly Rosenberg</name>
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<nlm:aff id="A1">Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA</nlm:aff>
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<title xml:lang="en" level="a" type="main">Can money prevent the spread of HIV? A review of cash payments for HIV prevention</title>
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<name sortKey="Pettifor, Audrey" sort="Pettifor, Audrey" uniqKey="Pettifor A" first="Audrey" last="Pettifor">Audrey Pettifor</name>
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<nlm:aff id="A1">Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA</nlm:aff>
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<name sortKey="Macphail, Catherine" sort="Macphail, Catherine" uniqKey="Macphail C" first="Catherine" last="Macphail">Catherine Macphail</name>
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<nlm:aff id="A2">Wits Reproductive Health and HIV Research Institute</nlm:aff>
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<author>
<name sortKey="Nguyen, Nadia" sort="Nguyen, Nadia" uniqKey="Nguyen N" first="Nadia" last="Nguyen">Nadia Nguyen</name>
<affiliation>
<nlm:aff id="A1">Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Rosenberg, Molly" sort="Rosenberg, Molly" uniqKey="Rosenberg M" first="Molly" last="Rosenberg">Molly Rosenberg</name>
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<nlm:aff id="A1">Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA</nlm:aff>
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<title level="j">AIDS and behavior</title>
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<p id="P1">Cash payments to improve health outcomes have been used for many years, however, their use for HIV prevention is new and the impact not yet well understood. We provide a brief background on the rationale behind using cash to improve health outcomes, review current studies completed or underway using cash for prevention of sexual transmission of HIV, and outline some key considerations on the use of cash payments to prevent HIV infections. We searched the literature for studies that implemented cash transfer programs and measured HIV or HIV-related outcomes. We identified 16 studies meeting our criteria; 10 are completed. The majority of studies have been conducted with adolescents in developing countries and payments are focused on addressing structural risk factors such as poverty. Most have seen reductions in sexual behavior and one large trial has documented a difference in HIV prevalence between young women getting cash transfers and those not. Cash transfer programs focused on changing risky sexual behaviors to reduce HIV risk suggest promise. The context in which programs are situated, the purpose of the cash transfer, and the population will all affect the impact of such programs; ongoing RCTs with HIV incidence endpoints will shed more light on the efficacy of cash payments as strategy for HIV prevention.</p>
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<journal-id journal-id-type="nlm-ta">AIDS Behav</journal-id>
<journal-id journal-id-type="iso-abbrev">AIDS Behav</journal-id>
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<journal-title>AIDS and behavior</journal-title>
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<article-title>Can money prevent the spread of HIV? A review of cash payments for HIV prevention</article-title>
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<name>
<surname>Pettifor</surname>
<given-names>Audrey</given-names>
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<name>
<surname>MacPhail</surname>
<given-names>Catherine</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
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<name>
<surname>Nguyen</surname>
<given-names>Nadia</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
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<contrib contrib-type="author">
<name>
<surname>Rosenberg</surname>
<given-names>Molly</given-names>
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<aff id="A1">
<label>1</label>
Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA</aff>
<aff id="A2">
<label>2</label>
Wits Reproductive Health and HIV Research Institute</aff>
<author-notes>
<corresp id="cor1">Corresponding Author: Audrey Pettifor, Assistant Professor, Department of Epidemiology, McGavran Greenberg Building CB 7435, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599</corresp>
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<pub-date pub-type="nihms-submitted">
<day>1</day>
<month>3</month>
<year>2013</year>
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<pub-date pub-type="ppub">
<month>10</month>
<year>2012</year>
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<pub-date pub-type="pmc-release">
<day>01</day>
<month>10</month>
<year>2013</year>
</pub-date>
<volume>16</volume>
<issue>7</issue>
<fpage>1729</fpage>
<lpage>1738</lpage>
<abstract>
<p id="P1">Cash payments to improve health outcomes have been used for many years, however, their use for HIV prevention is new and the impact not yet well understood. We provide a brief background on the rationale behind using cash to improve health outcomes, review current studies completed or underway using cash for prevention of sexual transmission of HIV, and outline some key considerations on the use of cash payments to prevent HIV infections. We searched the literature for studies that implemented cash transfer programs and measured HIV or HIV-related outcomes. We identified 16 studies meeting our criteria; 10 are completed. The majority of studies have been conducted with adolescents in developing countries and payments are focused on addressing structural risk factors such as poverty. Most have seen reductions in sexual behavior and one large trial has documented a difference in HIV prevalence between young women getting cash transfers and those not. Cash transfer programs focused on changing risky sexual behaviors to reduce HIV risk suggest promise. The context in which programs are situated, the purpose of the cash transfer, and the population will all affect the impact of such programs; ongoing RCTs with HIV incidence endpoints will shed more light on the efficacy of cash payments as strategy for HIV prevention.</p>
</abstract>
<funding-group>
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<funding-source country="United States">National Institute of Child Health & Human Development : NICHD</funding-source>
<award-id>T32 HD007168 || HD</award-id>
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