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Exploring the Use of “Nudges” to Improve HIV and Other Sexually Transmitted Infection Testing Among Men Who Have Sex with Men
Archives of Sexual Behavior ( IF 4.891 ) Pub Date : 2022-06-16 , DOI: 10.1007/s10508-022-02321-8
Ei T Aung 1, 2 , Christopher K Fairley 1, 2 , Eric P F Chow 1, 2, 3 , David Lee 1, 2 , Kate Maddaford 1 , Rebecca Wigan 1 , Daniel Read 4 , Umar Taj 4 , Ivo Vlaev 4 , Jason J Ong 1, 2
Affiliation  

Behavioral economics and its applied branch “nudging” can improve individual choices in various health care settings. However, there is a paucity of research using nudges to improve regular testing for HIV and other sexually transmitted infections (STIs). The study examined which reminder system and message type men who have sex with men (MSM) preferred to remind them to undergo regular 3-monthly HIV and STI testing. A cross-sectional survey study was conducted among MSM attending a sexual health clinic in Melbourne, Australia between 13 January and 5 March 2020, exploring the preferred method of reminder and framing of the message. Descriptive statistics and logistic regression were used to analyze the data. A total of 309 responses were received. The majority of the participants (90%) preferred short messaging service (SMS) as the reminder method for HIV/STI testing compared to other types (e.g., email or instant messaging). More than a third of the participants (45%) showed a preference for a neutrally framed reminder message (Your next check-up is now due. Please phone for an appointment), while one-third (35%) preferred a personalized message (Hi [first name], you are due for your next check-up. Please phone for an appointment). Younger men were more likely to favor positive framed messages than older men who favored neutrally framed messages (p < .01). SMS was the preferred reminder method for regular HIV/STI testing. Reminder messages that were neutrally framed, personalized or positive framed messages were preferred over negative or social norm messages.



中文翻译:

探索使用“助推器”改善男男性行为者的 HIV 和其他性传播感染检测

行为经济学及其应用分支“轻推”可以改善各种医疗保健环境中的个人选择。然而,很少有研究使用助推器来改进对 HIV 和其他性传播感染 (STI) 的定期检测。该研究检查了男男性行为者 (MSM) 更愿意提醒他们接受定期 3 个月的 HIV 和 STI 检测的提醒系统和信息类型。在 2020 年 1 月 13 日至 3 月 5 日期间,在澳大利亚墨尔本一家性健康诊所就诊的 MSM 进行了一项横断面调查研究,探索了提醒和构建信息的首选方法。使用描述性统计和逻辑回归分析数据。共收到 309 份回复。与其他类型(如电子邮件或即时消息)相比,大多数参与者 (90%) 更喜欢短信服务 (SMS) 作为 HIV/STI 检测的提醒方法。超过三分之一 (45%) 的参与者 (45%) 更喜欢中性框架的提醒信息(您的下一次检查现在到期。请电话预约),而三分之一 (35%) 的参与者更喜欢个性化信息 (您好 [first name],您需要进行下一次检查。请电话预约)。与喜欢中性框架信息的年长男性相比,年轻男性更喜欢积极的框架信息(请电话预约),而三分之一 (35%) 的人更喜欢个性化信息(嗨 [名字],您应该进行下一次检查。请电话预约)。与喜欢中性框架信息的年长男性相比,年轻男性更有可能喜欢积极的框架信息(请电话预约),而三分之一 (35%) 的人更喜欢个性化信息(嗨 [名字],您应该进行下一次检查。请电话预约)。与喜欢中性框架信息的年长男性相比,年轻男性更有可能喜欢积极的框架信息(p  < .01)。SMS 是定期 HIV/STI 检测的首选提醒方法。中立框架、个性化或积极框架消息的提醒消息优于消极或社会规范消息。

更新日期:2022-06-16
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