Abstract
AbstractBehavioral economics research suggests poverty may influence behavior by reducing mental bandwidth, increasing future discounting, and increasing risk aversion. It is plausible that these decision-making processes are further impaired in the context of HIV or pregnancy. In this cross-sectional study of 86 low-income women in Philadelphia, multivariable models showed that HIV was associated with decreased mental bandwidth (one of two measures) and lower risk aversion. Pregnancy was not associated with any decision-making factors. Viral suppression was associated with greater mental bandwidth (one of two measures), and antenatal care engagement with lower future discounting. Anti-poverty interventions may be particularly beneficial to improve health behaviors in the context of HIV.
Publisher
Cold Spring Harbor Laboratory
Reference37 articles.
1. ART attrition and risk factors among Option B+ patients in Haiti: A retrospective cohort study;PloS one,2017
2. Institut Haïtien de l’Enfance IHEH, Icf. Haiti Enquíte Mortalitè, Morbiditè et Utilisation des Services 2016-2017 – EMMUS-VI. Pètion-Ville/Haïti: IHE/Haiti, ICF;2018.
3. Retention in HIV Care During Pregnancy and the Postpartum Period in the Option B+ Era: Systematic Review and Meta-Analysis of Studies in Africa
4. Adherence to antiretroviral therapy during and after pregnancy in low-income, middle-income, and high-income countries
5. Beyond “Option B+”: Understanding Antiretroviral Therapy (ART) Adherence, Retention in Care and Engagement in ART Services Among Pregnant and Postpartum Women Initiating Therapy in Sub-Saharan Africa;Journal of acquired immune deficiency syndromes (1999),2017