The goal is to collect innovative data on expectations, randomized incentive payments and sexual behaviors, and to analyze the adaptation in sexual relations, household dynamics, and information-seeking to variation in (i) respondents' knowledge about their own health status, (ii) expectations about infection risks, STI/HIV prevalence, and risk-taking behaviors, and (iii) randomized direct monetary incentives for participating in voluntary counseling and treatment (VCT) and for maintaining a HIV negative status. The proposal takes advantage of the Malawi Diffusion and Ideational Change Project (MDICP) that collects an unusually rich combination of panel survey data (1998, 2001, 2004, with a forthcoming funded wave in 2006), qualitative data and biomarkers for HIV and other STIs.
The specific aims i nclude (a) the analysis of already collected data from an experimental design that offered randomized differential incentives for respondents to obtain their STI and HIV test results, (b) the collection of an additional round of survey and biomarker data in 2005 to create an experimental design that offers incentives for respondents to remain HIV negative and to measure expectations about behaviors and risks related to sexual health, (c) obtain repeated measurements of sexual activities during a 12 month period in 2005-06 using audio-computer assisted interviewing techniques, (d) investigate the patterns, formation and behavioral consequences of health related expectations, and (e) investigate the implications and effectiveness of direct monetary incentives rewarding a HIV-negative status for sexual relations, the adoption of STI prevention strategies, transition into marriage, divorce, subjective well-being and other STI/HIV-related behaviors and attitudes.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Exploratory/Developmental Grants (R21)
Project #
5R21HD050653-02
Application #
7140279
Study Section
Special Emphasis Panel (ZRG1-HOP-B (90))
Program Officer
Newcomer, Susan
Project Start
2005-09-23
Project End
2008-08-31
Budget Start
2006-09-01
Budget End
2008-08-31
Support Year
2
Fiscal Year
2006
Total Cost
$88,584
Indirect Cost
Name
University of Pennsylvania
Department
Social Sciences
Type
Schools of Arts and Sciences
DUNS #
042250712
City
Philadelphia
State
PA
Country
United States
Zip Code
19104
Anglewicz, Philip; VanLandingham, Mark; Manda-Taylor, Lucinda et al. (2018) Health Selection, Migration, and HIV Infection in Malawi. Demography 55:979-1007
Kohler, Iliana V; Payne, Collin F; Bandawe, Chiwoza et al. (2017) The Demography of Mental Health Among Mature Adults in a Low-Income, High-HIV-Prevalence Context. Demography 54:1529-1558
Myroniuk, Tyler W; Prell, Christina; Kohler, Hans-Peter (2017) Why rely on friends instead of family? The role of exchanges and civic engagement in a rural sub-Saharan African context. Afr Stud 76:579-596
Anglewicz, Philip; VanLandingham, Mark; Manda-Taylor, Lucinda et al. (2016) Migration and HIV infection in Malawi. AIDS 30:2099-105
Fedor, Theresa M; Kohler, Hans-Peter; McMahon, James M (2016) Changing attitudes and beliefs towards a woman's right to protect against HIV risk in Malawi. Cult Health Sex 18:435-52
Baranov, Victoria; Bennett, Daniel; Kohler, Hans-Peter (2015) The indirect impact of antiretroviral therapy: Mortality risk, mental health, and HIV-negative labor supply. J Health Econ 44:195-211
Godlonton, Susan; Thornton, Rebecca L (2013) Learning from Others' HIV Testing: Updating Beliefs and Responding to Risk. Am Econ Rev 103:439-444
Kohler, Hans-Peter; Thornton, Rebecca (2012) Conditional Cash Transfers and HIV/AIDS Prevention: Unconditionally Promising? World Bank Econ Rev 26:165-190
Delavande, Adeline; Kohler, Hans-Peter (2009) Subjective expectations in the context of HIV/AIDS in Malawi. Demogr Res 20:817-874
Angotti, Nicole; Bula, Agatha; Gaydosh, Lauren et al. (2009) Increasing the acceptability of HIV counseling and testing with three C's: convenience, confidentiality and credibility. Soc Sci Med 68:2263-70

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