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Knowledge, stigma, and HIV testing: An analysis of a widespread HIV/AIDS program

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  • Yang, Dean
  • Allen, James
  • Mahumane, Arlete
  • Riddell, James
  • Yu, Hang

Abstract

Using randomized methodologies, we study a common community HIV/AIDS program that seeks to promote HIV testing by improving knowledge and reducing stigmatizing attitudes. Contrary to expectations, the program has a substantial negative effect on HIV testing rates. We provide evidence of likely mechanisms behind the program’s negative effect: it inadvertently increased misinformation about HIV transmission methods, and worsened HIV-related stigmatizing attitudes. Subsequent household-level randomized treatments providing correct information and addressing stigma concerns counteract the program’s negative effect on HIV testing. These findings highlight the importance of improving knowledge and alleviating stigma concerns when promoting HIV testing.

Suggested Citation

  • Yang, Dean & Allen, James & Mahumane, Arlete & Riddell, James & Yu, Hang, 2023. "Knowledge, stigma, and HIV testing: An analysis of a widespread HIV/AIDS program," Journal of Development Economics, Elsevier, vol. 160(C).
    • Handle: RePEc:eee:deveco:v:160:y:2023:i:c:s030438782200102x
    DOI: 10.1016/j.jdeveco.2022.102958
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    Cited by:

    1. Christopher Roth & Peter Schwardmann & Egon Tripodi, 2024. "Depression Stigma," Rationality and Competition Discussion Paper Series 499, CRC TRR 190 Rationality and Competition.
    2. Yu, Hang, 2023. "Social stigma as a barrier to HIV testing: Evidence from a randomized experiment in Mozambique," Journal of Development Economics, Elsevier, vol. 161(C).
    3. Allen, James & Mahumane, Arlete & Riddell, James & Rosenblat, Tanya & Yang, Dean & Yu, Hang, 2022. "Teaching and incentives: Substitutes or complements?," Economics of Education Review, Elsevier, vol. 91(C).

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    More about this item

    Keywords

    HIV testing; HIV knowledge; HIV stigma;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • D10 - Microeconomics - - Household Behavior - - - General
    • D80 - Microeconomics - - Information, Knowledge, and Uncertainty - - - General

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