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Measuring and Mitigating HIV Stigma: A Framed Field Experiment

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  • Vivian Hoffmann
  • Jacob R. Fooks
  • Kent D. Messer

Abstract

Stigma against those living with HIV can undermine efforts to prevent the spread of the disease, but it has traditionally been hard to measure or to assess the efficacy of antistigma educational efforts. Using a framed field experiment involving adult participants in rural Kenya, this research measures HIV stigma as the amount of compensation demanded through a second-price auction to complete tasks involving objects handled by an HIV-positive person. By varying educational messages, we show that both perceived transmission risk and negative judgment of those with the disease underlie this stigma. Messages that overcome fear of transmission and that disassociate people living with HIV/AIDS from behaviors considered immoral are both effective, reducing avoidance behavior by up to 50%.

Suggested Citation

  • Vivian Hoffmann & Jacob R. Fooks & Kent D. Messer, 2014. "Measuring and Mitigating HIV Stigma: A Framed Field Experiment," Economic Development and Cultural Change, University of Chicago Press, vol. 62(4), pages 701-726.
  • Handle: RePEc:ucp:ecdecc:doi:10.1086/676145
    DOI: 10.1086/676145
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    Cited by:

    1. Whiting, Alix & Kecinski, Maik & Li, Tongzhe & r, Kent D. Messer & Parker, Julia, 2019. "The importance of selecting the right messenger: A framed field experiment on recycled water products," Ecological Economics, Elsevier, vol. 161(C), pages 1-8.
    2. Kecinski, Maik & Kerley Keisner, Deborah & Messer, Kent D. & Schulze, William D., 2016. "Stigma mitigation and the importance of redundant treatments," Journal of Economic Psychology, Elsevier, vol. 54(C), pages 44-52.
    3. Na Hao & H. Holly Wang, 2021. "Food consumption and stigmatization under COVID‐19: Evidence from Chinese consumers’ aversion to Wuhan hot instant noodles," Agribusiness, John Wiley & Sons, Ltd., vol. 37(1), pages 82-90, January.
    4. Lubega, Patrick & Nakakawa, Frances & Narciso, Gaia & Newman, Carol & Kaaya, Archileo N. & Kityo, Cissy & Tumuhimbise, Gaston A., 2021. "Body and mind: Experimental evidence from women living with HIV," Journal of Development Economics, Elsevier, vol. 150(C).
    5. Laura Derksen & Adamson Muula & Joep van Oosterhout, 2016. "Love in the Time of HIV: Testing as a Signal of Risk," Natural Field Experiments 00550, The Field Experiments Website.
    6. Bharadwaj, Prashant & Pai, Mallesh M. & Suziedelyte, Agne, 2017. "Mental health stigma," Economics Letters, Elsevier, vol. 159(C), pages 57-60.
    7. Zarghamee, Homa S. & Messer, Kent D. & Fooks, Jacob R. & Schulze, William D. & Wu, Shang & Yan, Jubo, 2017. "Nudging charitable giving: Three field experiments," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 66(C), pages 137-149.
    8. Maik Kecinski & Deborah Kerley Keisner & Kent D. Messer & William D. Schulze, 2018. "Measuring Stigma: The Behavioral Implications of Disgust," Environmental & Resource Economics, Springer;European Association of Environmental and Resource Economists, vol. 70(1), pages 131-146, May.
    9. Cortés, Darwin & Gamboa, Luis Fernando & Rodríguez-Lesmes, Paul, 2020. "Contraception, Intra-household Behaviour and Epidemic: Evidence from the Zika crisis in Colombia," Working papers 66, Red Investigadores de Economía.
    10. Jay R Corrigan & Saleem Alhabash & Matthew Rousu & Sean B Cash, 2018. "How much is social media worth? Estimating the value of Facebook by paying users to stop using it," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-11, December.

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