Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Comment
  • Published:

We must invest in behavioural economics for the HIV response

Effective HIV prevention and treatment are widely available, but services are underused and underdelivered. Behavioural economics offers insights into why this is and shows us cost-effective interventions to change behaviours. We call for investment in scaling up behavioural economics approaches to aid in progress towards ending HIV.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

References

  1. UNAIDS. In Danger: UNAIDS Global AIDS Update (UNAIDS, 2022).

  2. Linnemayr, S. J. Acquir. Immune Defic. Syndr. 68, e61–e63 (2015).

    Article  PubMed  PubMed Central  Google Scholar 

  3. Galárraga, O. & Sosa-Rubí, S. G. Lancet HIV 6, e705–e714 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  4. Richterman, A. & Thirumurthy, H. Nat. Hum. Behav. 6, 1362–1371 (2022).

    Article  PubMed  Google Scholar 

  5. Richterman, A. et al. Nature 618, 575–582 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Krishnamoorthy, Y., Rehman, T. & Sakthivel, M. AIDS Behav. 25, 814–825 (2021).

    Article  PubMed  Google Scholar 

  7. Kennedy, C. E. et al. PLoS ONE 15, e0227623 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Björkman Nyqvist, M., Corno, L., de Walque, D. & Svensson, J. Am. Econ. J. Appl. Econ. 10, 287–314 (2018).

    Article  Google Scholar 

  9. Linnemayr, S. & Stecher, C. AIDS Behav. 19, 2069–2075 (2015).

    Article  PubMed  PubMed Central  Google Scholar 

  10. Creek, T. L. et al. J. Acquir. Immune Defic. Syndr. 45, 102–107 (2007).

    Article  PubMed  Google Scholar 

  11. Ahmed, A. A. & Mcnamee, P. AIDS Behav. https://doi.org/10.1007/s10461-022-03969-y (2023).

    Article  PubMed  Google Scholar 

  12. Czaicki, N. L., Dow, W. H., Njau, P. F. & McCoy, S. I. PLoS ONE 13, e0196616 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  13. Stecher, C., Mukasa, B. & Linnemayr, S. J. Health Econ. 77, 102443 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  14. Stecher, C. & Linnemayr, S. AIDS 35, 711–716 (2021).

    Article  CAS  PubMed  Google Scholar 

  15. Packel, L. et al. Implement. Sci. Commun. 2, 109 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

This paper summarizes presentations and discussion from a session on ‘Behavioral Economics and Conditional Incentives to Strengthen HIV Treatment and Prevention’. The satellite session at the AIDS 2022 Conference was organized by the National Institute of Mental Health (NIMH) and the Fogarty International Center (FIC) of the US National Institutes of Health (NIH). It examined the use of behavioural economics and conditional incentives in HIV treatment and prevention programmes, and identified strategies to support their further advancement and use. The entire session is available online. The authors acknowledge input from D. Rausch, R. Sturke, B. Barnett and M. J. Stirratt in the conceptualization of the satellite session and/or in reviewing an earlier draft of the manuscript. There was no direct federal or private funding for this paper. The opinions are those of the authors alone, and do not necessarily represent the official views of the NIMH, FIC, the NIH or any other institution.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Omar Galárraga.

Ethics declarations

Competing interests

The authors declare no competing interests.

Peer review

Peer review information

Nature Human Behaviour thanks Justin Strickland, Hamid Sharifi and the other, anonymous, reviewer(s) for their contribution to the peer review of this work.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Galárraga, O., Linnemayr, S., McCoy, S.I. et al. We must invest in behavioural economics for the HIV response. Nat Hum Behav 7, 1241–1244 (2023). https://doi.org/10.1038/s41562-023-01664-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41562-023-01664-z

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing