Beyond the jab: Modeling HIV vaccine acceptance in sexual and gender minorities with behavioral economic demand.

This study was an investigation of the utility of behavioral economic demand curves (quantitative models showing how consumption changes with price) in assessing acceptance of hypothetical HIV vaccines among sexual and gender minorities (SGMs). Two experiments used simulated purchase tasks (hypothet...

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Publicado en:Journal of the Experimental Analysis of Behavior Vol. 124; no. 1; pp. 1 - 18
Autores principales: Tewogbola, Promise, Jacobs, Eric A., Lee, Yueh‐Ting, Redner, Ryan N., McDaniel, Justin T., Asirvatham, Jebaraj
Formato: Artículo
Publicado: Wiley-Blackwell Jul2025
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2025
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      pub: Wiley-Blackwell
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        10.1002/jeab.70038
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        atl: Beyond the jab: Modeling HIV vaccine acceptance in sexual and gender minorities with behavioral economic demand.
      aug:
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          Tewogbola, Promise
          Jacobs, Eric A.
          Lee, Yueh‐Ting
          Redner, Ryan N.
          McDaniel, Justin T.
          Asirvatham, Jebaraj
        affil:
          School of Psychological and Behavioral Sciences, Southern Illinois University, Carbondale IL,, USA
          School of Health Sciences, Southern Illinois University, Carbondale IL,, USA
          School of Agricultural Sciences, Southern Illinois University, Carbondale IL,, USA
      su:
        Sexual minorities
        Trust
        Public health
        Health attitudes
        AIDS vaccines
        Discrimination (Sociology)
        Behavioral economics
        Demand function
      sug:
        subj:
          Sexual minorities
          Trust
          Public health
          Health attitudes
          AIDS vaccines
          Discrimination (Sociology)
          Health and Welfare Funds
          Behavioral economics
          Demand function
      ab: This study was an investigation of the utility of behavioral economic demand curves (quantitative models showing how consumption changes with price) in assessing acceptance of hypothetical HIV vaccines among sexual and gender minorities (SGMs). Two experiments used simulated purchase tasks (hypothetical scenarios measuring purchasing decisions). SGMs were recruited through Reddit and LGBTQ+ community organizations across the United States. In Experiment 1, participants were randomly assigned to nine instructional sets combining varying vaccine administration modes (oral, mucosal, or subcutaneous) with different dosage schedules (one dose, two doses, or one dose annually). Experiment 2 examined how bundling HIV vaccines with one of nine health commodities affected demand. Participants also responded to questions assessing demographics, HIV risk behaviors, experiences of racial discrimination, and trust in institutions. The results demonstrated that the exponentiated demand equation effectively modeled vaccine acceptance across conditions (median R2 = 0.92). Contrary to expectations, vaccine characteristics had a minimal influence on demand (Q₀: R2 = 0.007; log α: R2 = 0.001). Instead, individual factors significantly influenced demand intensity (consumption when price = 0; Q₀) and price sensitivity (sensitivity of consumption to increasing price; α). Significant predictors of Q₀ included injection drug use history, experiences of racial discrimination, and trust in science. Low household income was the strongest predictor of log α. Bundling HIV vaccines with other health commodities showed subtle effects on acceptance, with condoms and dental examinations significantly differing from the reference category. These findings suggest that behavioral economic approaches can inform policy decisions about pricing, bundling strategies and targeted interventions to maximize HIV vaccine uptake among SGMs who face disproportionate HIV risk without requiring exposure to non‐market‐ready vaccines.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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