How do risk preferences relate to malaria care-seeking behavior and the acceptability of a new health technology in Nigeria?
| Autor: | Chinwoke Isiguzo, Eric Schatzkin, Anna De La Cruz, Chinazo Ujuju, Jenny Liu, Jennifer Anyanti, Dominic Montagu, Sepideh Modrek, Ernest Nwokolo |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Health Behavior Nigeria Care-seeking behavior Health informatics Risk Assessment Health administration Young Adult Risk preferences Nursing Environmental health parasitic diseases medicine Humans Aged Aged 80 and over Likelihood Functions business.industry Health Policy Public health Nursing research Behavior change Rapid diagnostic tests Health technology Middle Aged Patient Acceptance of Health Care medicine.disease Malaria Logistic Models Female Reagent Kits Diagnostic Diffusion of Innovation business Risk assessment Research Article |
| Zdroj: | Montagu, Dominic; Liu, J; Modrek, S; Anyanti, J; Nwokolo, E; De, A; et al.(2014). How do risk preferences relate to malaria care-seeking behavior and the acceptability of a new health technology in Nigeria?. UC San Francisco: Retrieved from: http://www.escholarship.org/uc/item/9p57d3qk BMC Health Services Research |
| Popis: | Background To reduce the burden of disease from malaria, innovative approaches are needed to engender behavior change. One unobservable, but fundamental trait—preferences for risk—may influence individuals’ willingness to adopt new health technologies. We explore the association of risk preferences with malaria care-seeking behavior and the acceptability of malaria rapid diagnostic tests (RDTs) to inform RDT scale-up plans. Methods In Oyo State, Nigeria, adult customers purchasing anti-malarial medications at selected drug shops took surveys and received an RDT as they exited. After an initial risk preference assessment via a simple lottery game choice, individuals were given their RDT result and treatment advice, and called four days later to assess treatment adherence. We used bivariable and multivariable regression analysis to assess the association of risk game choices with malaria care-seeking behaviors and RDT acceptability. Results Of 448 respondents, 63.2% chose the lottery game with zero variance in expected payout, 27.9% chose the game with low variance, and 8.9% chose the game with high variance. Compared to participants who chose lower variance games, individuals choosing higher variance games were older, less educated, more likely to be male, and were more likely to patronize lower quality drug shops, seek care immediately, and report complete disability due to their illness. In contrast, individuals choosing lower variance games were more likely to follow the correct treatment directions and were more likely to report an increase in their willingness to pay for an RDT compared to other risk groups, our two measures of RDT acceptability. Differences in estimated associations between risk game choices and selected care-seeking behaviors remained after controlling sociodemographic confounders. Conclusions The uptake of health diagnostic information in terms of translating the RDT experience into willingness to pay for an RDT and treatment adherence to test results may vary according to risk preferences. Hence, health promotion communications may want to be crafted bearing in mind differences in uptake among people of different risk preferences to encourage wider RDT adoption and more rational malaria treatment. Estimates will serve as the basis for power calculations for an expanded study. |
| Databáze: | OpenAIRE |
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