Journal
AIDS AND BEHAVIOR
Volume 23, Issue 9, Pages 2337-2346Publisher
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-019-02592-8
Keywords
Incentives; Viral suppression; Antiretroviral medication adherence; HIV; ART
Funding
- National Institute of Allergy and Infectious Diseases
- National Institute on Drug Abuse of the National Institutes of Health [R01AI117065, T32DA07209]
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The HIV/AIDS epidemic can be eliminated if 73% of people living with HIV take antiretroviral medications and achieve undetectable viral loads. This study assessed the effects of financial incentives in suppressing viral load. People living with HIV with detectable viral loads (N = 102) were randomly assigned to Usual Care or Incentive groups. Incentive participants earned up to $10 per day for 2 years for providing blood samples that showed either reduced or undetectable viral loads. This report presents data on the 1st year after random assignment. Incentive participants provided more (adjusted OR = 15.6, CI 4.2-58.8, p < 0.001) blood samples at 3-month assessments with undetectable viral load (72.1%) than usual care control participants (39.0%). We collected most blood samples. The study showed that incentives can substantially increase undetectable viral loads in people living with HIV. Financial incentives for suppressed viral loads could contribute to the eradication of the HIV/AIDS epidemic.
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