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Individual versus community-level risk compensation following preexposure prophylaxis of HIV

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  • Holt, M.
  • Murphy, D.A.

Abstract

Weanalyzed the concept of risk compensation and how it has been applied in HIV prevention, paying particular attention to the strategyofHIVpreexposure prophylaxis (PrEP). In risk compensation, reduced perceptions of risk after the introduction of a preventative intervention lead to more frequent risktaking behavior. Such a change may undermine the intervention's protective benefits. We found that many studies purporting to investigate risk compensation do not assess or report changes in perceptions of risk, instead relying on behavioral measures. Our analysis suggests a complex and sometimes counterintuitive relationship between the introduction of a new prevention intervention, perceptions of HIV risk, and subsequent changes in behavior. As PrEP is introduced, we believe comprehensiveassessment of community-level risk compensation- that is, changes in risk perceptions and behavior as a result of increased optimism about avoiding HIV among people not directly protected by PrEP-should not be omitted. We therefore suggest ways to assess prevention optimism and community-level risk compensation.

Suggested Citation

  • Holt, M. & Murphy, D.A., 2017. "Individual versus community-level risk compensation following preexposure prophylaxis of HIV," American Journal of Public Health, American Public Health Association, vol. 107(10), pages 1568-1571.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2017.303930_4
    DOI: 10.2105/AJPH.2017.303930
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    Cited by:

    1. Johannes Bullinger & Thijs Reyniers & Bea Vuylsteke & Marie Laga & Christiana Nöstlinger, 2019. "Congruence between Hypothetical Willingness to Use Pre-Exposure Prophylaxis (PrEP) and Eligibility: An Online Survey among Belgian Men Having Sex with Men," IJERPH, MDPI, vol. 16(22), pages 1-15, November.
    2. Matthew Quaife & Fern Terris‐Prestholt & Zindoga Mukandavire & Peter Vickerman, 2021. "Modelling the effect of market forces on the impact of introducing human immunodeficiency virus pre‐exposure prophylaxis among female sex workers," Health Economics, John Wiley & Sons, Ltd., vol. 30(3), pages 659-679, March.

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