摘要翻译:
南非的残疾补助金计划与其艾滋病毒/艾滋病康复计划联系在一起,这样病情严重的个人就有资格获得资格。历史上,资格与CD4计数200个细胞/毫米3有关,当一个人坚持抗逆转录病毒治疗时,这一计数会有所改善。这造成了一个潜在的意外后果,即穷人在面临潜在的收入损失时,可能选择通过不遵守来限制他们的恢复。为了检验补助金规则引起的操纵,我们在资格阈值附近识别残疾补助金接受者和非接受者的CD4恢复率的差异,在阈值附近实施固定效应差异。我们使用南非夸祖鲁-纳塔尔农村非洲健康研究所人口与健康监测系统(AHRI DSS)的数据,利用8497名患者的DG状态和实验室CD4计数记录,测试合格患者之间CD4恢复率是否存在系统性差异。我们发现残疾补助金阈值规则导致受助人的CD4恢复速度相对较慢,约为20-30细胞/毫米3/年,或在阈值附近的恢复速度降低20%。
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英文标题:
《Disability for HIV and Disincentives for Health: The Impact of South
Africa's Disability Grant on HIV/AIDS Recovery》
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作者:
Noah Haber, Till B\"arnighausen, Jacob Bor, Jessica Cohen, Frank
Tanser, Deenan Pillay, G\"unther Fink
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最新提交年份:
2018
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分类信息:
一级分类:Economics 经济学
二级分类:General Economics 一般经济学
分类描述:General methodological, applied, and empirical contributions to economics.
对经济学的一般方法、应用和经验贡献。
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一级分类:Quantitative Finance 数量金融学
二级分类:Economics 经济学
分类描述:q-fin.EC is an alias for econ.GN. Economics, including micro and macro economics, international economics, theory of the firm, labor economics, and other economic topics outside finance
q-fin.ec是econ.gn的别名。经济学,包括微观和宏观经济学、国际经济学、企业理论、劳动经济学和其他金融以外的经济专题
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英文摘要:
South Africa's disability grants program is tied to its HIV/AIDS recovery program, such that individuals who are ill enough may qualify. Qualification is historically tied to a CD4 count of 200 cells/mm3, which improve when a person adheres to antiretroviral therapy. This creates a potential unintended consequence where poor individuals, faced with potential loss of their income, may choose to limit their recovery through non-adherence. To test for manipulation caused by grant rules, we identify differences in disability grant recipients and non-recipients' rate of CD4 recovery around the qualification threshold, implemented as a fixed-effects difference-in-difference around the threshold. We use data from the Africa Health Research Institute Demographic and Health Surveillance System (AHRI DSS) in rural KwaZulu-Natal, South Africa, utilizing DG status and laboratory CD4 count records for 8,497 individuals to test whether there are any systematic differences in CD4 recover rates among eligible patients. We find that disability grant threshold rules caused recipients to have a relatively slower CD4 recovery rate of about 20-30 cells/mm3/year, or a 20% reduction in the speed of recovery around the threshold.
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PDF链接:
https://arxiv.org/pdf/1810.01971


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