Alison M Buttenheim
Dados Biográficos
| ID | 196484 |
|---|---|
| NOME | Alison M Buttenheim |
| PRENOMES | Alison M |
| SOBRENOME | Buttenheim |
| ASSINATURA | BUTTENHEIM A M |
| AFILIAÇÕES | University of Pennsylvania |
| ORCID | 0000-0003-2432-1637 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 37 |
| TOTAL DE CITAÇÕES | 80 |
| TOTAL COMO AUTOR | 37 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2008 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 4 |
“You could hear their breathing slow down”
High rates of AIDS-related mortality and HIV incidence persist due to delayed antiretroviral therapy (ART) uptake and retention. We qualitatively assessed the feasibility and acceptability of "From Now On" (FNO) - a short video-based psychosocial support intervention to increase ART uptake and improve psychosocial well-being among men newly diagnosed with HIV in South Africa. In-depth interviews were conducted with men who were shown FNO during p…
Understanding HIV Vaccine Misinformation and Vaccine Intentions Among Young Women in South Africa
An effective HIV vaccine could significantly reduce HIV incidence, but demand for future HIV vaccines will be affected by misinformation. We conducted an online survey (March-April 2024) to identify the misinformation claims most likely to deter young women in South Africa (n = 188) from receiving an HIV vaccine. Participants rated HIV-vaccine misinformation as most concerning (i.e. would make them not want to get vaccinated) and least concerning…
“Do we perceive the same reality?” Truth telling and persuasion techniques in Red Pilling narratives about the Covid-19 vaccine
Despite widespread public health campaigns, lower than desired COVID-19 vaccine uptake was seen across the USA. Vaccine hesitancy can be driven by the proliferation of misinformation online, shaping beliefs and vaccine acceptance. This study explored motivated reasoning and its role in the development of such beliefs, specifically using narratives about “red pilling” – a popular concept originating from the 1999 film ‘”The Matrix”. Comments respo…
Associations Between HIV-Related Stigma, Trust, and Testing Behaviors Among the General U.S. Adult Population
HIV testing is essential to achieving the 95-95-95 targets, yet lifetime HIV testing rates in the United States fall below established guidelines. Building on similar healthcare contexts where stigma hinders access and trust mitigates its negative effect, this exploratory study examined the relationship between HIV-related stigma (HRS) and testing behavior, focusing on the role of trust in healthcare providers (HCPs). We used data from the 2022 G…
B-Ok
Lack of adherence to antiretroviral therapy (ART) and poor retention in care are significant barriers to ending HIV epidemics. Treatment adherence support effectiveness may be constrained by limited understanding of the benefits of ART. We evaluated a visual and tactile tool, the B-OK Bottles (“B-OK”), that incorporates human-centered design and behavioral economics principles and is designed to change and strengthen mental models about HIV. We e…
Behaviourally-Informed Two-Way Text Messaging to Improve Return to HIV Care in South Africa
One-way text messaging to re-engage people in HIV care has shown promise, but little is known about two-way messaging. We evaluated a behaviourally-informed two-way text messaging intervention to increase re-engagement in care following missed visits. We conducted an individual-level randomised controlled trial between February and March 2023 in Capricorn District, South Africa. Adults aged ≥ 18 years who had missed an ART visit by > 28 days were…
Applying behavioural economics principles to increase demand for free HIV testing services at private doctor-led clinics in Johannesburg, South Africa
Expanding free HIV testing service (HTS) access to include private clinics could increase testing rates. A donor funded programme, GP Care Cell, offered free HIV testing at selected private doctor-led clinics but uptake was low. We investigated whether HTS demand creation materials that used behavioural economics principles could increase demand for HIV testing at these clinics. We conducted a randomised controlled trial in Johannesburg, South Af…
Predictors of Covid-19 vaccine uptake among adults in South Africa
BACKGROUND: COVID-19 vaccine coverage remains low in many low and middle-income countries despite widespread access. To understand the dynamic decision-making process around vaccination and provide evidence for future vaccine promotion campaigns, we identified predictors of COVID-19 vaccine uptake among South African adults, including those who did not believe in the vaccine's safety or efficacy. METHODS: Data from two longitudinal telephone surv…
Correlates of Covid-19 vaccination intentions and opinions about mandates among four groups of adults in South Africa with distinct vaccine intentions
The profile of individuals not vaccinated against COVID-19 as of March 2022 varied markedly by self-reported vaccination intentions, underscoring the importance of tailored demand-creation efforts. This paper highlights several factors which differ significantly across these groups. These findings could inform the design of future vaccination campaigns, potentially increasing their likelihood of success. This is an important policy objective give…
Quasi-experimental evaluation of a financial incentive for first-dose Covid-19 vaccination among adults aged ≥60 years in South Africa
INTRODUCTION: COVID-19 vaccination coverage in South Africa (RSA) remains low despite increased access to vaccines. On 1 November 2021, RSA introduced the Vooma Voucher programme which provided a small guaranteed financial incentive, a Vooma Voucher redeemable at grocery stores, for COVID-19 vaccination among older adults, a population most vulnerable to serious illness, hospitalisation and death. However, the association of financial incentives …
Public attitudes about equitable Covid-19 vaccine allocation
Equity was—and is—central in the US policy response to COVID-19, given its disproportionate impact on disadvantaged communities of colour. In an unprecedented turn, the majority of US states used place-based disadvantage indices to promote equity in vaccine allocation (eg, through larger vaccine shares for more disadvantaged areas and people of colour). We conducted a nationally representative survey experiment (n=2003) in April 2021 (before all …
Planning and commitment prompts to encourage reporting of HIV self-test results
Reporting of HIV self-test results to encourage linkage to HIV care for those who receive a positive test result is a common challenge faced by HIV self-testing programs. The impact of self-testing programs is diminished if individuals who obtain a self-test do not use the test or seek confirmatory testing and initiate HIV treatment following a positive result. We conducted a cluster randomized trial of two interventions designed to increase repo…
Longitudinal changes in Covid-19 vaccination intent among South African adults
Willingness to receive a COVID-19 vaccine has increased among adults in South Africa, and those who were entrenched in their reluctance make up a small proportion of the country's population. Younger adults, those in formal housing, and those who trusted COVID-19 information on social media were more likely to be hesitant. Given that stated vaccination intent may not translate into behaviour, our finding that three-quarters of the population were…
A citywide experiment testing the impact of geographically targeted, high-pay-off vaccine lotteries
Undetectable = Untransmittable (U = U) Messaging Increases Uptake of HIV Testing Among Men
HIV testing coverage in sub-Saharan Africa is lower among men than women. We investigated the impact of a peer-delivered U = U (undetectable equals untransmittable) message on men's HIV testing uptake through a cluster randomised trial with individual mobile clinic days as unit of randomisation. On standard of care (SOC) days, peer promoters informed men about the availability of HIV testing at the mobile clinic. On intervention days, peer promot…
Do Incentives Crowd Out Motivation? A Feasibility Study of a Community Vector-Control Campaign in Peru
Incentives are a useful tool in encouraging healthy behavior as part of public health initiatives. However, there remains concern about motivation crowd out-a decline in levels of motivation to undertake a behavior to below baseline levels after incentives have been removed-and few public health studies have assessed for motivation crowd out. Here, we assess the feasibility of identifying motivation crowd out following a lottery to promote partic…
Behavioral barriers to the use of modern methods of contraception among unmarried youth and adolescents in eastern Senegal
Interventions aimed at increasing uptake of contraceptives among unmarried young people in eastern Senegal must address several significant behavioral barriers in addition to structural, informational, and socio-cultural barriers in order to be successful
Shouting at each other into the void
In 2015, California passed Senate Bill 277 and became the third state in the United States to ban all nonmedical exemptions from school immunization requirements, effectively prohibiting religious and personal belief exemptions. This attracted grassroots opposition and considerable debate among vaccine hesitant factions online. This mixed-methods study used quantitative linguistic analysis, semantic network analysis, and content analysis techniqu…
Use of financial incentives and text message feedback to increase healthy food purchases in a grocery store cash back program
NCT02486588 Increasing Engagement with a Healthy Food Benefit. The trial was prospectively registered on July 1, 2015
A behavioral design approach to improving a Chagas disease vector control campaign in Peru
Careful attention to how behavioral design may affect internal and external validity of evaluations and the scalability of interventions is needed going forward. We recommend behavioral design as a useful complement to other intervention design and evaluation approaches in global health programs
California’s Senate Bill 277
Objectives. To understand the experiences of local health jurisdictions with Senate Bill 277 (SB277), the California law that eliminated nonmedical vaccine exemptions for public- and private-school entry. Methods. We conducted semistructured telephone interviews with health officers and local health department (LHD) staff in California between August and September 2017. Results. Two overall themes emerged: (1) vague legislative and regulatory lan…
Vaccine Hesitancy in Pediatric Primary Care Practices
Understanding how pediatric practices handle parental vaccine hesitancy is important as it impacts the efficiency and effectiveness of pediatric practices. In total, 21 semi-structured interviews with pediatric practice staff within a primary care network were conducted between May 2012 and March 2013. Thematic analysis focused on the barriers and challenges of vaccine hesitancy and strategies to reduce the burden at the practice level. Barriers …
Twitter as a Tool for Health Research
Background. Researchers have used traditional databases to study public health for decades. Less is known about the use of social media data sources, such as Twitter, for this purpose. Objectives. To systematically review the use of Twitter in health research, define a taxonomy to describe Twitter use, and characterize the current state of Twitter in health research. Search methods. We performed a literature search in PubMed, Embase, Web of Scien…
To spray or not to spray? Understanding participation in an indoor residual spray campaign in Arequipa, Peru
Current low participation rates in vector control programmes in Arequipa, Peru complicate the control of Chagas disease. Using focus groups (n = 17 participants) and semi-structured interviews (n = 71) conducted in March and May 2013, respectively, we examined barriers to and motivators of household participation in an indoor residual spray (IRS) campaign that had taken place one year prior in Arequipa. The most common reported barriers to partic…
Do Social Factors Predict Appropriate Treatment of Child Diarrheal Disease in Peru
Do Mexican immigrants "import" social gradients in health to the US
Ethnic diversity, traditional norms, and marriage behaviour in Indonesia
What role do cultural norms play in shaping individual behaviour and how does this relationship change with rapid socio-economic development? While modernization and convergence theories predict a weakened relationship between culture and behaviour as individuals rely less on family and community members for economic opportunities, recent research suggests that such norms can persist and continue to influence behaviour. We explored this question …
Marriage and Socioeconomic Change in Contemporary Indonesia
This study investigates the relationship between economic trends and entry into marriage in a rapidly developing setting. We examine Indonesian marriage in the 1990s, a decade of substantial economic growth followed by a sudden financial collapse in 1998. We use discrete-time hazard models to analyze information on 4,078 women and 4,496 men from the Indonesia Family Life Survey. Although previous research has shown that marriages may be postponed…
The sanitation environment in urban slums
The shape of things to come? Obesity prevalence among foreign-born vs. US-born Mexican youth in California
Do Women Increase Their Use of Reproductive Health Care When It Becomes More Available? Evidence from Indonesia
Data from the Indonesia Family Life Survey are used to investigate the impact of a major expansion in access to midwifery services on women's use of antenatal care and delivery assistance. Between 1991 and 1998, Indonesia trained some 50,000 midwives, placing them in poor communities that were distant from health‐care centers. We analyze information from pregnancy histories to relate changes in the choices that individual women make across pregna…
Exposure of California Kindergartners to Students With Personal Belief Exemptions From Mandated School Entry Vaccinations
Objectives. Personal belief exemptions (PBEs) from mandated school entry vaccinations have increased in California over the past decade. Infectious disease outbreaks in the state may be associated with the aggregation of intentionally unvaccinated children within schools. We sought to quantify the exposure of California kindergartners to children with PBEs at school. Methods. We used cross-sectional California Department of Public Health data on …
Shouting at each other into the void
In 2015, California passed Senate Bill 277 and became the third state in the United States to ban all nonmedical exemptions from school immunization requirements, effectively prohibiting religious and personal belief exemptions. This attracted grassroots opposition and considerable debate among vaccine hesitant factions online. This mixed-methods study used quantitative linguistic analysis, semantic network analysis, and content analysis techniqu…
Vaccine Hesitancy in Pediatric Primary Care Practices
Understanding how pediatric practices handle parental vaccine hesitancy is important as it impacts the efficiency and effectiveness of pediatric practices. In total, 21 semi-structured interviews with pediatric practice staff within a primary care network were conducted between May 2012 and March 2013. Thematic analysis focused on the barriers and challenges of vaccine hesitancy and strategies to reduce the burden at the practice level. Barriers …
A citywide experiment testing the impact of geographically targeted, high-pay-off vaccine lotteries
California’s Senate Bill 277
Objectives. To understand the experiences of local health jurisdictions with Senate Bill 277 (SB277), the California law that eliminated nonmedical vaccine exemptions for public- and private-school entry. Methods. We conducted semistructured telephone interviews with health officers and local health department (LHD) staff in California between August and September 2017. Results. Two overall themes emerged: (1) vague legislative and regulatory lan…
Is participation contagious? Evidence from a household vector control campaign in urban Peru
OBJECTIVES: High rates of household participation are critical to the success of door-to-door vector control campaigns. We used the Health Belief Model to assess determinants of participation, including neighbour participation as a cue to action, in a Chagas disease vector control campaign in Peru. METHODS: We evaluated clustering of participation among neighbours; estimated participation as a function of household infestation status, neighbourho…
The sanitation environment in urban slums
Marriage and Socioeconomic Change in Contemporary Indonesia
This study investigates the relationship between economic trends and entry into marriage in a rapidly developing setting. We examine Indonesian marriage in the 1990s, a decade of substantial economic growth followed by a sudden financial collapse in 1998. We use discrete-time hazard models to analyze information on 4,078 women and 4,496 men from the Indonesia Family Life Survey. Although previous research has shown that marriages may be postponed…
Does social status predict adult smoking and obesity? Results from the 2000 Mexican National Health Survey
Socioeconomic status is generally associated with better health, but recent evidence suggests that this 'social gradient' in health is far from universal. This study examines whether social gradients in smoking and obesity in Mexico - a country in the midst of rapid socioeconomic change - conform to or diverge from results for richer countries. Using a nationally representative sample of 39,129 Mexican adults, we calculate the odds of smoking and…
Do Women Increase Their Use of Reproductive Health Care When It Becomes More Available? Evidence from Indonesia
Data from the Indonesia Family Life Survey are used to investigate the impact of a major expansion in access to midwifery services on women's use of antenatal care and delivery assistance. Between 1991 and 1998, Indonesia trained some 50,000 midwives, placing them in poor communities that were distant from health‐care centers. We analyze information from pregnancy histories to relate changes in the choices that individual women make across pregna…
Ethnic diversity, traditional norms, and marriage behaviour in Indonesia
What role do cultural norms play in shaping individual behaviour and how does this relationship change with rapid socio-economic development? While modernization and convergence theories predict a weakened relationship between culture and behaviour as individuals rely less on family and community members for economic opportunities, recent research suggests that such norms can persist and continue to influence behaviour. We explored this question …
Do Mexican immigrants "import" social gradients in health to the US
Behavioral Economics
Exposure of California Kindergartners to Students With Personal Belief Exemptions From Mandated School Entry Vaccinations
Objectives. Personal belief exemptions (PBEs) from mandated school entry vaccinations have increased in California over the past decade. Infectious disease outbreaks in the state may be associated with the aggregation of intentionally unvaccinated children within schools. We sought to quantify the exposure of California kindergartners to children with PBEs at school. Methods. We used cross-sectional California Department of Public Health data on …
Urban Food Environments and Residents’ Shopping Behaviors
The shape of things to come? Obesity prevalence among foreign-born vs. US-born Mexican youth in California
Is participation contagious? Evidence from a household vector control campaign in urban Peru
OBJECTIVES: High rates of household participation are critical to the success of door-to-door vector control campaigns. We used the Health Belief Model to assess determinants of participation, including neighbour participation as a cue to action, in a Chagas disease vector control campaign in Peru. METHODS: We evaluated clustering of participation among neighbours; estimated participation as a function of household infestation status, neighbourho…
Potential Effects of California’s New Vaccine Exemption Law on the Prevalence and Clustering of Exemptions
Exemptions from childhood immunizations required for school entry have continued to increase among California kindergartners, and exemptions show spatial clustering within the state. A 2014 change in California’s school-entry vaccine exemption law requires parents filing for an exemption to submit signed documents from a health care provider. However, the evidence presented here suggests that the policy change will probably not be sufficient to r…
To spray or not to spray? Understanding participation in an indoor residual spray campaign in Arequipa, Peru
Current low participation rates in vector control programmes in Arequipa, Peru complicate the control of Chagas disease. Using focus groups (n = 17 participants) and semi-structured interviews (n = 71) conducted in March and May 2013, respectively, we examined barriers to and motivators of household participation in an indoor residual spray (IRS) campaign that had taken place one year prior in Arequipa. The most common reported barriers to partic…
Do Social Factors Predict Appropriate Treatment of Child Diarrheal Disease in Peru
Twitter as a Tool for Health Research
Background. Researchers have used traditional databases to study public health for decades. Less is known about the use of social media data sources, such as Twitter, for this purpose. Objectives. To systematically review the use of Twitter in health research, define a taxonomy to describe Twitter use, and characterize the current state of Twitter in health research. Search methods. We performed a literature search in PubMed, Embase, Web of Scien…
Vaccine Hesitancy in Pediatric Primary Care Practices
Understanding how pediatric practices handle parental vaccine hesitancy is important as it impacts the efficiency and effectiveness of pediatric practices. In total, 21 semi-structured interviews with pediatric practice staff within a primary care network were conducted between May 2012 and March 2013. Thematic analysis focused on the barriers and challenges of vaccine hesitancy and strategies to reduce the burden at the practice level. Barriers …
Use of financial incentives and text message feedback to increase healthy food purchases in a grocery store cash back program
NCT02486588 Increasing Engagement with a Healthy Food Benefit. The trial was prospectively registered on July 1, 2015
A behavioral design approach to improving a Chagas disease vector control campaign in Peru
Careful attention to how behavioral design may affect internal and external validity of evaluations and the scalability of interventions is needed going forward. We recommend behavioral design as a useful complement to other intervention design and evaluation approaches in global health programs
California’s Senate Bill 277
Objectives. To understand the experiences of local health jurisdictions with Senate Bill 277 (SB277), the California law that eliminated nonmedical vaccine exemptions for public- and private-school entry. Methods. We conducted semistructured telephone interviews with health officers and local health department (LHD) staff in California between August and September 2017. Results. Two overall themes emerged: (1) vague legislative and regulatory lan…
Behavioral barriers to the use of modern methods of contraception among unmarried youth and adolescents in eastern Senegal
Interventions aimed at increasing uptake of contraceptives among unmarried young people in eastern Senegal must address several significant behavioral barriers in addition to structural, informational, and socio-cultural barriers in order to be successful
Shouting at each other into the void
In 2015, California passed Senate Bill 277 and became the third state in the United States to ban all nonmedical exemptions from school immunization requirements, effectively prohibiting religious and personal belief exemptions. This attracted grassroots opposition and considerable debate among vaccine hesitant factions online. This mixed-methods study used quantitative linguistic analysis, semantic network analysis, and content analysis techniqu…
Undetectable = Untransmittable (U = U) Messaging Increases Uptake of HIV Testing Among Men
HIV testing coverage in sub-Saharan Africa is lower among men than women. We investigated the impact of a peer-delivered U = U (undetectable equals untransmittable) message on men's HIV testing uptake through a cluster randomised trial with individual mobile clinic days as unit of randomisation. On standard of care (SOC) days, peer promoters informed men about the availability of HIV testing at the mobile clinic. On intervention days, peer promot…
Do Incentives Crowd Out Motivation? A Feasibility Study of a Community Vector-Control Campaign in Peru
Incentives are a useful tool in encouraging healthy behavior as part of public health initiatives. However, there remains concern about motivation crowd out-a decline in levels of motivation to undertake a behavior to below baseline levels after incentives have been removed-and few public health studies have assessed for motivation crowd out. Here, we assess the feasibility of identifying motivation crowd out following a lottery to promote partic…
Quasi-experimental evaluation of a financial incentive for first-dose Covid-19 vaccination among adults aged ≥60 years in South Africa
INTRODUCTION: COVID-19 vaccination coverage in South Africa (RSA) remains low despite increased access to vaccines. On 1 November 2021, RSA introduced the Vooma Voucher programme which provided a small guaranteed financial incentive, a Vooma Voucher redeemable at grocery stores, for COVID-19 vaccination among older adults, a population most vulnerable to serious illness, hospitalisation and death. However, the association of financial incentives …
Public attitudes about equitable Covid-19 vaccine allocation
Equity was—and is—central in the US policy response to COVID-19, given its disproportionate impact on disadvantaged communities of colour. In an unprecedented turn, the majority of US states used place-based disadvantage indices to promote equity in vaccine allocation (eg, through larger vaccine shares for more disadvantaged areas and people of colour). We conducted a nationally representative survey experiment (n=2003) in April 2021 (before all …
Medicine (30 obras) · Environmental health (16 obras) · Public health (16 obras) · Nursing (13 obras) · Vaccine Coverage and Hesitancy (13 obras) · Demography (12 obras) · Psychology (11 obras) · Sociology (11 obras) · Economics (10 obras) · Family medicine (9 obras)