HIV and sexual behavior change: Why not Africa?
AbstractDespite high rates of HIV in Sub-Saharan Africa, and the corresponding high mortality risk associated with risky sexual behavior, behavioral response has been limited. This paper explores three explanations for this: bias in OLS estimates, limited non-HIV life expectancy and limited knowledge. I find support for the first two. First, using a new instrumental variable strategy I find that OLS estimates of the relationship between risky sex and HIV are biased upwards, and IV estimates indicate reductions in risky behavior in response to the epidemic. Second, I find these reductions are larger for individuals who live in areas with higher life expectancy, suggesting high rates of non-HIV mortality suppress behavioral response; this is consistent with optimizing behavior. Using somewhat limited knowledge proxies, I find no evidence that areas with higher knowledge of the epidemic have greater behavior change.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Bibliographic InfoArticle provided by Elsevier in its journal Journal of Health Economics.
Volume (Year): 31 (2012)
Issue (Month): 1 ()
Contact details of provider:
Web page: http://www.elsevier.com/locate/inca/505560
HIV/AIDS; Sexual behavior; Life expectancy;
Find related papers by JEL classification:
- I21 - Health, Education, and Welfare - - Education - - - Analysis of Education
- O12 - Economic Development, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development
- J17 - Labor and Demographic Economics - - Demographic Economics - - - Value of Life; Foregone Income
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Francis, Andrew M., 2008. "The economics of sexuality: The effect of HIV/AIDS on homosexual behavior in the United States," Journal of Health Economics, Elsevier, vol. 27(3), pages 675-689, May.
- Oster Emily, 2010. "Estimating HIV Prevalence and Incidence in Africa from Mortality Data," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 10(1), pages 1-46, September.
- Pascaline Dupas, 2011.
"Do Teenagers Respond to HIV Risk Information? Evidence from a Field Experiment in Kenya,"
American Economic Journal: Applied Economics,
American Economic Association, vol. 3(1), pages 1-34, January.
- Pascaline Dupas, 2009. "Do Teenagers Respond to HIV Risk Information? Evidence from a Field Experiment in Kenya," NBER Working Papers 14707, National Bureau of Economic Research, Inc.
- Jane Fortson, 2008. "The gradient in sub-saharan Africa: Socioeconomic status and HIV/AIDS," Demography, Springer, vol. 45(2), pages 303-322, May.
- Angus Deaton, 2009.
"Instruments of development: Randomization in the tropics, and the search for the elusive keys to economic development,"
1122, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
- Angus S. Deaton, 2009. "Instruments of development: Randomization in the tropics, and the search for the elusive keys to economic development," NBER Working Papers 14690, National Bureau of Economic Research, Inc.
- Angus Deaton, 2009. "Instruments of development: Randomization in the tropics, and the search for the elusive keys to economic development," Working Papers 1128, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
- Tomas J. Philipson & William H. Dow & Xavier Sala-i-Martin, 1999. "Longevity Complementarities under Competing Risks," American Economic Review, American Economic Association, vol. 89(5), pages 1358-1371, December.
- Alan D. Lopez & Colin D. Mathers & Majid Ezzati & Dean T. Jamison & Christopher J. L. Murray, 2006. "Global Burden of Disease and Risk Factors," World Bank Publications, The World Bank, number 7039, October.
- Emily Oster, 2005. "Sexually Transmitted Infections, Sexual Behavior, and the HIV/AIDS Epidemic," The Quarterly Journal of Economics, MIT Press, vol. 120(2), pages 467-515, May.
- Gianmarco León & Edward Miguel, 2013.
"Transportation choices and the value of statistical life,"
Economics Working Papers
1389, Department of Economics and Business, Universitat Pompeu Fabra.
- Gianmarco León & Edward Miguel, 2013. "Transportation Choices and the Value of Statistical Life," Working Papers 716, Barcelona Graduate School of Economics.
- Gianmarco León & Edward Miguel, 2013. "Transportation Choices and the Value of Statistical Life," NBER Working Papers 19494, National Bureau of Economic Research, Inc.
- Djemaï, Elodie, 2010. "HIV-Related Risk Taking Behavior and Income Uncertainty : Empirical Evidence from Sub-Saharan Africa," Economics Papers from University Paris Dauphine 123456789/7310, Paris Dauphine University.
- Dang, Hai-Anh & Rogers, Halsey, 2013. "The decision to invest in child quality over quantity : household size and household investment in education in Vietnam," Policy Research Working Paper Series 6487, The World Bank.
- Gibson, John & McKenzie, David, 2007. "Using the global positioning system in household surveys for better economics and better policy," Policy Research Working Paper Series 4195, The World Bank.
- Robinson, Jonathan & Yeh, Ethan, 2009.
"Transactional sex as a response to risk in western Kenya,"
Policy Research Working Paper Series
4857, The World Bank.
- Jonathan Robinson & Ethan Yeh, 2011. "Transactional Sex as a Response to Risk in Western Kenya," American Economic Journal: Applied Economics, American Economic Association, vol. 3(1), pages 35-64, January.
- Robinson, Jonathan & Yeh, Ethan, 2008. "Transactional Sex as a Response to Risk in Western Keny," MPRA Paper 7350, University Library of Munich, Germany.
- Delavande, Adeline & Sampaio, Mafalda & Sood, Neeraj, 2014. "HIV-related social intolerance and risky sexual behavior in a high HIV prevalence environment," Social Science & Medicine, Elsevier, vol. 111(C), pages 84-93.
- Hans-Peter Kohler & Rebecca L. Thornton, 2012. "Conditional Cash Transfers and HIV/AIDS Prevention: Unconditionally Promising?," World Bank Economic Review, World Bank Group, vol. 26(2), pages 165-190.
- Francis, Andrew M. & Mialon, Hugo M. & Peng, Handie, 2012. "In sickness and in health: Same-sex marriage laws and sexually transmitted infections," Social Science & Medicine, Elsevier, vol. 75(8), pages 1329-1341.
- Miron Tequame, 2010.
"HIV, Risky Behavior and Ethno-Linguistic Heterogeneity,"
1004, University of Namur, Department of Economics.
- Miron Tequame, 2012. "HIV, Risky Behavior and Ethno-linguistic Heterogeneity," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), Justus-Liebig University Giessen, Department of Statistics and Economics, vol. 232(6), pages 606-632, November.
- Olivier C. Sterck, 2014. "Natural resources and the spread of HIV/AIDS: curse or blessing?," CSAE Working Paper Series 2014-12, Centre for the Study of African Economies, University of Oxford.
- Weil, David N., 2014. "Health and Economic Growth," Handbook of Economic Growth, in: Handbook of Economic Growth, edition 1, volume 2, chapter 3, pages 623-682 Elsevier.
- Gabriel Picone & Robyn Kibler & Benedicte Apouey, 2013. "Individuals’ Preventive Behavioral Response to Changes in Malaria Risks and Government Interventions: Evidence from six African countries," Working Papers 0313, University of South Florida, Department of Economics.
- Chin, Yoo-Mi, 2013. "Does HIV increase the risk of spousal violence in sub-Saharan Africa?," Journal of Health Economics, Elsevier, vol. 32(5), pages 997-1006.
- Kenny, Charles, 2009. "Why Do People Die In Earthquakes? The Costs, Benefits And Institutions Of Disaster Risk Reduction In Developing Countries," Policy Research Working Paper Series 4823, The World Bank.
- Casabonne, Ursula & Kenny, Charles, 2012. "The Best Things in Life are (Nearly) Free: Technology, Knowledge, and Global Health," World Development, Elsevier, vol. 40(1), pages 21-35.
- Durevall, Dick & Lindskog, Annika, 2013. "Adult Mortality, AIDS and Fertility in Rural Malawi," Working Papers in Economics 570, University of Gothenburg, Department of Economics.
- Wilson, Nicholas L. & Xiong, Wentao & Mattson, Christine L., 2014. "Is sex like driving? HIV prevention and risk compensation," Journal of Development Economics, Elsevier, vol. 106(C), pages 78-91.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei).
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.