Gender Differences, HIV Risk Perception and Condom Use
AbstractWe analyze how HIV-knowledge influences condom use across the sexes. The empirical work is based on a household survey conducted among 1,979 households of a representative group of market persons in Lagos in 2008. Last-time-condom-use is analyzed based on a Probit model while correcting for clustering effects. Next to socioeconomic characteristics, the data includes questions on knowledge of the existence of HIV, HIV prevention, HIV stigma, intended pregnancy, and risk perceptions of engaging in unprotected sex. We observe a large HIV knowledge gap between males and females. Moreover, across the sexes different type of knowledge are important in condom use. Low risk perceptions of engaging in unprotected sex and not knowing that condoms prevent HIV infection appear to be the best predictors for risky sexual behavior among men. The latter is also important in condom use among single females. Both factors, however, do not explain sexual behavior of married women, suggesting a lack of bargaining power in HIV prevention decisions among married females. Our results call for programmatic approaches to differentiate the focus of HIV prevention campaigns for males and females including a separate focus for married men and women. Moreover, the large predictive power of high-risk perceptions of engaging in unprotected sex (while correcting for other HIV knowledge indicators) calls for further exploration of influencing these risk perceptions in HIV prevention programs.
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Bibliographic InfoPaper provided by Tinbergen Institute in its series Tinbergen Institute Discussion Papers with number 11-051/2.
Date of creation: 11 Mar 2011
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prevention; knowledge; HIV/AIDS; risk perception; gender; condom use;
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This paper has been announced in the following NEP Reports:
- NEP-AFR-2011-03-26 (Africa)
- NEP-ALL-2011-03-26 (All new papers)
- NEP-DEV-2011-03-26 (Development)
- NEP-HEA-2011-03-26 (Health Economics)
- NEP-HME-2011-03-26 (Heterodox Microeconomics)
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.:
- de Walque, Damien & Kline, Rachel, 2009. "Comparing condom use with different types of partners : evidence from national HIV surveys in Africa," Policy Research Working Paper Series 5130, The World Bank.
- Damien de Walque, 2007. "Sero-Discordant Couples in Five African Countries: Implications for Prevention Strategies," Population and Development Review, The Population Council, Inc., vol. 33(3), pages 501-523.
- Adeline Delavande, 2012. "HIV/AIDS-related Expectations and Risky Sexual Behavior in Malawi," 2012 Meeting Papers 90, Society for Economic Dynamics.
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