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Marriage in the time of the HIV/AIDS epidemic

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  • Lorena Hakak
  • Paula Pereda

Abstract

HIV/AIDS was the main cause of death among young adults in the 1990s. The sexual freedom from the rise of contraceptives and women’s empowerment affected individuals’ preferences for dating, marriage and fertility. In this paper, we investigate whether the HIV/AIDS epidemic from the 1980s onward, a non-monetary shock, affected people’s preferences for marriage. We set out a simple two period non-cooperative model and demonstrate that under a growing likelihood of meeting someone infected by AIDS, the expected payoff of people who got married in the first period increased. Then, using unique Brazilian data, we estimate the marriage gain in two different time spans, 1984 to 1991 and 1999 to 2010, respectively before and after the free distribution of antiretrovirals by the Brazilian government. Our findings corroborate that HIV/AIDS influenced marriages in the past, working as a response against the risk of being infected and increasing the marital surplus, especially for women. We also find evidence that the impact of HIV/AIDS on marriage disappeared once antiretroviral drugs were universally distributed, which significantly reduced the mortality risk of the disease, and therefore the expected costs of the disease. The perceived vulnerability to the consequences of HIV/AIDS decreased, resulting in a change in sexual behavior, thus reducing the value of monogamous relationships compared to the period without antiretroviral drugs.

Suggested Citation

  • Lorena Hakak & Paula Pereda, 2021. "Marriage in the time of the HIV/AIDS epidemic," Working Papers, Department of Economics 2021_07, University of São Paulo (FEA-USP), revised 03 Nov 2022.
  • Handle: RePEc:spa:wpaper:2021wpecon07
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    File URL: http://www.repec.eae.fea.usp.br/documentos/Hakak_Pereda_07WPNovaVersao.pdf
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    References listed on IDEAS

    as
    1. Marlène Guillon & Josselin Thuilliez, 2015. "HIV and Rational risky behaviors: a systematic review of published empirical literature (1990-2013)," Post-Print halshs-01222571, HAL.
    2. Jeremy Greenwood & Philipp Kircher & Cezar Santos & Michèle Tertilt, 2019. "An Equilibrium Model of the African HIV/AIDS Epidemic," Econometrica, Econometric Society, vol. 87(4), pages 1081-1113, July.
    3. Pierre-André Chiappori & Bernard Salanié & Yoram Weiss, 2017. "Partner Choice, Investment in Children, and the Marital College Premium," American Economic Review, American Economic Association, vol. 107(8), pages 2109-2167, August.
    4. Lucia Corno & Nicole Hildebrandt & Alessandra Voena, 2020. "Age of Marriage, Weather Shocks, and the Direction of Marriage Payments," Econometrica, Econometric Society, vol. 88(3), pages 879-915, May.
    5. 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.
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    8. Jeremy Greenwood & Philipp Kircher & Cezar Santos & Michèle Tertilt, 2017. "The Role of Marriage in Fighting HIV: A Quantitative Illustration for Malawi," American Economic Review, American Economic Association, vol. 107(5), pages 158-162, May.
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    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    marriage Market; family economics; HIV/AIDS; antiretroviral treatment;
    All these keywords.

    JEL classification:

    • D1 - Microeconomics - - Household Behavior
    • J12 - Labor and Demographic Economics - - Demographic Economics - - - Marriage; Marital Dissolution; Family Structure
    • I1 - Health, Education, and Welfare - - Health

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