Who gets AIDS and how ? The determinants of HIV infection and sexual behaviors in Burkina Faso, Cameroon, Ghana, Kenya, and Tanzania
AbstractThis paper analyzes the determinants of HIV infection and associated sexual behaviors using data from the first five Demographic and Health Surveys to include HIV testing for a representative sample of the adult population. Emerging from a wealth of country relevant results, four important findings can be generalized. First, married women who engage in extra-marital sex are less likely to use condoms than single women when doing so. Second, having been in successive marriages is a significant risk-factor, as evidenced by the results on HIV infection and on sexual behaviors. Contrary to prima facie evidence, education is not associated positively with HIV status. But schooling is one of the most consistent predictors of behavior and knowledge: education predicts protective behaviors like condom use, use of counseling and testing, discussion among spouses and knowledge, but it also predicts a higher level of infidelity and a lower level of abstinence. Finally, male circumcision and female genital mutilation are often associated with sexual behaviors, practices, and knowledge related to AIDS. This might explain why in the analysis in the five countries there is no significant negative association between male circumcision and HIV status, despite recent evidence from a randomized control trial that male circumcision has a protective effect.
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.
Bibliographic InfoPaper provided by The World Bank in its series Policy Research Working Paper Series with number 3844.
Date of creation: 01 Feb 2006
Date of revision:
HIV AIDS; Adolescent Health; Population&Development; Anthropology; Gender and Development;
This paper has been announced in the following NEP Reports:
- NEP-AFR-2006-02-12 (Africa)
- NEP-ALL-2006-02-12 (All new papers)
- NEP-HEA-2006-02-12 (Health Economics)
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.:
- Mark Gersovitz, 2005. "The HIV Epidemic in Four African Countries Seen through the Demographic and Health Surveys," Journal of African Economies, Centre for the Study of African Economies (CSAE), vol. 14(2), pages 191-246, June.
- C. Robert Clark & Désiré Vencatachellum, 2003. "Economic Development and HIV/AIDS Prevalence," CIRANO Working Papers 2003s-25, CIRANO.
- de Walque, Damien, 2007.
"How does the impact of an HIV/AIDS information campaign vary with educational attainment? Evidence from rural Uganda,"
Journal of Development Economics,
Elsevier, vol. 84(2), pages 686-714, November.
- De Walque, Damien, 2004. "How does the impact of an HIV/AIDS information campaign vary with educational attainment ? Evidence from rural Uganda," Policy Research Working Paper Series 3289, The World Bank.
- Kathleen Beegle & Joachim De Weerdt & Stefan Dercon, 2007.
"Adult Mortality and Consumption Growth in the Age of HIV/AIDS,"
CSAE Working Paper Series
2007-02, Centre for the Study of African Economies, University of Oxford.
- Kathleen Beegle & Joachim De Weerdt & Stefan Dercon, 2008. "Adult Mortality and Consumption Growth in the Age of HIV/AIDS," Economic Development and Cultural Change, University of Chicago Press, vol. 56, pages 299-326.
- Beegle, Kathleen & De Weerdt, Joachim & Dercon, Stefan, 2006. "Adult mortality and consumption growth in the age of HIV/AIDS," Policy Research Working Paper Series 4082, The World Bank.
- Stefan Dercon & Kathleen Beegle, 2007. "Adult Mortality and Consumption Growth in the Age of HIV/AIDS," Economics Series Working Papers WPS/2007-02, University of Oxford, Department of Economics.
- Baird, Sarah & Chirwa, Ephraim & McIntosh, Craig & Ozler, Berk, 2009.
"The short-term impacts of a schooling conditional cash transfer program on the sexual behavior of young women,"
Policy Research Working Paper Series
5089, The World Bank.
- Sarah Baird & Ephraim Chirwa & Craig McIntosh & Berk Özler, 2010. "The short‐term impacts of a schooling conditional cash transfer program on the sexual behavior of young women," Health Economics, John Wiley & Sons, Ltd., vol. 19(S1), pages 55-68, September.
- de Walque, Damien, 2006. "Discordant couples : HIV infection among couples in Burkina Faso, Cameroon, Ghana, Kenya, and Tanzania," Policy Research Working Paper Series 3956, The World Bank.
- Pedro de Araujo, 2008. "The Socio-Economic Distribution of AIDS Incidence and Output," Caepr Working Papers 2008-014_updated, Center for Applied Economics and Policy Research, Economics Department, Indiana University Bloomington.
- David M. Cutler & Adriana Lleras-Muney, 2012. "Education and Health: Insights from International Comparisons," NBER Working Papers 17738, National Bureau of Economic Research, Inc.
- Pedro de Araujo, 2008. "Socio-Economic Status, HIV/AIDS Knowledge and Stigma, and Sexual Behavior in India," Caepr Working Papers 2008-019_updated, Center for Applied Economics and Policy Research, Economics Department, Indiana University Bloomington.
- Kathleen Beegle & Sofya Krutikova, 2008. "Adult mortality and childrenâ€™s transition into marriage," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 19(42), pages 1551-1574, September.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Roula I. Yazigi).
If references are entirely missing, you can add them using this form.