Coping with risk : the effects of shocks on reproductive health and transactional sex in rural Tanzania
AbstractTransactional sex is believed to be an important risk-coping mechanism for women in Sub-Saharan Africa and a leading contributor to the HIV/AIDS epidemic. This paper uses data from a panel of women in rural Tanzania whose primary occupation is agriculture. The analysis finds that following a negative shock (such as food insecurity), unmarried women are about three times more likely to have been paid for sex. Regardless of marital status, after a shock women have more unprotected sex and are 36 percent more likely to have a sexually transmitted infection. These empirical findings support the claims that transactional sex is not confined to commercial sex workers and that frequently experienced shocks, such as food insecurity, may lead women to engage in transactional sex as a risk-coping behavior.
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 6751.
Date of creation: 01 Jan 2014
Date of revision:
Population Policies; Health Monitoring&Evaluation; Gender and Health; Adolescent Health; Gender and Law;
This paper has been announced in the following NEP Reports:
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.:
- Baird, Sarah & Mcintosh, Craig & Ozler, Berk, 2010.
"Cash or condition ? evidence from a cash transfer experiment,"
Policy Research Working Paper Series
5259, The World Bank.
- Sarah Baird & Craig McIntosh & Berk �zler, 2011. "Cash or Condition? Evidence from a Cash Transfer Experiment," The Quarterly Journal of Economics, Oxford University Press, vol. 126(4), pages 1709-1753.
- 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, 2009. "Transactional sex as a response to risk in western Kenya," Policy Research Working Paper Series 4857, The World Bank.
- Robinson, Jonathan & Yeh, Ethan, 2008. "Transactional Sex as a Response to Risk in Western Keny," MPRA Paper 7350, University Library of Munich, Germany.
- Burke, Marshall & Gong, Erick & Jones, Kelly, 2011.
"Income shocks and HIV in Sub-Saharan Africa:,"
IFPRI discussion papers
1146, International Food Policy Research Institute (IFPRI).
- Damien de Walque & William H. Dow & Carol Medlin & Rose Nathan, 2014.
"Stimulating Demand for AIDS Prevention: Lessons from the RESPECT Trial,"
in: African Successes: Human Capital
National Bureau of Economic Research, Inc.
- Damien de Walque & William H. Dow & Carol Medlin & Rose Nathan, 2012. "Stimulating Demand for AIDS Prevention: Lessons from the RESPECT Trial," NBER Working Papers 17865, National Bureau of Economic Research, Inc.
- de Walque, Damien & Dow, William H. & Medlin, Carol & Nathan, Rose, 2012. "Stimulating demand for AIDS prevention : lessons from the RESPECT trial," Policy Research Working Paper Series 5973, The World Bank.
- Wilson, Nicholas, 2012. "Economic booms and risky sexual behavior: Evidence from Zambian copper mining cities," Journal of Health Economics, Elsevier, vol. 31(6), pages 797-812.
- Jonathan Robinson & Ethan Yeh, 2012.
"Risk-Coping through Sexual Networks: Evidence from Client Transfers in Kenya,"
Journal of Human Resources,
University of Wisconsin Press, vol. 47(1), pages 107-145.
- Robinson, Jonathan & Yeh, Ethan, 2011. "Risk-coping through sexual networks : evidence from client transfers in Kenya," Policy Research Working Paper Series 5582, The World Bank.
- Paul Gertler & Manisha Shah & Stefano M. Bertozzi, 2005. "Risky Business: The Market for Unprotected Commercial Sex," Journal of Political Economy, University of Chicago Press, vol. 113(3), pages 518-550, June.
- Emily Oster, 2012. "Routes Of Infection: Exports And Hiv Incidence In Sub-Saharan Africa," Journal of the European Economic Association, European Economic Association, vol. 10(5), pages 1025-1058, October.
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.