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Coping with risk : the effects of shocks on reproductive health and transactional sex in rural Tanzania

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  • de Walque, Damien
  • Dow, William H.
  • Gong, Erick

Abstract

Transactional 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.

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Bibliographic Info

Paper provided by The World Bank in its series Policy Research Working Paper Series with number 6751.

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Date of creation: 01 Jan 2014
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Handle: RePEc:wbk:wbrwps:6751

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Related research

Keywords: Population Policies; Health Monitoring&Evaluation; Gender and Health; Adolescent Health; Gender and Law;

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References

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  1. 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.
  2. Robinson, Jonathan & Yeh, Ethan, 2009. "Transactional sex as a response to risk in western Kenya," Policy Research Working Paper Series 4857, The World Bank.
  3. 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.
  4. 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.
  5. 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.
  6. 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).
  7. 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.
  8. 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.
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