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Sex and the mission: the Conflicting Effects of early Christian Missions on HIV in sub-Saharan Africa

Author

Listed:
  • Julia CAGÉ

    (Sciences Po Paris and CEPR)

  • Valeria RUEDA

    (School of Economics, University of Nothingam)

Abstract

This paper investigates the long-term impact of historical missionary activity on HIV in sub-Saharan Africa. On the one hand, missionaries were the first to invest in modern medicine in the region. On the other hand, Christianity influenced sexual beliefs and behaviors that affect the risk of contagion. We build a new geocoded dataset locating Protestant and Catholic missions in the early 20th century, as well as the health facilities they invested in, that we combine with individual-level Demographic and Health Survey data. With these data, we can address separately these two channels, within regions close to historical missionary settlements. First, we show that proximity to historical missionary health facilities decreases the likelihood of HIV; persistence in healthcare provision and safer sexual behaviors in the region explain this result. Second, we show that regions close to historical missionary settlements exhibit higher likelihood of HIV. This effect is driven by the Christian population in our sample. This suggests conversion to Christianity as a possible explanatory channel. Our findings are robust to alternative specifications addressing selection.

Suggested Citation

  • Julia CAGÉ & Valeria RUEDA, 2020. "Sex and the mission: the Conflicting Effects of early Christian Missions on HIV in sub-Saharan Africa," JODE - Journal of Demographic Economics, Cambridge University Press, vol. 86(3), pages 213-257, September.
  • Handle: RePEc:ctl:louvde:v:86:y:2020:i:3:p:213-257
    DOI: 10.1017/dem.2019.16
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    File URL: https://doi.org/10.1017/dem.2019.16
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    More about this item

    Keywords

    Africa; Christianity; Healthcare infrastructure; Historical persistence; HIV/AIDS; Missions; Sexual behaviors;
    All these keywords.

    JEL classification:

    • D72 - Microeconomics - - Analysis of Collective Decision-Making - - - Political Processes: Rent-seeking, Lobbying, Elections, Legislatures, and Voting Behavior
    • N37 - Economic History - - Labor and Consumers, Demography, Education, Health, Welfare, Income, Wealth, Religion, and Philanthropy - - - Africa; Oceania
    • N77 - Economic History - - Economic History: Transport, International and Domestic Trade, Energy, and Other Services - - - Africa; Oceania
    • O33 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - Technological Change: Choices and Consequences; Diffusion Processes
    • Z12 - Other Special Topics - - Cultural Economics - - - Religion
    • Z13 - Other Special Topics - - Cultural Economics - - - Economic Sociology; Economic Anthropology; Language; Social and Economic Stratification

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