IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v60y2005i3p649-660.html

Perceptions of risk and strategies for prevention: responses to HIV/AIDS in rural Malawi

Author

Listed:
  • Smith, Kirsten P.
  • Watkins, Susan Cotts

Abstract

This paper combines quantitative and qualitative data to investigate changes in perceived risk of contracting HIV/AIDS in rural Malawi. Using longitudinal survey data, we find that Malawians worried less about contracting HIV/AIDS in 2001 than in 1998. According to qualitative interviews and observational journal accounts, HIV/AIDS and strategies to prevent it are a frequent topic of conversation amongst married Malawians. Women report worrying most about their husbands as a possible source of infection, discussing with them the importance of avoiding infection, and, increasingly, using divorce to reduce their risk. Men report worrying most about their extramarital partners and adopting preventive strategies such as fewer partners and more careful partner selection. We show that the decline in perceived risk is significantly associated with declines in the behaviors that Malawians worry most about and perceptions of risk in individuals' social networks. We interpret these findings as evidence that Malawians are changing their behavior in ways that may reduce the spread of HIV/AIDS.

Suggested Citation

  • Smith, Kirsten P. & Watkins, Susan Cotts, 2005. "Perceptions of risk and strategies for prevention: responses to HIV/AIDS in rural Malawi," Social Science & Medicine, Elsevier, vol. 60(3), pages 649-660, February.
    • Handle: RePEc:eee:socmed:v:60:y:2005:i:3:p:649-660
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(04)00278-3
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to

    for a different version of it.

    References listed on IDEAS

    as
    1. Kohler, Hans-Peter, 2001. "Fertility and Social Interaction: An Economic Perspective," OUP Catalogue, Oxford University Press, number 9780199244591.
    2. Kirsten P. Smith, 2003. "Why are they worried? Concern about AIDS in rural Malawi," Demographic Research Special Collections, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 1(9), pages 279-318.
    3. Gregson, Simon & Zhuwau, Tom & Anderson, Roy M. & Chandiwana, Stephen K., 1998. "Is there evidence for behaviour change in response to AIDS in rural Zimbabwe?," Social Science & Medicine, Elsevier, vol. 46(3), pages 321-330, February.
    4. John C. Caldwell, 2000. "Rethinking the African AIDS Epidemic," Population and Development Review, The Population Council, Inc., vol. 26(1), pages 117-135, March.
    5. Georges Reniers, 2003. "Divorce and Remarriage in Rural Malawi," Demographic Research Special Collections, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 1(6), pages 175-206.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kirsten P. Smith & Susan Cotts Watkins, 2005. "Perceptions of Risk and Strategies for Prevention: Responses to HIV/AIDS in Rural Malawi," PGDA Working Papers 0305, Program on the Global Demography of Aging.
    2. John Bongaarts & John C. Casterline, 2022. "Extramarital fertility in low- and middle-income countries," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 47(3), pages 59-72.
    3. Mikko Myrskylä & Joshua R. Goldstein, 2010. "Probabilistic forecasting using stochastic diffusion models, with applications to cohort processes of marriage and fertility," MPIDR Working Papers WP-2010-013, Max Planck Institute for Demographic Research, Rostock, Germany.
    4. Dodoo, F. Nii-Amoo & Zulu, Eliya M. & Ezeh, Alex C., 2007. "Urban-rural differences in the socioeconomic deprivation-Sexual behavior link in Kenya," Social Science & Medicine, Elsevier, vol. 64(5), pages 1019-1031, March.
    5. Nicoletta Balbo & Francesco C. Billari & Melinda Mills, 2013. "Fertility in Advanced Societies: A Review of Research," European Journal of Population, Springer;European Association for Population Studies, vol. 29(1), pages 1-38, February.
    6. Shelley Clark, 2010. "Extra-marital sexual partnerships and male friendships in rural Malawi," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 22(1), pages 1-28.
    7. Philip Anglewicz, 2012. "Migration, Marital Change, and HIV Infection in Malawi," Demography, Springer;Population Association of America (PAA), vol. 49(1), pages 239-265, February.
    8. Mesnard, Alice & Vera-Hernández, Marcos & Fitzsimons, Emla & Malde, Bansi, 2012. "Household Responses to Information on Child Nutrition: Experimental Evidence from Malawi," CEPR Discussion Papers 8915, C.E.P.R. Discussion Papers.
    9. Nicoletta Balbo & Nicola Barban, 2012. "Does fertility behavior spread among friends?," Working Papers 050, "Carlo F. Dondena" Centre for Research on Social Dynamics (DONDENA), Università Commerciale Luigi Bocconi.
    10. Johannes Huinink & Martin Kohli, 2014. "A life-course approach to fertility," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 30(45), pages 1293-1326.
    11. Claude Diebolt & Audrey-Rose Menard & Faustine Perrin, 2017. "Behind the fertility–education nexus: what triggered the French development process?," European Review of Economic History, European Historical Economics Society, vol. 21(4), pages 357-392.
    12. Tyler W. Myroniuk, 2017. "Marital Dissolutions and the Health of Older Individuals in a Rural African Context," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 72(4), pages 656-664.
    13. Georges Reniers, 2008. "Marital strategies for regulating exposure to HIV," Demography, Springer;Population Association of America (PAA), vol. 45(2), pages 417-438, May.
    14. Henriette Engelhardt, 2004. "Fertility Intentions and Preferences: Effects of Structural and Financial Incentives and Constraints in Austria," VID Working Papers 0402, Vienna Institute of Demography (VID) of the Austrian Academy of Sciences in Vienna.
    15. Cormac Ó Gráda, 2006. "Dublin Jewish Demography a Century Ago," The Economic and Social Review, Economic and Social Studies, vol. 37(2), pages 123-147.
    16. Guillaume Daudin & Raphaël Franck & Hillel Rapoport, 2016. "The cultural diffusion of the fertility transition: evidence from internal migration in 19 th century France," Université Paris1 Panthéon-Sorbonne (Post-Print and Working Papers) halshs-01321952, HAL.
    17. Adamos Adamou & Christina Drakos & Sriya Iyer, 2013. "Missing women in the United Kingdom," IZA Journal of Migration and Development, Springer;Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 2(1), pages 1-19, December.
    18. Federico Ciliberto & Amalia R. Miller & Helena Skyt Nielsen & Marianne Simonsen, 2016. "Playing The Fertility Game At Work: An Equilibrium Model Of Peer Effects," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 57(3), pages 827-856, August.
    19. Daniel McFadden, 2014. "The new science of pleasure: consumer choice behavior and the measurement of well-being," Chapters, in: Stephane Hess & Andrew Daly (ed.), Handbook of Choice Modelling, chapter 2, pages 7-48, Edward Elgar Publishing.
    20. Poulin, Michelle, 2007. "Sex, money, and premarital partnerships in southern Malawi," Social Science & Medicine, Elsevier, vol. 65(11), pages 2383-2393, December.

    More about this item

    Keywords

    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:60:y:2005:i:3:p:649-660. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.