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Responding to Risk: Circumcision, Information, and HIV Prevention

Author

Listed:
  • Susan Godlonton

    (Williams College and IFPRI)

  • Alister Munthali

    (University of Malawi)

  • Rebecca Thornton

    (University of Illinois at Urbana-Champaign)

Abstract

Understanding behavioral responses to changes in actual or perceived risk is important because risk-reduction goals can be undermined by risk-compensating behavior. This paper examines the response to new information about the risk of HIV infection. Approximately 1,200 circumcised and uncircumcised men in rural Malawi are randomly informed that male circumcision reduces the HIV transmission rate, predicting asymmetric behavioral responses. We find no evidence that the information induces circumcised men to engage in riskier sex while uncircumcised men practice safer sex in response to the information. There were no significant effects of the information on child circumcisions after one year.

Suggested Citation

  • Susan Godlonton & Alister Munthali & Rebecca Thornton, 2016. "Responding to Risk: Circumcision, Information, and HIV Prevention," The Review of Economics and Statistics, MIT Press, vol. 98(2), pages 333-349, May.
    • Handle: RePEc:tpr:restat:v:98:y:2016:i:2:p:333-349
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    Cited by:

    1. Kovacs, Roxanne & Dunaiski, Maurice & Tukiainen, Janne, 2020. "Compulsory face mask policies do not affect community mobility in Germany," EconStor Preprints 218945, ZBW - Leibniz Information Centre for Economics.
    2. Roxanne Kovacs & Maurice Dunaiski & Janne Tukiainen, 2023. "The effect of compulsory face mask policies on community mobility in Germany," Scandinavian Journal of Economics, Wiley Blackwell, vol. 125(4), pages 1027-1055, October.
    3. Rossi, Pauline & Villar, Paola, 2020. "Private health investments under competing risks: Evidence from malaria control in Senegal," Journal of Health Economics, Elsevier, vol. 73(C).
    4. Kerwin, Jason & Pandey, Divya, 2023. "Navigating Ambiguity: Imprecise Probabilities and the Updating of Disease Risk Beliefs," IZA Discussion Papers 16478, Institute of Labor Economics (IZA).
    5. Wilson, Nicholas, 2021. "Why is ageing associated with lower adoption of new technologies? Evidence from voluntary medical male circumcision and a structural model," The Journal of the Economics of Ageing, Elsevier, vol. 19(C).
    6. Cassidy, Rachel & Groot Bruinderink, Marije & Janssens, Wendy & Morsink, Karlijn, 2021. "The power to protect: Household bargaining and female condom use," Journal of Development Economics, Elsevier, vol. 153(C).
    7. Friedman, Willa Helterline, 2018. "Antiretroviral drug access and behavior change," Journal of Development Economics, Elsevier, vol. 135(C), pages 392-411.
    8. Dupas, Pascaline & Huillery, Elise & Seban, Juliette, 2018. "Risk information, risk salience, and adolescent sexual behavior: Experimental evidence from Cameroon," Journal of Economic Behavior & Organization, Elsevier, vol. 145(C), pages 151-175.
    9. Okeke, Edward N., 2022. "Playing defense? Health care in the era of Covid," Journal of Health Economics, Elsevier, vol. 85(C).
    10. Wilson, Nicholas & Janicki, Martha, 2016. "A cut above the rest? Private anthropometrics in marriage markets," Economics & Human Biology, Elsevier, vol. 23(C), pages 164-179.
    11. Friedman, Willa & Wilson, Nicholas, 2022. "Can nudging overcome procrastinating on preventive health investments?," Economics & Human Biology, Elsevier, vol. 45(C).
    12. Pascaline Dupas & Edward Miguel, 2016. "Impacts and Determinants of Health Levels in Low-Income Countries," NBER Working Papers 22235, National Bureau of Economic Research, Inc.
    13. Derksen, Laura & Muula, Adamson & van Oosterhout, Joep, 2022. "Love in the time of HIV: How beliefs about externalities impact health behavior," Journal of Development Economics, Elsevier, vol. 159(C).
    14. Yao Yao, 2022. "Fertility and HIV Risk in Africa," Review of Economic Dynamics, Elsevier for the Society for Economic Dynamics, vol. 45, pages 109-133, July.
    15. Yang, Dean & Allen, James & Mahumane, Arlete & Riddell, James & Yu, Hang, 2023. "Knowledge, stigma, and HIV testing: An analysis of a widespread HIV/AIDS program," Journal of Development Economics, Elsevier, vol. 160(C).
    16. Yao, Yao, 2016. "Fertility and HIV risk in Africa," Working Paper Series 19501, Victoria University of Wellington, School of Economics and Finance.
    17. Yu, Hang, 2023. "Social stigma as a barrier to HIV testing: Evidence from a randomized experiment in Mozambique," Journal of Development Economics, Elsevier, vol. 161(C).
    18. Edward N. Okeke & Amalavoyal Chari & Clement A. Adepiti, 2016. "Does Price Affect the Demand for Information about New Health Technologies? Evidence from a Field Experiment in Nigeria," Economic Development and Cultural Change, University of Chicago Press, vol. 64(3), pages 437-469.
    19. Yokoo, Hide-Fumi & 横尾, 英史, 2020. "Ethics of randomized field experiments: Evidence from a randomized survey experiment," Discussion Papers 2020-07, Graduate School of Economics, Hitotsubashi University.
    20. David Mmopelwa & Oliver Morrissey & Trudy Owens, 2021. "HIV/AIDS and sexual behaviour in Botswana," Discussion Papers 2021-03, University of Nottingham, CREDIT.

    More about this item

    JEL classification:

    • C93 - Mathematical and Quantitative Methods - - Design of Experiments - - - Field Experiments
    • D81 - Microeconomics - - Information, Knowledge, and Uncertainty - - - Criteria for Decision-Making under Risk and Uncertainty
    • D84 - Microeconomics - - Information, Knowledge, and Uncertainty - - - Expectations; Speculations
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

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