Exchange and Condom Use in Informal Sexual Relationships in Urban Kenya
This article investigates whether a market for unsafe sexual activity exists among nonmarital, noncommercial sexual relationships in a high HIV/AIDS environment. The exchange of money for sex without a condom is well known within commercial sexual partnerships, but it is unclear from the previous evidence whether markets can emerge among noncommercial relationships as well. I use data on nonmarital sexual partnerships and transfers from Kisumu, Kenya, to investigate this question. I define and measure transfers as material items given by a male to his female sexual partner, including money and nonmonetary items, such as gifts, meals, and rent. I find a strong negative relationship between the level of transfers and condom use after controlling for male fixed effects and other important female and partnership characteristics. I also find that nonmonetary transfers have the same relationship with condom use as monetary transfers. Furthermore, I test the assumption that adolescent girls are particularly disadvantaged within informal partnerships, where men can offer remarkably small amounts of money or gifts in exchange for sex without a condom. Contrary to this popular assumption, the results reveal that the trade-off between transfers and condom use does not differ between partnerships involving adolescent girls and adult females.
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- Rao, Vijayendra & Gupta, Indrani & Lokshin, Michael & Jana, Smarajit, 2003. "Sex workers and the cost of safe sex: the compensating differential for condom use among Calcutta prostitutes," Journal of Development Economics, Elsevier, vol. 71(2), pages 585-603, August.
- Ulin, Priscilla R., 1992. "African women and AIDS: Negotiating behavioral change," Social Science & Medicine, Elsevier, vol. 34(1), pages 63-73, January.
- Wojcicki, Janet Maia & Malala, Josephine, 2001. "Condom use, power and HIV/AIDS risk: sex-workers bargain for survival in Hillbrow/Joubert Park/Berea, Johannesburg," Social Science & Medicine, Elsevier, vol. 53(1), pages 99-121, July.
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