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Roads and the spread of HIV in Africa

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  • Elodie Djemaï

    (DIAL - Développement, institutions et analyses de long terme, LEDa - Laboratoire d'Economie de Dauphine - Université Paris-Dauphine, Institut de Recherche pour le Développement (IRD))

Abstract

I here use GIS and HIV data from five African countries to estimate the effect of road proximity on HIV infection. I find a negative effect of the distance to the nearest paved road on the probability of being infected with HIV: a one standard-deviation fall in this distance (approximately 2.4 km) increases the probability of infection by 0.6–2.0 percentage points. Using slope as an instrument for road distance continues to produce a negative and significant estimated coefficient. However this relationship may also reflect selection and reverse causality in individual choice of location, and I extensively discuss the role of migration. While the number of lifetime sexual partners is significantly influenced by the presence of roads in some recent years, the effect of road distance on access to protection has disappeared.

Suggested Citation

  • Elodie Djemaï, 2018. "Roads and the spread of HIV in Africa," Post-Print hal-01830642, HAL.
  • Handle: RePEc:hal:journl:hal-01830642
    Note: View the original document on HAL open archive server: https://hal.archives-ouvertes.fr/hal-01830642
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    More about this item

    Keywords

    HIV/AIDS epidemic; infrastructure; geography; risk-taking; Sub-Saharan Africa;

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • R23 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - Household Analysis - - - Regional Migration; Regional Labor Markets; Population
    • C21 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Cross-Sectional Models; Spatial Models; Treatment Effect Models

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