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Economic Inequality and HIV in Malawi

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  • Durevall, Dick

    (Department of Economics, School of Business, Economics and Law, Göteborg University)

  • Lindskog, Annika

    (Department of Economics, School of Business, Economics and Law, Göteborg University)

Abstract

To analyze if the spread of HIV is related to economic inequality we estimate multilevel models of the individual probability of HIV infection among young Malawian women. We find a positive association between HIV infection and inequality at both the neighborhood and district levels, but no effect of individual poverty. We also find that the HIV-inequality relationship is related to risky sex, gender violence, and return migration, though no variable completely replaces economic inequality as a predictor of HIV infections. The HIV-inequality relationship does not seem to be related to bad health, gender gaps in education or women’s market work.

Suggested Citation

  • Durevall, Dick & Lindskog, Annika, 2009. "Economic Inequality and HIV in Malawi," Working Papers in Economics 425, University of Gothenburg, Department of Economics, revised 06 Dec 2011.
  • Handle: RePEc:hhs:gunwpe:0425
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    1. Angus Deaton, 2003. "Health, Inequality, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 41(1), pages 113-158, March.
    2. Johansson-Stenman, Olof & Martinsson, Peter, 2006. "Honestly, why are you driving a BMW?," Journal of Economic Behavior & Organization, Elsevier, vol. 60(2), pages 129-146, June.
    3. repec:mpr:mprres:5886 is not listed on IDEAS
    4. Andrew Clarkwest, "undated". "Neo-Materialist Theory and the Temporal Relationship Between Income Inequality and Longevity Change," Mathematica Policy Research Reports 7850b3e347d54143a3ab3a425, Mathematica Policy Research.
    5. Chrystelle Tsafack Temah, 2009. "What Drives HIV/AIDS Epidemic in Sub-Saharan Africa?," Revue d’économie du développement, De Boeck Université, vol. 17(5), pages 41-70.
    6. Oster, Emily, 2012. "HIV and sexual behavior change: Why not Africa?," Journal of Health Economics, Elsevier, vol. 31(1), pages 35-49.
    7. Wilkinson, Richard G & Pickett, Kate E., 2006. "Income inequality and population health: A review and explanation of the evidence," Social Science & Medicine, Elsevier, vol. 62(7), pages 1768-1784, April.
    8. Erzo F. P. Luttmer, 2005. "Neighbors as Negatives: Relative Earnings and Well-Being," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 120(3), pages 963-1002.
    9. Deon Filmer & Lant Pritchett, 2001. "Estimating Wealth Effects Without Expenditure Data—Or Tears: An Application To Educational Enrollments In States Of India," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 115-132, February.
    10. Banerjee, Abhijit & Somanathan, Rohini, 2007. "The political economy of public goods: Some evidence from India," Journal of Development Economics, Elsevier, vol. 82(2), pages 287-314, March.
    11. Dunkle, Kristin L. & Jewkes, Rachel K. & Brown, Heather C. & Gray, Glenda E. & McIntryre, James A. & Harlow, Siobán D., 2004. "Transactional sex among women in Soweto, South Africa: prevalence, risk factors and association with HIV infection," Social Science & Medicine, Elsevier, vol. 59(8), pages 1581-1592, October.
    12. Jen, Min Hua & Jones, Kelvyn & Johnston, Ron, 2009. "Global variations in health: Evaluating Wilkinson's income inequality hypothesis using the World Values Survey," Social Science & Medicine, Elsevier, vol. 68(4), pages 643-653, February.
    13. Babones, Salvatore J., 2008. "Income inequality and population health: Correlation and causality," Social Science & Medicine, Elsevier, vol. 66(7), pages 1614-1626, April.
    14. Gravelle, Hugh & Wildman, John & Sutton, Matthew, 2002. "Income, income inequality and health: what can we learn from aggregate data?," Social Science & Medicine, Elsevier, vol. 54(4), pages 577-589, February.
    15. Veblen, Thorstein, 1899. "The Theory of the Leisure Class," History of Economic Thought Books, McMaster University Archive for the History of Economic Thought, number veblen1899.
    16. Daniel Kahneman & Amos Tversky, 2013. "Prospect Theory: An Analysis of Decision Under Risk," World Scientific Book Chapters, in: Leonard C MacLean & William T Ziemba (ed.), HANDBOOK OF THE FUNDAMENTALS OF FINANCIAL DECISION MAKING Part I, chapter 6, pages 99-127, World Scientific Publishing Co. Pte. Ltd..
    17. Jane Fortson, 2008. "The gradient in sub-saharan Africa: Socioeconomic status and HIV/AIDS," Demography, Springer;Population Association of America (PAA), vol. 45(2), pages 303-322, May.
    18. Göran Holmqvist, 2009. "HIV and Income Inequality: If There Is a Link, What Does It Tell Us?," Working Papers 54, International Policy Centre for Inclusive Growth.
    19. Lachaud, Jean-Pierre, 2007. "HIV prevalence and poverty in Africa: Micro- and macro-econometric evidences applied to Burkina Faso," Journal of Health Economics, Elsevier, vol. 26(3), pages 483-504, May.
    20. Durevall, Dick & Lindskog, Annika, 2012. "Economic Inequality and HIV in Malawi," World Development, Elsevier, vol. 40(7), pages 1435-1451.
    21. Tawfik, Linda & Watkins, Susan Cotts, 2007. "Sex in Geneva, sex in Lilongwe, and sex in Balaka," Social Science & Medicine, Elsevier, vol. 64(5), pages 1090-1101, March.
    22. Daniel Kahneman & Amos Tversky, 2013. "Prospect Theory: An Analysis of Decision Under Risk," World Scientific Book Chapters, in: Leonard C MacLean & William T Ziemba (ed.), HANDBOOK OF THE FUNDAMENTALS OF FINANCIAL DECISION MAKING Part I, chapter 6, pages 99-127, World Scientific Publishing Co. Pte. Ltd..
    23. Glymour, M. Maria, 2008. "Sensitive periods and first difference models: Integrating etiologic thinking into econometric techniques: A commentary on Clarkwest's "Neo-materialist theory and the temporal relationship betwee," Social Science & Medicine, Elsevier, vol. 66(9), pages 1895-1902, May.
    24. Fliessbach, Klaus & Weber, Bernd & Trautner, P. & Dohmen, Thomas J. & Sunde, Uwe & Elger, C. E. & Falk, Armin, 2007. "Social comparison affects reward-related brain activity in the human ventral striatum," Munich Reprints in Economics 20362, University of Munich, Department of Economics.
    25. Clarkwest, Andrew, 2008. "Neo-materialist theory and the temporal relationship between income inequality and longevity change," Social Science & Medicine, Elsevier, vol. 66(9), pages 1871-1881, May.
    26. Göran Holmqvist, 2009. "HIV and Income Inequality: If There is a Link, What Does It Tell Us?," One Pager 83, International Policy Centre for Inclusive Growth.
    27. Bryceson, Deborah Fahy & Fonseca, Jodie, 2006. "Risking death for survival: Peasant responses to hunger and HIV/AIDS in Malawi," World Development, Elsevier, vol. 34(9), pages 1654-1666, September.
    28. Whiteside OBE, Alan, 2008. "HIV/AIDS: A Very Short Introduction," OUP Catalogue, Oxford University Press, number 9780192806925, Decembrie.
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    Cited by:

    1. Durevall, Dick & Lindskog, Annika, 2012. "Economic Inequality and HIV in Malawi," World Development, Elsevier, vol. 40(7), pages 1435-1451.
    2. Michael Bayerlein & Vanessa A. Boese & Scott Gates & Katrin Kamin & Syed Mansoob Murshed, 2021. "Populism and COVID-19: How Populist Governments (Mis)Handle the Pandemic," Journal of Political Institutions and Political Economy, now publishers, vol. 2(3), pages 389-428, December.
    3. Durevall, Dick & Lindskog, Annika, 2015. "Intimate Partner Violence and HIV Infection in sub-Saharan Africa," World Development, Elsevier, vol. 72(C), pages 27-42.
    4. Travis W Lim & Constantine Frangakis & Carl Latkin & Tran Viet Ha & Nguyen Le Minh & Carla Zelaya & Vu Minh Quan & Vivian F Go, 2014. "Community-Level Income Inequality and HIV Prevalence among Persons Who Inject Drugs in Thai Nguyen, Vietnam," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-8, March.
    5. Chakrabarty, Debajyoti & Bhatia, Bhanu & Jayasinghe, Maneka & Low, David, 2023. "Relative deprivation, inequality and the Covid-19 pandemic," Social Science & Medicine, Elsevier, vol. 324(C).
    6. Leandro De Magalhães & Raül Santaeulàlia-Llopis, 2015. "The Consumption, Income, and Wealth of the Poorest: Cross-Sectional Facts of Rural and Urban Sub-Saharan Africa for Macroeconomists," Bristol Economics Discussion Papers 15/655, School of Economics, University of Bristol, UK.
    7. Jaqueson K Galimberti & Stefan Pichler & Regina Pleninger, 2023. "Measuring Inequality Using Geospatial Data," The World Bank Economic Review, World Bank, vol. 37(4), pages 549-569.
    8. Muchomba, Felix M. & Wang, Julia Shu-Huah & Agosta, Laura Maria, 2014. "Women's land ownership and risk of HIV infection in Kenya," Social Science & Medicine, Elsevier, vol. 114(C), pages 97-102.
    9. Bosancianu, Constantin Manuel & Dionne, Kim Yi & Hilbig, Hanno & Humphreys, Macartan & KC, Sampada & Lieber, Nils & Scacco, Alex, 2020. "Political and Social Correlates of Covid-19 Mortality," SocArXiv ub3zd, Center for Open Science.

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    More about this item

    Keywords

    Africa; AIDS; gender inequality; gender violence; Malawi; poverty;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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