IDEAS home Printed from https://ideas.repec.org/p/hhs/gunwpe/0638.html
   My bibliography  Save this paper

Education and HIV incidence among young women: causation or selection?

Author

Listed:
  • 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)

  • George, Gavin

    (HEARD, University of KwaZulu-Natal, Westville Campus, Private Bag X54001, Durban 4000 South Africa)

Abstract

Several studies report that schooling protects against HIV infection in Sub-Saharan Africa. This study examines the effect of secondary school attendance on the probability of HIV incidence among young women aged 15-24, using panel data from rural KwaZulu-Natal in South Africa. Three approaches are used to distinguish causation from selection: instrumentation to identify the causal effect, a fixed effects model to control for constant unobserved factors and assessments of the bias from selection on unobserved variables. Although there is a strong negative association between secondary school attendance and HIV incidence, we are not able to find support for a causal effect. Thus, there is no evidence that interventions that increase secondary school attendance in KwaZulu-Natal would mechanically reduce HIV risk for young women. Our focus on school attendance, in contrast to studies that analyze school attainment, might explain the negative finding.

Suggested Citation

  • Durevall, Dick & Lindskog, Annika & George, Gavin, 2015. "Education and HIV incidence among young women: causation or selection?," Working Papers in Economics 638, University of Gothenburg, Department of Economics.
    • Handle: RePEc:hhs:gunwpe:0638
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/2077/41117
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Joseph G. Altonji & Todd E. Elder & Christopher R. Taber, 2005. "Selection on Observed and Unobserved Variables: Assessing the Effectiveness of Catholic Schools," Journal of Political Economy, University of Chicago Press, vol. 113(1), pages 151-184, February.
    2. Behrman, Julia Andrea, 2015. "The effect of increased primary schooling on adult women's HIV status in Malawi and Uganda: Universal Primary Education as a natural experiment," Social Science & Medicine, Elsevier, vol. 127(C), pages 108-115.
    3. Nicola Branson & Clare Hofmeyr & David Lam, 2014. "Progress through school and the determinants of school dropout in South Africa," Development Southern Africa, Taylor & Francis Journals, vol. 31(1), pages 106-126, January.
    4. Anne Case & Christina Paxson, 2013. "HIV Risk and Adolescent Behaviors in Africa," American Economic Review, American Economic Association, vol. 103(3), pages 433-438, May.
    5. SandraE. Black & PaulJ. Devereux & KjellG. Salvanes, 2008. "Staying in the Classroom and out of the maternity ward? The effect of compulsory schooling laws on teenage births," Economic Journal, Royal Economic Society, vol. 118(530), pages 1025-1054, July.
    6. Oster, Emily, 2012. "HIV and sexual behavior change: Why not Africa?," Journal of Health Economics, Elsevier, vol. 31(1), pages 35-49.
    7. Chiburis, Richard C. & Das, Jishnu & Lokshin, Michael, 2012. "A practical comparison of the bivariate probit and linear IV estimators," Economics Letters, Elsevier, vol. 117(3), pages 762-766.
    8. Sarah Baird & Ephraim Chirwa & Craig McIntosh & Berk Özler, 2010. "The short‐term impacts of a schooling conditional cash transfer program on the sexual behavior of young women," Health Economics, John Wiley & Sons, Ltd., vol. 19(S1), pages 55-68, September.
    9. Adriana Lleras-Muney, 2005. "The Relationship Between Education and Adult Mortality in the United States," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 72(1), pages 189-221.
    10. Esther Duflo & Pascaline Dupas & Michael Kremer, 2015. "Education, HIV, and Early Fertility: Experimental Evidence from Kenya," American Economic Review, American Economic Association, vol. 105(9), pages 2757-2797, September.
    11. de Walque, Damien, 2007. "How does the impact of an HIV/AIDS information campaign vary with educational attainment? Evidence from rural Uganda," Journal of Development Economics, Elsevier, vol. 84(2), pages 686-714, November.
    12. Mark C. Berger & J. Paul Leigh, 1989. "Schooling, Self-Selection, and Health," Journal of Human Resources, University of Wisconsin Press, vol. 24(3), pages 433-455.
    13. 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.
    14. Horrace, William C. & Oaxaca, Ronald L., 2006. "Results on the bias and inconsistency of ordinary least squares for the linear probability model," Economics Letters, Elsevier, vol. 90(3), pages 321-327, March.
    15. Alsan, Marcella M. & Cutler, David M., 2013. "Girls’ education and HIV risk: Evidence from Uganda," Journal of Health Economics, Elsevier, vol. 32(5), pages 863-872.
    16. Sudhanshu Handa & Carolyn Tucker Halpern & Audrey Pettifor & Harsha Thirumurthy, 2014. "The Government of Kenya's Cash Transfer Program Reduces the Risk of Sexual Debut among Young People Age 15-25," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-9, January.
    17. Amin, Vikesh & Behrman, Jere R. & Kohler, Hans-Peter, 2015. "Schooling has smaller or insignificant effects on adult health in the US than suggested by cross-sectional associations: New estimates using relatively large samples of identical twins," Social Science & Medicine, Elsevier, vol. 127(C), pages 181-189.
    18. Damon Clark & Heather Royer, 2010. "The Effect of Education on Adult Health and Mortality: Evidence from Britain," NBER Working Papers 16013, National Bureau of Economic Research, Inc.
    19. Deborah Johnston & Kevin Deane & Matteo Rizzo, 2015. "The political economy of HIV," Review of African Political Economy, Taylor & Francis Journals, vol. 42(145), pages 335-341, September.
    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. 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.
    2. Yao, Yao, 2016. "Fertility and HIV risk in Africa," Working Paper Series 19501, Victoria University of Wellington, School of Economics and Finance.
    3. Ibrahim Kasirye, 2016. "HIV/AIDS Sero-prevalence and Socio-economic Status: Evidence from Uganda," African Development Review, African Development Bank, vol. 28(3), pages 304-318, September.
    4. Behrman, Jere R. & Xiong, Yanyan & Zhang, Junsen, 2015. "Cross-sectional schooling-health associations misrepresented causal schooling effects on adult health and health-related behaviors: Evidence from the Chinese Adults Twins Survey," Social Science & Medicine, Elsevier, vol. 127(C), pages 190-197.
    5. Dursun, Bahadır & Cesur, Resul & Mocan, Naci, 2018. "The Impact of Education on Health Outcomes and Behaviors in a Middle-Income, Low-Education Country," Economics & Human Biology, Elsevier, vol. 31(C), pages 94-114.
    6. Wild, Frederik & Stadelmann, David, 2020. "Heterogeneous Effects of Women's Schooling on Fertility, Literacy and Work: Evidence from Burundi's Free Primary Education Policy," VfS Annual Conference 2020 (Virtual Conference): Gender Economics 224607, Verein für Socialpolitik / German Economic Association.
    7. Naomi Duke & Ross Macmillan, 2016. "Schooling, skills, and self-rated health: A test of conventional wisdom on the relationship between educational attainment and health," Working Papers 087, "Carlo F. Dondena" Centre for Research on Social Dynamics (DONDENA), Università Commerciale Luigi Bocconi.
    8. Keats, Anthony, 2018. "Women's schooling, fertility, and child health outcomes: Evidence from Uganda's free primary education program," Journal of Development Economics, Elsevier, vol. 135(C), pages 142-159.
    9. Güneş Pınar Mine, 2016. "The Impact of Female Education on Teenage Fertility: Evidence from Turkey," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 16(1), pages 259-288, January.
    10. Philip Oreopoulos & Kjell G. Salvanes, 2009. "How large are returns to schooling? Hint: Money isn't everything," NBER Working Papers 15339, National Bureau of Economic Research, Inc.
    11. Braakmann, Nils, 2011. "The causal relationship between education, health and health related behaviour: Evidence from a natural experiment in England," Journal of Health Economics, Elsevier, vol. 30(4), pages 753-763, July.
    12. DeCicca, Philip & Krashinsky, Harry, 2020. "Does education reduce teen fertility? Evidence from compulsory schooling laws," Journal of Health Economics, Elsevier, vol. 69(C).
    13. Miron Tequame & Nyasha Tirivayi, 2015. "Higher education and fertility: Evidence from a natural experiment in Ethiopia," CINCH Working Paper Series 1509, Universitaet Duisburg-Essen, Competent in Competition and Health, revised Aug 2015.
    14. Anderberg, Dan & Chevalier, Arnaud & Wadsworth, Jonathan, 2011. "Anatomy of a health scare: Education, income and the MMR controversy in the UK," Journal of Health Economics, Elsevier, vol. 30(3), pages 515-530, May.
    15. Paul J. Devereux & Robert A. Hart, 2010. "Forced to be Rich? Returns to Compulsory Schooling in Britain," Economic Journal, Royal Economic Society, vol. 120(549), pages 1345-1364, December.
    16. David E. Bloom & Michael Kuhn & Klaus Prettner, 2022. "Modern Infectious Diseases: Macroeconomic Impacts and Policy Responses," Journal of Economic Literature, American Economic Association, vol. 60(1), pages 85-131, March.
    17. Bertocchi, Graziella & Dimico, Arcangelo, 2019. "The long-term determinants of female HIV infection in Africa: The slave trade, polygyny, and sexual behavior," Journal of Development Economics, Elsevier, vol. 140(C), pages 90-105.
    18. Jessica E. Taaffe & Andrew F. Longosz & David Wilson, 2017. "Themed Issue: Cash Transfers and Microfinance," Development Policy Review, Overseas Development Institute, vol. 35(5), pages 601-619, September.
    19. de Walque, Damien, 2020. "The use of financial incentives to prevent unhealthy behaviors: A review," Social Science & Medicine, Elsevier, vol. 261(C).
    20. 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).

    More about this item

    Keywords

    HIV/AIDS; Education; Schooling; South Africa;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I29 - Health, Education, and Welfare - - Education - - - Other
    • O12 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development

    NEP fields

    This paper has been announced in the following NEP Reports:

    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:hhs:gunwpe:0638. 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: Ann-Christin Räätäri Nyström (email available below). General contact details of provider: https://edirc.repec.org/data/naiguse.html .

    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.