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The Indirect Impact of Antiretroviral Therapy: Mortality Risk, Mental Health, and HIV-Negative Labor Supply

Author

Listed:
  • Victoria Baranov

    () (Department of Economics, University of Melbourne)

  • Daniel Bennett

    () (University of Chicago)

  • Hans-Peter Kohler

    () (University of Pennsylvania)

Abstract

To reduce the burden of the HIV/AIDS epidemic, international donors recently began providing free antiretroviral therapy (ART) in parts of Sub-Saharan Africa. ART dramatically prolongs life and reduces infectiousness for people with HIV. This paper shows that ART availability increases work time for HIV-negative people without caretaker obligations, who do not directly bene t from the medicine. A difference-in-difference design compares people living near and far from ART, before and after treatment becomes available. We explore the possible reasons for this pattern and find that ART availability substantially reduces subjective mortality risk and improves mental health. These results show an undocumented economic consequence of the HIV/AIDS epidemic and an important externality of medical innovation. They also provide the first evidence of a link between the disease environment and mental health.

Suggested Citation

  • Victoria Baranov & Daniel Bennett & Hans-Peter Kohler, 2015. "The Indirect Impact of Antiretroviral Therapy: Mortality Risk, Mental Health, and HIV-Negative Labor Supply," Department of Economics - Working Papers Series 2002, The University of Melbourne.
  • Handle: RePEc:mlb:wpaper:2002
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    1. repec:dem:demres:v:37:y:2017:i:10 is not listed on IDEAS
    2. Antoine MARSAUDON & Josselin THUILLIEZ, 2016. "Does democracy reduce the HIV epidemic? Evidence from Kenya," Working Papers P167, FERDI.
    3. Bryan McCannon & Zachary Rodriguez, 2016. "A Lasting Effect of the HIV/AIDS Pandemic: Orphans and Pro-Social Behavior," Working Papers 16-10, Department of Economics, West Virginia University.
    4. Adrienne M. Lucas & Margaret Chidothe & Nicholas L. Wilson, 2016. "Effects of Adult Health Interventions at Scale on Children's Schooling: Evidence from Antiretroviral Therapy in Zambia," NBER Working Papers 22767, National Bureau of Economic Research, Inc.
    5. Wilson, Nicholas, 2016. "Antiretroviral therapy and demand for HIV testing: Evidence from Zambia," Economics & Human Biology, Elsevier, pages 221-240.
    6. Adrienne M. Lucas & Nicholas L. Wilson, 2017. "Can at Scale Drug Provision Improve the Health of the Targeted in Sub-Saharan Africa?," NBER Working Papers 23403, National Bureau of Economic Research, Inc.
    7. Collin Payne & Hans-Peter Kohler, 2017. "The population-level impact of public-sector antiretroviral therapy rollout on adult mortality in rural Malawi," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 36(37), pages 1081-1108, April.
    8. Terris-Prestholt, Fern & Windmeijer, Frank, 2016. "How to sell a condom? The impact of demand creation tools on male and female condom sales in resource limited settings," Journal of Health Economics, Elsevier, pages 107-120.

    More about this item

    JEL classification:

    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply

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