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HIV and Rational risky behaviors: a systematic review of published empirical literature (1990-2013)

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Abstract

Risky health behaviors have the negative effect – negative externality – of the individual being able to spread the disease to others. They thus represent a threat for the society and a tragedy for public health. The objective of this study is to inquire into the nature, extent and strength of the evidence for such risky behaviors for HIV/AIDS from an economic perspective. We aim at investigating the concept of risk or prevalence-elasticity of health behaviors in the case of HIV. We did an exhaustive review of published articles in French and English indexed in the databases PubMed, ScienceDirect and Jstor between 1 January 1990 to 31 December 2013. We searched for publications empirically investigating the risk or prevalence-elasticity of behaviors in the case of HIV/AIDS and performed a bibliometric and descriptive analysis of the dataset. Of the 12,545 articles that were screened, 189 (1.5%) full-text publications studied the risk-elasticity of health behaviors that are related to HIV/AIDS. Of these 189 articles, 167 (88.4%) were quantitative studies that empirically estimated the risk-elasticity, and 22 (11.6%) were qualitative studies. We found that 55.7% of the quantitative studies included at least a correlation between HIV risk and health behaviors that supports the concept of risk or prevalence-elasticity. Moreover, we identified articles that address the reverse causality problem between HIV risk and health behaviors, by using indirect HIV risk measures, to demonstrate the existence of a responsiveness of risk/preventive behaviors to HIV risk. Finally, an in-depth analysis showed seven out of ten articles using an objective measure of risk for HIV/AIDS gave strong support to prevalence-elasticity. However, only one of the ten articles established a direct measure of prevalence-elasticity while appropriately dealing with the reverse causation problem between objective HIV risk and preventive/risk behaviors. These results stress out the need to carefully monitor programs of risk behaviors' surveillance in the context of HIV becoming chronic, especially in sub-Saharan Africa where large scale HIV treatment policies are being implemented. More evidence is needed on the strength of rational risky behaviors to maximize the public health and economic impact of large scale HIV treatment or preventive policies. With this purpose, epidemiological surveillance programs could be paired with specific behavioral surveillance programs to better inform policy makers

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  • Marlène Guillon & Josselin Thuilliez, 2015. "HIV and Rational risky behaviors: a systematic review of published empirical literature (1990-2013)," Documents de travail du Centre d'Economie de la Sorbonne 15065, Université Panthéon-Sorbonne (Paris 1), Centre d'Economie de la Sorbonne.
  • Handle: RePEc:mse:cesdoc:15065
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    1. Maticka-Tyndale, Eleanor & Tenkorang, Eric Y., 2010. "A multi-level model of condom use among male and female upper primary school students in Nyanza, Kenya," Social Science & Medicine, Elsevier, vol. 71(3), pages 616-625, August.
    2. Raouf Boucekkine & Rodolphe Desbordes & Hélène Latzer, 2009. "How do epidemics induce behavioral changes?," Journal of Economic Growth, Springer, vol. 14(3), pages 233-264, September.
    3. Mark Gersovitz & Jeffrey S. Hammer, 2004. "The Economical Control of Infectious Diseases," Economic Journal, Royal Economic Society, vol. 114(492), pages 1-27, January.
    4. Nunnenkamp, Peter & Öhler, Hannes, 2011. "Throwing Foreign Aid at HIV/AIDS in Developing Countries: Missing the Target?," World Development, Elsevier, vol. 39(10), pages 1704-1723.
    5. Oster, Emily, 2012. "HIV and sexual behavior change: Why not Africa?," Journal of Health Economics, Elsevier, vol. 31(1), pages 35-49.
    6. Magadi, Monica Akinyi & Agwanda, Alfred O., 2010. "Investigating the association between HIV/AIDS and recent fertility patterns in Kenya," Social Science & Medicine, Elsevier, vol. 71(2), pages 335-344, July.
    7. Auld M. Christopher, 2006. "Estimating Behavioral Response to the AIDS Epidemic," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 5(1), pages 1-29, April.
    8. Morfit, N. Simon, 2011. ""AIDS is Money": How Donor Preferences Reconfigure Local Realities," World Development, Elsevier, vol. 39(1), pages 64-76, January.
    9. Geoffard, Pierre-Yves & Philipson, Tomas, 1996. "Rational Epidemics and Their Public Control," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 37(3), pages 603-624, August.
    10. repec:aph:ajpbhl:2002:92:2:211-213_5 is not listed on IDEAS
    11. Geoffard, Pierre-Yves & Philipson, Tomas, 1997. "Disease Eradication: Private versus Public Vaccination," American Economic Review, American Economic Association, vol. 87(1), pages 222-230, March.
    12. repec:aph:ajpbhl:1992:82:4:592-595_4 is not listed on IDEAS
    13. repec:aph:ajpbhl:1993:83:10:1400-1408_9 is not listed on IDEAS
    14. Mark Gersovitz & Jeffrey S. Hammer, 2003. "Infectious Diseases, Public Policy, and the Marriage of Economics and Epidemiology," World Bank Research Observer, World Bank Group, vol. 18(2), pages 129-157.
    15. Susan Godlonton & Rebecca L. Thornton, 2013. "Learning from Others' HIV Testing: Updating Beliefs and Responding to Risk," American Economic Review, American Economic Association, vol. 103(3), pages 439-444, May.
    16. Josselin Thuilliez & Jean-Claude Berthélemy, 2014. "Health and Development: A Circular Causality," Revue d’économie du développement, De Boeck Université, vol. 22(HS01), pages 109-137.
    17. Bajos, Nathalie & Ducot, Béatrice & Spencer, Brenda & Spira, Alfred, 1997. "Sexual risk-taking, socio-sexual biographies and sexual interaction: Elements of the French national survey on sexual behaviour," Social Science & Medicine, Elsevier, vol. 44(1), pages 25-40, January.
    18. Raghubir, Priya & Menon, Geeta, 1998. " AIDS and Me, Never the Twain Shall Meet: The Effects of Information Accessibility on Judgments of Risk and Advertising Effectiveness," Journal of Consumer Research, Oxford University Press, vol. 25(1), pages 52-63, June.
    19. Pascaline Dupas, 2011. "Do Teenagers Respond to HIV Risk Information? Evidence from a Field Experiment in Kenya," American Economic Journal: Applied Economics, American Economic Association, vol. 3(1), pages 1-34, January.
    20. Gregson, Simon & Zhuwau, Tom & Anderson, Roy M. & Chandiwana, Stephen K., 1998. "Is there evidence for behaviour change in response to AIDS in rural Zimbabwe?," Social Science & Medicine, Elsevier, vol. 46(3), pages 321-330, February.
    21. Mika Ueyama & Futoshi Yamauchi, 2009. "Marriage behavior response to prime-age adult mortality: evidence from malawi," Demography, Springer;Population Association of America (PAA), vol. 46(1), pages 43-63, February.
    22. repec:aph:ajpbhl:1988:78:4:394-410_1 is not listed on IDEAS
    23. repec:aph:ajpbhl:1991:81:1:106-109_9 is not listed on IDEAS
    24. Anglewicz, Philip & Clark, Shelley, 2013. "The effect of marriage and HIV risks on condom use acceptability in rural Malawi," Social Science & Medicine, Elsevier, vol. 97(C), pages 29-40.
    25. Becker, Gary S & Murphy, Kevin M, 1988. "A Theory of Rational Addiction," Journal of Political Economy, University of Chicago Press, vol. 96(4), pages 675-700, August.
    26. Iguchi, Martin Y. & Bux, Donald A. & Kushner, Harvey & Lidz, Victor, 2001. "Correlates of HIV risk among female sex partners of injecting drug users in a high-seroprevalence area," Evaluation and Program Planning, Elsevier, vol. 24(2), pages 175-185, May.
    27. Alwyn Young, 2007. "In sorrow to bring forth children: fertility amidst the plague of HIV," Journal of Economic Growth, Springer, vol. 12(4), pages 283-327, December.
    28. repec:aph:ajpbhl:1990:80:3:295-299_0 is not listed on IDEAS
    29. repec:aph:ajpbhl:10.2105/ajph.75.5.493_0 is not listed on IDEAS
    30. Kaplan, Warren A. & Ritz, Lindsay Sarah & Vitello, Marie & Wirtz, Veronika J., 2012. "Policies to promote use of generic medicines in low and middle income countries: A review of published literature, 2000–2010," Health Policy, Elsevier, vol. 106(3), pages 211-224.
    31. Wilson, Nicholas L. & Xiong, Wentao & Mattson, Christine L., 2014. "Is sex like driving? HIV prevention and risk compensation," Journal of Development Economics, Elsevier, vol. 106(C), pages 78-91.
    32. Francis, Andrew M., 2008. "The economics of sexuality: The effect of HIV/AIDS on homosexual behavior in the United States," Journal of Health Economics, Elsevier, vol. 27(3), pages 675-689, May.
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    Keywords

    HIV; Economic epidemiology; Prevalence-elasticity;

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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