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Sexual behavior change intentions and actions in the context of a randomized trial of a conditional cash transfer for HIV prevention in Tanzania

  • Packel, Laura
  • Dow, William H.
  • de Walque, Damien
  • Isdahl, Zachary
  • Majura, Albert

Information, education, communication and interventions based on behavioral-change communication have had success in increasing the awareness of HIV. But these strategies alone have been less successful in changing risky sexual behavior. This paper addresses this issue by exploring the link between action and the intention to change behaviors. In Africa, uncertainty in the lives of those at risk for HIV may affect how intentions are formed. Characterize this uncertainty by understanding the reasons for discrepancies between intentions and actions may help improve the design of HIV-prevention interventions. Based on an incentives-based HIV prevention trial in Tanzania, the longitudinal dataset in this paper allows the exploration of intended strategies for changing sexual behaviors and their results. The authors find that gender, intervention groups and new positive diagnoses of sexually transmitted infections can significantly predict the link between intent and action. The paper examines potential mediators of these relationships.

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Paper provided by The World Bank in its series Policy Research Working Paper Series with number 5997.

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Date of creation: 01 Mar 2012
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Handle: RePEc:wbk:wbrwps:5997
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  1. 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.
  2. Rebecca L. Thornton, 2008. "The Demand for, and Impact of, Learning HIV Status," American Economic Review, American Economic Association, vol. 98(5), pages 1829-63, December.
  3. O'Donoghue, Ted & Rabin, Matthew, 2000. "Risky Behavior Among Youths: Some Issues from Behavioral Economics," Department of Economics, Working Paper Series qt5sf0z5rs, Department of Economics, Institute for Business and Economic Research, UC Berkeley.
  4. Michael A. Boozer & Tomas J. Philipson, 2000. "The Impact of Public Testing for Human Immunodeficiency Virus," Journal of Human Resources, University of Wisconsin Press, vol. 35(3), pages 419-446.
  5. Becker, Gary S & Mulligan, Casey B, 1997. "The Endogenous Determination of Time Preference," The Quarterly Journal of Economics, MIT Press, vol. 112(3), pages 729-58, August.
  6. Kirsten P. Smith & Susan Cotts Watkins, 2005. "Perceptions of Risk and Strategies for Prevention: Responses to HIV/AIDS in Rural Malawi," PGDA Working Papers 0305, Program on the Global Demography of Aging.
  7. Chimbiri, Agnes M., 2007. "The condom is an 'intruder' in marriage: Evidence from rural Malawi," Social Science & Medicine, Elsevier, vol. 64(5), pages 1102-1115, March.
  8. Poulin, Michelle, 2007. "Sex, money, and premarital partnerships in southern Malawi," Social Science & Medicine, Elsevier, vol. 65(11), pages 2383-2393, December.
  9. Georges Reniers, 2008. "Marital strategies for regulating exposure to HIV," Demography, Springer, vol. 45(2), pages 417-438, May.
  10. Silberschmidt, Margrethe & Rasch, Vibeke, 2001. "Adolescent girls, illegal abortions and "sugar-daddies" in Dar es Salaam: vulnerable victims and active social agents," Social Science & Medicine, Elsevier, vol. 52(12), pages 1815-1826, June.
  11. Smith, Kirsten P. & Watkins, Susan Cotts, 2005. "Perceptions of risk and strategies for prevention: responses to HIV/AIDS in rural Malawi," Social Science & Medicine, Elsevier, vol. 60(3), pages 649-660, February.
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