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HIV testing, behavior change, and the transition to adulthood in Malawi

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  • Beegle, Kathleen
  • Poulin, Michelle
  • Shapira, Gil

Abstract

For young adults living in countries with AIDS epidemics, getting an HIV test may influence near-term decisions, such as when to leave school, when to marry, and when to have a first child. These behaviors, which define the transition from adolescence to adulthood, have long-term implications on well-being and directly affect a person's risk of contracting HIV. Using an experimental design embedded in a panel survey from Malawi, this study assesses the impact of voluntary counseling and testing of young adults for HIV on these decisions. The results show negligible intent-to-treat effect of HIV testing on behaviors. There is some suggestive evidence on differential response by wealth and by prior beliefs about one's status.

Suggested Citation

  • Beegle, Kathleen & Poulin, Michelle & Shapira, Gil, 2014. "HIV testing, behavior change, and the transition to adulthood in Malawi," Policy Research Working Paper Series 6825, The World Bank.
    • Handle: RePEc:wbk:wbrwps:6825
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    Cited by:

    1. Manuela Angelucci & Daniel Bennett, 2021. "Adverse Selection in the Marriage Market: HIV Testing and Marriage in Rural Malawi [Marrying Up: The Role of Sex Ratio in Assortative Matching]," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 88(5), pages 2119-2148.
    2. Patrick Aylward & Hildah Essendi & Kristen Little & Nicholas Wilson, 2020. "Demand for self‐tests: Evidence from a Becker–DeGroot–Marschak mechanism field experiment," Health Economics, John Wiley & Sons, Ltd., vol. 29(4), pages 489-507, April.
    3. Wilson, Nicholas, 2018. "Altruism in preventive health behavior: At-scale evidence from the HIV/AIDS pandemic," Economics & Human Biology, Elsevier, vol. 30(C), pages 119-129.
    4. Li Han & Xinzheng Shi & Ming-ang Zhang, 2022. "How Does Matching Uncertainty Affect Marital Surplus? Theory and Evidence from China," HKUST CEP Working Papers Series 202202, HKUST Center for Economic Policy.
    5. Wilson, Nicholas, 2016. "Antiretroviral therapy and demand for HIV testing: Evidence from Zambia," Economics & Human Biology, Elsevier, vol. 21(C), pages 221-240.
    6. Poulin, Michelle & Dovel, Kathryn & Watkins, Susan Cotts, 2016. "Men with Money and the “Vulnerable Women” Client Category in an AIDS Epidemic," World Development, Elsevier, vol. 85(C), pages 16-30.

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