Robinson, Jonathan and Yeh, Ethan (2008): Transactional Sex as a Response to Risk in Western Kenya.
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Formal and informal commercial sex work is a way of life for many poor women in developing countries. Though sex workers have long been identified as crucial in affecting the spread of HIV/AIDS, particularly in sub-Saharan Africa, the nature of sex-for-money transactions remains poorly understood. Using a unique panel dataset constructed from 192 self-reported sex worker diaries which include detailed information on sexual behavior, labor supply, and income shocks, we find that sex workers adjust their supply of risky, better compensated sex to cope with unexpected income shocks, exposing themselves to increased risk of HIV infection. In particular, women are 3.2% more likely to see a client, 21.7% more likely to have anal sex, and 20.6% more likely to have unprotected sex on days in which a household member falls ill. Women also increase their supply of risky sex on days after missing work due to STI symptoms. Given that HIV prevalence has been estimated at 9.8% in this part of Kenya, these behavioral responses entail significant health risks for sex workers and their partners, and suggests that sex workers are unable to cope with income risk through other formal or informal consumption smoothing mechanisms.
|Item Type:||MPRA Paper|
|Original Title:||Transactional Sex as a Response to Risk in Western Kenya|
|Keywords:||transactional sex, risk-coping, consumption smoothing|
|Subjects:||O - Economic Development, Technological Change, and Growth > O1 - Economic Development > O12 - Microeconomic Analyses of Economic Development|
|Depositing User:||Jonathan Robinson|
|Date Deposited:||28. Oct 2008 06:33|
|Last Modified:||12. Feb 2013 20:43|
Ahlburg, Dennis A. and Eric R. Jensen (1998). "The Economics of the Commercial Sex Industry and its Implications for HIV/AIDS Prevention Policies." In Confronting AIDS: Evidence from the Developing World, M. Ainsworth, L. Fransen, and M. Over (eds.), Brussels: European Community.
Arunachalam, Raj and Manisha Shah (2008). "Prostitutes and Brides?" mimeo, University of Melbourne and University of Michigan.
Booranapim, Yardfon and Lynn Mainwaring (2002). "Risk and Reward in the Thai Sex Industry." International Journal of Social Economics 29 (10): 766-780.
Brody, Stuart and John J. Potterat (2003). "Assessing the Role of Anal Intercourse in the Epidemiology of AIDS in Africa." International Journal of STD & AIDS 14 (7): 431-436.
Caldwell, John C., Pat Caldwell, and Pat Quiggin (1989). "The Social Context of AIDS in Sub-Saharan Africa." Population and Development Review 15 (2): 185-205.
Central Burea of Statistics (CBS) [Kenya] (2001). 1999 Housing and Population Census, Volumes 1 and 2. Nairobi, Kenya: CBS.
Central Bureau of Statistics (CBS) [Kenya], Ministry of Health (MOH) [Kenya], and ORC Macro (2004). Kenya Demographic and Health Survey 2003. Calverton, Maryland: CBS, MOH, and ORC Macro.
Chetty, Raj and Adam Looney (2006). "Consumption Smoothing and the Welfare Consequences of Social Insurance in Developing Countries." Journal of Public Economics 90 (12): 2351-2356.
Côté, Anne-Marie et al. (2004). "Transactional Sex is the Driving Force in the Dynamics of HIV in Accra, Ghana." AIDS 18 (6): 917-925.
Dunkle, K.L., R.K. Jewkes, H.C. Brown, G.E. Gray, J.A. McIntryre, and S.D. Harlow (2004). "Transactional Sex Among Women in Soweto, South Africa: Prevalence, Risk Factors and Association with HIV Infection." Social Science & Medicine 59 (8): 1581-1592.
Dupas, Pascaline (2007). "Relative Risks and the Market for Sex: Teenage Pregnancy, HIV, and Partner Selection in Kenya." mimeo, Dartmouth College.
Edlund, Lena, and Evelyn Korn (2002). "A Theory of Prostitution." Journal of Political Economy 110 (1): 181-214.
Epstein, Helen (2007). The Invisible Cure: Africa, the West, and the Fight Against AIDS. New York: Farrar, Straus and Giroux.
European Study Group on Heterosexual Transmission of HIV (1992). "Comparison of Female to Male and Male to Female Transmission of HIV in 563 Stable Couples." British Medical Journal 304 (6840): 809-813.
Ferguson, Alan and Chester Morris (2003). "Assessing the Role of Anal Intercourse in the Epidemiology of AIDS in Africa." International Journal of STD & AIDS 14 (12): 856
Gertler, Paul and Jonathan Gruber (2002). "Insuring Consumption Against Illness." American Economic Review 92 (1): 51-70.
Gertler, Paul, Manisha Shah, and Stefano M. Bertozzi (2005). "Risky Business: The Market for Unprotected Commercial Sex." Journal of Political Economy 113 (3): 518-550.
Gray, Ronald et al. (2001). "Probability of HIV-1 Transmission per Coital Act in Monogamous, Heterosexual, HIV-1-Discordant Couples in Rakai, Uganda." Lancet 357 (9263): 1149-1153.
Gugerty, Mary Kay (2007). "You Can't Save Alone: Commitment and Rotating Savings and Credit Associations in Kenya." Economic Development and Cultural Change 55 (2): 251-282.
Hawken, M.P., R.D. Melis, D.T. Ngombo, K. Mandaliya, L.W. Ng'ang'a, J. Price, G. Dallabetta, and M. Temmerman (2002). "Part Time Female Sex Workers in a Suburban Community in Kenya: A Vulnerable Hidden Population." Sexually Transmitted Infections 78 (4): 271-273.
Hudson, Christopher (1996). "AIDS in Rural Africa: A Paradigm for HIV-1 Prevention." International Journal of STD and AIDS 7 (4): 236-243.
Hunter, Mark (2002). "The Materiality of Everyday Sex: Thinking Beyond Prostitution." African Studies 61 (1): 99-120.
Jacoby, Hanan and Emmanuel Skoufias (1997). "Risk, Financial Markets, and Human Capital in a Developing Country." Review of Economic Studies 64 (3): 311-335.
Karim, S.S. and Ramjee G (1998). "Anal Sex and HIV Transmission in Women." American Journal of Public Health 88 (8): 1265-1266.
Kochar, Anjini (1995). "Explaining Household Vulnerability to Idiosyncratic Income Shocks." American Economic Review (Papers and Proceedings) 85 (2): 159-164.
Kochar, Anjini (1999). "Smoothing Consumption by Smoothing Income: Hours-of-Work Responses to Idiosyncratic Agricultural Shocks in Rural India." Review of Economics and Statistics 81 (1): 50-61.
Lowndes, Catherine et al. (2000). "Management of Sexually Transmitted Diseases and HIV Prevention in Men at High Risk: Targeting Clients and Nonpaying Sexual Partners of Female Sex Workers in Benin." AIDS 14 (16): 1523-2534.
Luke, Nancy (2003). "Age and Economic Asymmetries in the Sexual Relationships of Adolescent Girls in sub-Saharan Africa." Studies in Family Planning 34 (2): 67-86.
Luke, Nancy (2006). "Exchange and Condom Use in Informal Sexual Relationships in Urban Kenya." Economic Development and Cultural Exchange 54 (2): 319-348.
MaCurdy, Thomas (1981). "An Empirical Model of Labor Supply in a Life-Cycle Setting." Journal of Political Economy 89 (6): 1059-1085.
Magruder, Jeremy (2008). "Marital Shopping and Epidemic AIDS." mimeo, Berkeley ARE.
Morduch, Jonathan (1995). "Income Smoothing and Consumption Smoothing." Journal of Economic Perspectives 9 (3): 103-114.
Morison, L., H.A. Weiss, A. Buve, M. Carael, S.-C. Abega, F. Kaona, L. Kanhonou, J. Chege and R.J. Hayes (2001). "Commercial Sex and the Spread of HIV in Four Cities in Sub-Saharan Africa." AIDS 15 (4): S61-S69.
Morris, Martina, and Mirjam Kretzschmar (1997). "Concurrent Partnerships and the Spread of HIV." AIDS 11 (5): 641-648.
National AIDS Control Council [Kenya] (2005). Kenya HIV/AIDS Data Booklet 2005. Nairobi, Kenya: National AIDS Control Council.
Oster, Emily (2005). "Sexually Transmitted Infections, Sexual Behavior, and the HIV/AIDS Epidemic." Quarterly Journal of Economics 120 (2): 467-515.
Oster, Emily (2007). "HIV and Sexual Behavior Change: Why not Africa?" NBER Working Paper #13049.
Paxson, Christina H (1992). "Using Weather Variability to Estimate the Response of Savings to Transitory Income in Thailand." American Economic Review 82 (1): 15-33.
Plummer, F.A., N.J.D. Nagelkerke, S. Moses, J.O. Ndinya-Achola, J. Bwayo, and E. Ngugi (1991). "The Importance of Core Groups in the Epidemiology and Control of HIV-1 Infection." AIDS 5 (Supplement 1): S169-176.
Rao, Vijayendra, Indrani Gupta, Michael Lokshin, and Smarajit Jana (2003). "Sex Workers and the Cost of Safe Sex: The Compensating Differential for Condom Use Among Calcutta Prostitutes." Journal of Development Economics 71 (2): 585-603.
Robinson, Jonathan (2007). "Limited Insurance Within the Household: Evidence from a Field Experiment in Western Kenya." mimeo, UC Santa Cruz.
Rosenzweig, Mark and Kenneth Wolpin (1993). "Credit Market Constraints, Consumption Smoothing, and the Accumulation of Durable Production Assets in Low-Income Countries: Investments in Bullocks in India." Journal of Political Economy 101 (2): 223-244.
Schoepf, Brooke Grundfest (2004). "AIDS in Africa: Structure, Agency, and Risk." In HIV and AIDS in Africa: Beyond Epidemiology, Ezekiel Kalipeni et al. (eds.), Malden MA: Blackwell Publishers: 121-132.
Swidler, Ann and Susan Cotts Watkins (2007), "Ties of Dependence: AIDS and Transactional Sex in Rural Malawi." Studies in Family Planning 38 (3): 147-162.
Townsend, Robert (1994). "Risk and Insurance in Village India." Econometrica 62 (3): 539-591.
UNAIDS (2002), Sex Work and HIV/AIDS: UNAIDS Technical Update. Geneva: UNAIDS.
UNAIDS (2004), Epidemiological Fact Sheet -- 2004 Update (Kenya). Geneva: UNAIDS.
UNAIDS (2007). AIDS epidemic update: December 2007, Geneva: UNAIDS.
Wojcicki, Janet Maia (2002a), "Commercial Sex Work or Ukuphanda? Sex-for-Money Exchange in Soweto and Hammanskraal Area, South Africa." Culture, Medicine, and Psychiatry 26 (3): 339-370.
Wojcicki, Janet Maia (2002b), "`She Drank His Money:' Survival Sex and the Problem of Violence in Taverns in Gauteng Province, South Africa." Medical Anthropology Quarterly 16 (3): 267-293.
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