Burke, Marshall and Gong, Erick and Jones, Kelly M. (2013): Income Shocks and HIV in Africa. Forthcoming in: Economic Journal
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Abstract
We examine how variation in local economic conditions has shaped the AIDS epidemic in Africa. Using data from over 200,000 individuals across 19 countries, we match biomarker data on individuals' HIV status to information on local rainfall shocks, a large source of variation in income for rural households. We estimate that infection rates in HIV-endemic rural areas increase by 11% for every recent drought, an effect that is statistically and economically significant. Income shocks explain up to 20% of the variation in HIV prevalence across African countries, suggesting policy approaches for HIV prevention that are distinct from existing efforts.
Item Type: | MPRA Paper |
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Original Title: | Income Shocks and HIV in Africa |
Language: | English |
Keywords: | income shocks; HIV/AIDS; Africa |
Subjects: | I - Health, Education, and Welfare > I1 - Health > I15 - Health and Economic Development O - Economic Development, Innovation, Technological Change, and Growth > O1 - Economic Development > O12 - Microeconomic Analyses of Economic Development O - Economic Development, Innovation, Technological Change, and Growth > O5 - Economywide Country Studies > O55 - Africa |
Item ID: | 55392 |
Depositing User: | Kelly Jones |
Date Deposited: | 19 Apr 2014 04:59 |
Last Modified: | 27 Sep 2019 02:08 |
References: | Alary, M. and C. M. Lowndes (2004). The central role of clients of female sex workers in the dynamics of heterosexual HIV transmission in sub-Saharan Africa. AIDS 18 (6). Anema, A., M. Joffres, E. Mills, and P. Spiegel (2008). Widespread rape does not directly appear to increase the overall HIV prevalence in conflict-affected countries: So now what? Emerging Themes in Epidemiology 5 (11), 1742–1776. Baird, S., E. Chirwa, C. McIntosh, and B. Ozler (2010). The short-term impacts of a schooling conditional cash transfer program on the sexual behavior of young women. Health economics 19 (S1), 55–68. Baird, S., R. Garfein, C. McIntosh, and B. Ozler (2012). Effect of a cash transfer programme for schooling on prevalence of HIV and herpes simplex type 2 in Malawi: a cluster randomised trial. The Lancet . Baird, S., C. McIntosh, and B. Ozler (2011). Cash or condition? evidence from a cash transfer experiment. The Quarterly Journal of Economics 126 (4), 1709–1753. Bene, C. and S. Merten (2008, May). Women and fish-for-sex: Transactional sex, HIV/AIDS and gender in African fisheries. World Development 36 (5), 875–899. Bjorkman, M. (2006). Income shocks and gender gaps in education: Evidence from Uganda. Institute for International Economic Studies, University of Stockholm. Boily, M., R. Baggaley, L. Wang, B. Masse, R. White, R. Hayes, and M. Alary (2009). Heterosexual risk of HIV-1 infection per sexual act: systematic review and meta- analysis of observational studies. The Lancet Infectious Diseases 9 (2), 118–129. Brockerhoff, M. and A. Biddlecom (1999). Migration, sexual behavior and the risk of HIV in Kenya. International Migration Review , 833–856. Bruckner, M. and A. Ciccone (2011). Rain and the democratic window of opportunity. Econometrica 79 (3), 923–947. CIESIN (2010). Global rural urban mapping project. http://sedac.ciesin.columbia.edu/gpw/ . Clark, S. (2004). Early marriage and HIV risks in sub-saharan Africa. Studies in family planning 35 (3), 149–160. Cleland, J., J. Boerma, M. Carael, and S. Weir (2004). Monitoring sexual behaviour in general populations: a synthesis of lessons of the past decade. Sexually Transmitted Infections 80 (suppl 2), ii1. Cote, A.-M., F. Sobela, A. Dzokoto, K. Nzambi, C. Asamoah-Adu, A.-C. Labb´e, B. Mˆasse, J. Mensah, E. Frost, and J. P´epin (2004). Transactional sex is the driving force in the dynamics of HIV in Accra, Ghana. AIDS 18 (6), –. Currie, J. (2009). Healthy, wealthy, and wise: Socioeconomic status, poor health in childhood, and human capital development. Journal of Economic Literature 47 (1), 87–122. Davis, B., P. Winters, G. Carletto, K. Covarrubias, E. Quinones, A. Zezza, K. Sta- moulis, C. Azzarri, and S. DiGiuseppe (2010). A cross-country comparison of rural income generating activities. World Development 38 (1), 48–63. de Walque, D., W. Dow, R. Nathan, R. Abdul, F. Abilahi, E. Gong, Z. Isdahl, J. Jamison, B. Jullu, S. Krishnan, et al. (2012). Incentivising safe sex: a randomised trial of conditional cash transfers for HIV and sexually transmitted infection prevention in rural Tanzania. BMJ Open 2 (1). Dell, M., B. Jones, and B. Olken (2008). Climate change and economic growth: evidence from the last half century. NBER Working Paper 14132 . Dinkelman, T., D. Lam, and M. Leibbrandt (2008). Linking poverty and income shocks to risky sexual behaviour: evidence from a panel study of young adults in Cape Town. South African Journal of Economics 76, S52–S74. Duflo, E., P. Dupas, and M. Kremer (2011). Education, HIV and early fertility: experimental evidence from Kenya. Manuscript . Dunkle, K. L., R. K. Jewkes, H. C. Brown, G. E. Gray, J. A. McIntryre, and S. D. Harlow (2004, October). Transactional sex among women in Soweto, South Africa: prevalence, risk factors and association with HIV infection. Social Science & Medicine 59 (8), 1581–1592. Dupas, P. and J. Robinson (2011). The (hidden) costs of political instability: Evidence from Kenya’s 2007 election crisis. Working Paper . Edlund, L. and E. Korn (2002). A theory of prostitution. Journal of Political Economy 110 (1), 181–214. Ellis, F. (2000). The determinants of rural livelihood diversification in developing countries. Journal of Agricultural Economics 51 (2), 289–302. Epstein, H. (2007). The invisible cure: Africa, the West, and the fight against AIDS. Viking. FAO (2011). Faostat database. UN Food and Agricultural Organization. Ferreira, F. and N. Schady (2009). Aggregate economic shocks, child schooling, and child health. The World Bank Research Observer 24 (2), 147–181. Friedman, W. (2012). Antiretroviral drug access and behavior change. Working Paper . Gong, E. (2012). HIV testing and risky sexual behavior. Manuscript. Groh, K., C. Audet, A. Baptista, M. Sidat, A. Vergara, S. Vermund, and T. Moon (2011). Barriers to antiretroviral therapy adherence in rural Mozambique. BMC Public Health 11:650. Halperin, D. and H. Epstein (2008). Opinion: Why is HIV prevalence so severe in southern Africa? the role of multiple concurrent partnerships and lack of male circumcision-implications for HIV prevention. Southern African Journal of HIV Medicine 8 (1), 19. Heston, A., R. Summers, and B. Aten (2011, June). Penn world table version 7.0. Center for International Comparisons of Production, Income and Prices at the University of Pennsylvania. Hoddinott, J. and B. Kinsey (2001). Child growth in the time of drought. Oxford Bulletin of Economics and Statistics 63 (4), 409–436. Hollingsworth, T., R. Anderson, and C. Fraser (2008). HIV-1 transmission, by stage of infection. Journal of Infectious Diseases 198 (5), 687. Hoogeveen, J., B. van der Klaauw, and G. van Lomwel (2011). On the timing of marriage, cattle, and shocks. Economic Development and Cultural Change 60 (1), 121–154. Hunter, M. (2002). The materiality of everyday sex: thinking beyond ’prostitution’. African Studies 61 (1), 99–120. Jensen, R. and R. Thornton (2003). Early female marriage in the developing world. Gender and Development 11 (2), 9–19. John, G., R. Nduati, D. Mbori-Ngacha, J. Overbaugh, M. Welch, B. Richardson, J. Ndinya-Achola, J. Bwayo, J. Krieger, F. Onyango, et al. (1997). Genital shedding of human immunodeficiency virus type 1 DNA during pregnancy: association with immunosuppression, abnormal cervical or vaginal discharge, and severe vitamin A deficiency. Journal of Infectious Diseases 175 (1), 57. Jones, B. and B. Olken (2010). Climate shocks and exports. The American Economic Review 100 (2), 454–459. Kaplan, E. (1990). Modeling HIV infectivity: must sex acts be counted? JAIDS Journal of Acquired Immune Deficiency Syndromes 3 (1), 55. Kohler, H. and R. Thornton (2011). Conditional cash transfers and HIV/AIDS prevention: Unconditonally promising? World Bank Economic Review Advance Access Online. Kremer, M. (1996). Integrating behavioral choice into epidemiological models of AIDS. The Quarterly Journal of Economics 111 (2), 549–573. Leclerc-Madlala, S. (2002). Youth, HIV/AIDS and the importance of sexual culture and context. Social Dynamics 28 (1), 20–41. Lee, D. (2009). Training, wages, and sample selection: Estimating sharp bounds on treatment effects. Review of Economic Studies 76 (3), 1071–1102. LoPiccalo, K., J. Robinson, and E. Yeh (2012). Income, income shocks, and transactional sex. Handbook of the Economics of Prostitution. Luke, N. (2006). Exchange and condom use in informal sexual relationships in urban Kenya. Economic Development and Cultural Change 54 (2), 319–48. Lurie, M., B. Williams, K. Zuma, D. Mkaya-Mwamburi, G. Garnett, M. Sweat, J. Gittelsohn, and S. Karim (2003). Who infects whom? HIV-1 concordance and discordance among migrant and non-migrant couples in South Africa. AIDS 17 (15), 2245. Maccini, S. and D. Yang (2009). Under the weather: Health, schooling, and economic consequences of early-life rainfall. American Economic Review 99 (3), 1006–1026. Maganja, R. K., S. Maman, A. Groves, and J. K. Mbwambo (2007). Skinning the goat and pulling the load: transactional sex among youth in Dar es Salaam, Tanzania. AIDS Care 19 (8), 974–981. Magruder, J. (2011). Marital shopping and epidemic AIDS. Demography 48 (4), 1401– 1428. Matsuura, K. and C. Willmott (2009). Terrestrial Temperature and Precipitation: 1900-2008 Gridded Monthly Time series, version 2.1. University of Delaware. Miguel, E. (2005). Poverty and witch killing. Review of Economic Studies 72 (4), 1153–1172. Miguel, E., S. Satyanath, and E. Sergenti (2004). Economic shocks and civil conflict: An instrumental variables approach. Journal of Political Economy 112(4), 725–752. Minnis, A. M., M. J. Steiner, M. F. Gallo, L. Warner, M. M. Hobbs, A. van der Straten, T. Chipato, M. Macaluso, and N. S. Padian (2009, Oct). Biomarker validation of reports of recent sexual activity: results of a randomized controlled study in Zimbabwe. American Journal of Epidemiology 170 (7), 918–924. Mishra, V., M. Vaessen, J. Boerma, F. Arnold, A. Way, B. Barrere, A. Cross, R. Hong, and J. Sangha (2006). HIV testing in national population-based surveys: experience from the Demographic and Health Surveys. Bulletin of the World Health Organiza- tion 84 (7), 537–545. Mock, N., S. Duale, L. Brown, E. Mathys, H. O’Maonaigh, N. Abul-Husn, S. Elliott, et al. (2004). Conflict and HIV: A framework for risk assessment to prevent HIV in conflict-affected settings in Africa. Emerg Themes Epidemiol 1 (1), 6. Morgan, D., C. Mahe, B. Mayanja, J. Okongo, R. Lubega, and J. Whitworth (2002). HIV-1 infection in rural Africa: is there a difference in median time to AIDS and survival compared with that in industrialized countries? AIDS 16 (4), 597. Ojikutu, B. (2007). The realities of antiretroviral therapy rollout: overcoming challenges to successful programmatic implementation. Journal of Infectious Dis- eases 196 (Supplement 3), S445–S448. Osili, U. and B. Long (2008). Does female schooling reduce fertility? evidence from Nigeria. Journal of Development Economics 87 (1), 57–75. Oster, E. (2005). Sexually Transmitted Infections, Sexual Behavior, and The HIV/AIDS Epidemic. Quarterly Journal of Economics 120 (2), 467–515. Oster, E. (2012). Routes of infection: Exports and HIV Incidence in Sub-Saharan Africa. Journal of the European Economic Association 10 (5). Ozier, O. (2010). The impact of secondary schooling in Kenya: a regression discontinuity analysis. University of California at Berkeley, mimeo. Padian, N., A. Buv´e, J. Balkus, D. Serwadda, and W. Cates Jr (2008). Biomedical interventions to prevent HIV infection: evidence, challenges, and way forward. The Lancet 372 (9638), 585–599. Pinkerton, S. D. (2008, Sep). Probability of HIV transmission during acute infection in Rakai, Uganda. AIDS Behav 12 (5), 677–684. Potts, M., D. Halperin, D. Kirby, A. Swidler, E. Marseille, J. Klausner, N. Hearst, R. Wamai, J. Kahn, and J. Walsh (2008). Reassessing HIV prevention. Science 320 (5877), 749. Powers, K., A. Ghani, W. Miller, I. Hoffman, A. Pettifor, G. Kamanga, F. Martinson, and M. Cohen (2011). The role of acute and early HIV infection in the spread of HIV and implications for transmission prevention strategies in Lilongwe, Malawi: a modelling study. The Lancet 378 (9787), 256–268. Powers, K., C. Poole, A. Pettifor, and M. Cohen (2008). Rethinking the heterosexual infectivity of HIV-1: a systematic review and meta-analysis. The Lancet Infectious Diseases 8 (9), 553–563. Rehle, T., T. Saidel, S. Hassig, P. Bouey, E. Gaillard, and D. Sokal (1998). Avert: a user-friendly model to estimate the impact of HIV/sexually transmitted disease prevention intervetions on HIV transmission. AIDS 12(suppl 2), S27–S35. Robinson, J. and E. Yeh (2011a). Risk-coping through sexual networks: evidence from client transfers in Kenya. Journal of Human Resources forthcoming. Robinson, J. and E. Yeh (2011b). Transactional sex as a response to risk in Western Kenya. American Economic Journal: Applied Economics 3 (1), 35–64. Rosenzweig, M. and K. 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 , 223–244. Sacks, W., D. Deryng, J. Foley, and N. Ramankutty (2010). Crop planting dates: an analysis of global patterns. Global Ecology and Biogeography 19 (5), 607–620. Schaible, U. and H. Stefan (2007). Malnutrition and infection: complex mechanisms and global impacts. PLoS Medicine 4 (5), e115. Schlenker, W. and D. Lobell (2010). Robust negative impacts of climate change on African agriculture. Environmental Research Letters 5, 014010. Skoufias, E. (2003). Economic crises and natural disasters: Coping strategies and policy implications. World Development 31 (7), 1087–1102. Spiegel, P., A. Bennedsen, J. Claass, L. Bruns, N. Patterson, D. Yiweza, and M. Schilperoord (2007). Prevalence of HIV infection in conflict-affected and displaced people in seven sub-Saharan African countries: a systematic review. The Lancet 369 (9580), 2187–2195. Stoneburner, R. and D. Low-Beer (2004). Population-level HIV declines and behavioral risk avoidance in Uganda. Science 304 (5671), 714. Swidler, A. and S. Watkins (2007). Ties of dependence: AIDS and transactional sex in rural Malawi. Studies in family planning 38 (3), 147–162. Todd, J., J. Glynn, M. Marston, T. Lutalo, S. Biraro, W. Mwita, V. Suriyanon, Rangsin, K. Nelson, P. Sonnenberg, D. Fitzgerald, E. Karita, and B. Zaba (2007). Time from HIV seroconversion to death: a collaborative analysis of eight studies in six low and middle-income countries before highly active antiretroviral therapy. AIDS 21, S55–S63. UNAIDS (2010). Report on the Global AIDS Epidemic. UNAIDS. van Dijk, H., D. Foeken, and K. van Til (2001). Mobile Africa: Changing Patterns of Movement in Africa and Beyond. Brill. Chapter 2: Population Mobility in Africa, An Overview. van Dijk, J., C. Sutcliffe, B. Munsanje, F. Hamangaba, P. Thuma, and W. Moss (2009). Barriers to the care of HIV-infected children in rural Zambia: a cross-sectional anal- ysis. BMC Infectious diseases 9 (1), 169. Weiser, S., K. Fernandes, E. Brandson, V. Lima, A. Anema, D. Bangsberg, J. Montaner, and R. Hogg (2009). The association between food insecurity and mortality among HIV-infected individuals on HAART. JAIDS Journal of Acquired Immune Deficiency Syndromes 52 (3), 342. Weller, S. and K. Davis (2002). Condom effectiveness in reducing heterosexual HIV transmission. Cochrane Database Syst Rev 1. WHO (2006). Progress on global access to HIV antiretroviral therapy: A report on ”3 by 5” and beyond. Wilson, N. (2011). Economic growth and the HIV/AIDS pandemic: Evidence from the early 21st century copper boom. Working Paper |
URI: | https://mpra.ub.uni-muenchen.de/id/eprint/55392 |