Income shocks and HIV in Sub-Saharan Africa

Poverty is commonly cited as a key driver of the HIV/AIDS epidemic, yet little causal evidence exists linking economic conditions to actual disease outcomes. Using data on more than 200,000 individuals across 19 Sub-Saharan African countries, we present evidence that negative income shocks can lead...

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Autores principales: Burke, Marshall, Gong, Erick, Jones, Kelly M.
Formato: Artículo preliminar
Lenguaje:Inglés
Publicado: International Food Policy Research Institute 2011
Materias:
Acceso en línea:https://hdl.handle.net/10568/154550
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author Burke, Marshall
Gong, Erick
Jones, Kelly M.
author_browse Burke, Marshall
Gong, Erick
Jones, Kelly M.
author_facet Burke, Marshall
Gong, Erick
Jones, Kelly M.
author_sort Burke, Marshall
collection Repository of Agricultural Research Outputs (CGSpace)
description Poverty is commonly cited as a key driver of the HIV/AIDS epidemic, yet little causal evidence exists linking economic conditions to actual disease outcomes. Using data on more than 200,000 individuals across 19 Sub-Saharan African countries, we present evidence that negative income shocks can lead to substantial increases in HIV prevalence, particularly for women in rural areas. Building on recent work showing that income shortfalls can induce some women to engage in higher-risk sex, we match data on individuals' HIV status from the Demographic and Health Surveys to data on recent variation in local rainfall, a primary (and exogenous) source of variation in income for rural households in Africa. We find that infection rates for women (men) in HIV-endemic rural areas increase significantly by 14 percent (11 percent) for every drought event experienced in the previous 10 years. Further analysis suggests that women most affected by the shocks (that is, those engaged in agriculture) are driving the women's results; these women are partnering with men least affected (those employed outside agriculture). Our findings suggest a role for formal insurance and social safety nets in tackling the HIV/AIDS epidemic.
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spelling CGSpace1545502025-11-06T06:24:33Z Income shocks and HIV in Sub-Saharan Africa Burke, Marshall Gong, Erick Jones, Kelly M. hiv infections gender Poverty is commonly cited as a key driver of the HIV/AIDS epidemic, yet little causal evidence exists linking economic conditions to actual disease outcomes. Using data on more than 200,000 individuals across 19 Sub-Saharan African countries, we present evidence that negative income shocks can lead to substantial increases in HIV prevalence, particularly for women in rural areas. Building on recent work showing that income shortfalls can induce some women to engage in higher-risk sex, we match data on individuals' HIV status from the Demographic and Health Surveys to data on recent variation in local rainfall, a primary (and exogenous) source of variation in income for rural households in Africa. We find that infection rates for women (men) in HIV-endemic rural areas increase significantly by 14 percent (11 percent) for every drought event experienced in the previous 10 years. Further analysis suggests that women most affected by the shocks (that is, those engaged in agriculture) are driving the women's results; these women are partnering with men least affected (those employed outside agriculture). Our findings suggest a role for formal insurance and social safety nets in tackling the HIV/AIDS epidemic. 2011 2024-10-01T14:02:13Z 2024-10-01T14:02:13Z Working Paper https://hdl.handle.net/10568/154550 en https://doi.org/10.2499/9780896295421 https://hdl.handle.net/10568/161868 https://hdl.handle.net/10568/161873 https://hdl.handle.net/10568/161879 Open Access application/pdf International Food Policy Research Institute Burke, Marshall; Gong, Erick; Jones, Kelly M. 2011. Income shocks and HIV in Sub-Saharan Africa. IFPRI Discussion Paper 1146. https://hdl.handle.net/10568/154550
spellingShingle hiv infections
gender
Burke, Marshall
Gong, Erick
Jones, Kelly M.
Income shocks and HIV in Sub-Saharan Africa
title Income shocks and HIV in Sub-Saharan Africa
title_full Income shocks and HIV in Sub-Saharan Africa
title_fullStr Income shocks and HIV in Sub-Saharan Africa
title_full_unstemmed Income shocks and HIV in Sub-Saharan Africa
title_short Income shocks and HIV in Sub-Saharan Africa
title_sort income shocks and hiv in sub saharan africa
topic hiv infections
gender
url https://hdl.handle.net/10568/154550
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