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Coping with risk : the effects of shocks on reproductive health and transactional sex in rural Tanzania

Author

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  • de Walque, Damien
  • Dow, William H.
  • Gong, Erick

Abstract

Transactional sex is believed to be an important risk-coping mechanism for women in Sub-Saharan Africa and a leading contributor to the HIV/AIDS epidemic. This paper uses data from a panel of women in rural Tanzania whose primary occupation is agriculture. The analysis finds that following a negative shock (such as food insecurity), unmarried women are about three times more likely to have been paid for sex. Regardless of marital status, after a shock women have more unprotected sex and are 36 percent more likely to have a sexually transmitted infection. These empirical findings support the claims that transactional sex is not confined to commercial sex workers and that frequently experienced shocks, such as food insecurity, may lead women to engage in transactional sex as a risk-coping behavior.

Suggested Citation

  • de Walque, Damien & Dow, William H. & Gong, Erick, 2014. "Coping with risk : the effects of shocks on reproductive health and transactional sex in rural Tanzania," Policy Research Working Paper Series 6751, The World Bank.
    • Handle: RePEc:wbk:wbrwps:6751
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    References listed on IDEAS

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    Cited by:

    1. Carole Treibich & Eleanor Bell & Elodie Blanc & Aurélia Lépine, 2022. "From a drought to HIV: An analysis of the effect of droughts on transactional sex and sexually transmitted infections in Malawi," Post-Print hal-03818619, HAL.
    2. Cooper, Jan E. & Dow, William H. & de Walque, Damien & Keller, Ann C. & McCoy, Sandra I. & Fernald, Lia C.H. & Balampama, Marianna P. & Kalolella, Admirabilis & Packel, Laura J. & Wechsberg, Wendee M., 2017. "Female sex workers use power over their day-to-day lives to meet the condition of a conditional cash transfer intervention to incentivize safe sex," Social Science & Medicine, Elsevier, vol. 181(C), pages 148-157.
    3. de Walque, Damien, 2020. "The use of financial incentives to prevent unhealthy behaviors: A review," Social Science & Medicine, Elsevier, vol. 261(C).

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    Keywords

    Population Policies; Health Monitoring&Evaluation; Gender and Health; Adolescent Health; Gender and Law;
    All these keywords.

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