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Women's land ownership and risk of HIV infection in Kenya

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  • Muchomba, Felix M.
  • Wang, Julia Shu-Huah
  • Agosta, Laura Maria

Abstract

Theory predicts that land ownership empowers women to avoid HIV acquisition by reducing their reliance on risky survival sex and enhancing their ability to negotiate safer sex. However, this prediction has not been tested empirically. Using a sample of 5511 women working in the agricultural sector from the 1998, 2003 and 2008–09 Kenya Demographic and Health Surveys, we examined the relationship between women's land ownership and participation in transactional sex, multiple sexual partnerships and unprotected sex, and HIV infection status. We controlled for demographic characteristics and household wealth, using negative binomial and logistic regression models. Women's land ownership was associated with fewer sexual partners in the past year (incidence rate ratio, 0.98; 95% confidence interval [CI], 0.95–1.00) and lower likelihood of engaging in transactional sex (odds ratio [OR], 0.67; 95% CI: 0.46–0.99), indicators of reduced survival sex, but was not associated with unprotected sex with casual partners (OR, 0.64; 95% CI, 0.35–1.18) or with unprotected sex with any partner among women with high self-perceived HIV risk (OR, 1.02; 95% CI, 0.57–1.84), indicating no difference in safer sex negotiation. Land ownership was also associated with reduced HIV infection among women most likely to engage in survival sex, i.e., women not under the household headship of a husband (OR, 0.40; 95% CI, 0.18–0.89), but not among women living in husband-headed households, for whom increased negotiation for safer sex would be more relevant (OR, 1.74; 95% CI, 0.92–3.29). These findings suggest that reinforcing women's land rights may reduce reliance on survival sex and serve as a viable structural approach to HIV prevention, particularly for women not in a husband's household, including unmarried women and female household heads.

Suggested Citation

  • Muchomba, Felix M. & Wang, Julia Shu-Huah & Agosta, Laura Maria, 2014. "Women's land ownership and risk of HIV infection in Kenya," Social Science & Medicine, Elsevier, vol. 114(C), pages 97-102.
    • Handle: RePEc:eee:socmed:v:114:y:2014:i:c:p:97-102
    DOI: 10.1016/j.socscimed.2014.05.055
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    1. Esther Duflo, 2003. "Grandmothers and Granddaughters: Old-Age Pensions and Intrahousehold Allocation in South Africa," The World Bank Economic Review, World Bank, vol. 17(1), pages 1-25, June.
    2. Cecilia Conrad & Cheryl Doss, 2008. "The AIDS Epidemic: Challenges for Feminist Economics," Feminist Economics, Taylor & Francis Journals, vol. 14(4), pages 1-18.
    3. Maitra, Pushkar, 2004. "Parental bargaining, health inputs and child mortality in India," Journal of Health Economics, Elsevier, vol. 23(2), pages 259-291, March.
    4. Doss, Cheryl, 2013. "Intrahousehold bargaining and resource allocation in developing countries," Policy Research Working Paper Series 6337, The World Bank.
    5. Cheryl Doss, 2013. "Intrahousehold Bargaining and Resource Allocation in Developing Countries-super-1," The World Bank Research Observer, World Bank, vol. 28(1), pages 52-78, February.
    6. Deon Filmer & Lant Pritchett, 2001. "Estimating Wealth Effects Without Expenditure Data—Or Tears: An Application To Educational Enrollments In States Of India," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 115-132, February.
    7. Jonathan Robinson & Ethan Yeh, 2011. "Transactional Sex as a Response to Risk in Western Kenya," American Economic Journal: Applied Economics, American Economic Association, vol. 3(1), pages 35-64, January.
    8. Gustavo J. Bobonis, 2009. "Is the Allocation of Resources within the Household Efficient? New Evidence from a Randomized Experiment," Journal of Political Economy, University of Chicago Press, vol. 117(3), pages 453-503, June.
    9. Anna Aizer, 2010. "The Gender Wage Gap and Domestic Violence," American Economic Review, American Economic Association, vol. 100(4), pages 1847-1859, September.
    10. Geoffrey R. Dunbar & Arthur Lewbel & Krishna Pendakur, 2013. "Children's Resources in Collective Households: Identification, Estimation, and an Application to Child Poverty in Malawi," American Economic Review, American Economic Association, vol. 103(1), pages 438-471, February.
    11. Loubiere, Sandrine & Peretti-Watel, Patrick & Boyer, Sylvie & Blanche, Jérôme & Abega, Séverin-Cécile & Spire, Bruno, 2009. "HIV disclosure and unsafe sex among HIV-infected women in Cameroon: Results from the ANRS-EVAL study," Social Science & Medicine, Elsevier, vol. 69(6), pages 885-891, September.
    12. Amber Peterman, 2011. "Women's Property Rights and Gendered Policies: Implications for Women's Long-term Welfare in Rural Tanzania," Journal of Development Studies, Taylor & Francis Journals, vol. 47(1), pages 1-30.
    13. Durevall, Dick & Lindskog, Annika, 2012. "Economic Inequality and HIV in Malawi," World Development, Elsevier, vol. 40(7), pages 1435-1451.
    14. Marielle Aulagnier & Wendy Janssens & Ingrid De Beer & Gert van Rooy & Esegiel Gaeb & Cees Hesp & Jacques van der Gaag & Tobias F Rinke de Wit, 2011. "Incidence of HIV in Windhoek, Namibia: Demographic and Socio-Economic Associations," PLOS ONE, Public Library of Science, vol. 6(10), pages 1-9, October.
    15. Allendorf, Keera, 2007. "Do Women's Land Rights Promote Empowerment and Child Health in Nepal?," World Development, Elsevier, vol. 35(11), pages 1975-1988, November.
    16. Shelly J. Lundberg & Robert A. Pollak & Terence J. Wales, 1997. "Do Husbands and Wives Pool Their Resources? Evidence from the United Kingdom Child Benefit," Journal of Human Resources, University of Wisconsin Press, vol. 32(3), pages 463-480.
    17. Haddad, Lawrence & Hoddinott, John, 1994. "Women's income and boy-girl anthropometric status in the Cote d'Ivoire," World Development, Elsevier, vol. 22(4), pages 543-553, April.
    18. Aliber, Michael & Walker, Cherryl, 2006. "The impact of HIV/AIDS on land rights: Perspectives from Kenya," World Development, Elsevier, vol. 34(4), pages 704-727, April.
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    2. Meinzen-Dick, Ruth & Quisumbing, Agnes & Doss, Cheryl & Theis, Sophie, 2019. "Women's land rights as a pathway to poverty reduction: Framework and review of available evidence," Agricultural Systems, Elsevier, vol. 172(C), pages 72-82.

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