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Economic shocks and risky sexual behaviours in low- and middle-income countries: a systematic review of the literature

Author

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  • Henry Cust
  • Harriet Jones
  • Tim Powell-Jackson
  • Aurélia Lépine
  • Rosalba Radice

Abstract

We document the extent to which economic shocks through economic incentives explain HIV transmission through risky sexual behaviours in LMICs. We include 35 papers containing 31 unique negative and 11 unique positive economic shocks combined with over 320 health and risky sex outcomes. We find a diverse literature with varying empirical approaches showing increases in risky sexual behaviours are more sensitive to negative shocks than decreases are to positive shocks. Those already at risk of engaging in transactional sex are particularly vulnerable to increasing risky behaviours. Protecting against negative shocks is likely to most effective in preventing HIV transmission.

Suggested Citation

  • Henry Cust & Harriet Jones & Tim Powell-Jackson & Aurélia Lépine & Rosalba Radice, 2021. "Economic shocks and risky sexual behaviours in low- and middle-income countries: a systematic review of the literature," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 13(2), pages 166-203, April.
    • Handle: RePEc:taf:jdevef:v:13:y:2021:i:2:p:166-203
    DOI: 10.1080/19439342.2021.1928734
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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. Henry Cust & Aurélia Lépine & Carole Treibich & Timothy Powell‐Jackson & Rosalba Radice & Cheikh Tidiane Ndour, 2024. "Trading HIV for sheep: Risky sexual behavior and the response of female sex workers to Tabaski in Senegal," Health Economics, John Wiley & Sons, Ltd., vol. 33(1), pages 153-193, January.

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