IDEAS home Printed from https://ideas.repec.org/a/wly/hlthec/v30y2021i3p642-658.html
   My bibliography  Save this article

To educate a woman and to educate a man: Gender‐specific sexual behavior and human immunodeficiency virus responses to an education reform in Botswana

Author

Listed:
  • Annika Lindskog
  • Dick Durevall

Abstract

This study analyses mechanisms that link education to human immunodeficiency virus (HIV) with a focus on gender differences, using data from four nationally representative surveys in Botswana. To estimate the causal effect, an exogenous 1‐year increase of junior secondary school is used. The key finding is that women and men responded differently to the reform. Among women, it led to delayed sexual debut and reduced time between first sex and marriage by up to a year. Among men, risky sex, measured by the likelihood of concurrent sexual partnerships and paying for sex, increased. The increase in risky sex among men is likely to be due to the education reform's positive impact on income. The reform reduced the likelihood of HIV infection sharply among women, especially among relatively young women age 18–24. The impact on men's likelihood of HIV infection is uncertain.

Suggested Citation

  • Annika Lindskog & Dick Durevall, 2021. "To educate a woman and to educate a man: Gender‐specific sexual behavior and human immunodeficiency virus responses to an education reform in Botswana," Health Economics, John Wiley & Sons, Ltd., vol. 30(3), pages 642-658, March.
    • Handle: RePEc:wly:hlthec:v:30:y:2021:i:3:p:642-658
    DOI: 10.1002/hec.4212
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hec.4212
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hec.4212?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Chicoine, Luke, 2012. "Education and Fertility: Evidence from a Policy Change in Kenya," IZA Discussion Papers 6778, Institute of Labor Economics (IZA).
    2. Matias D. Cattaneo & Michael Jansson & Xinwei Ma, 2020. "Simple Local Polynomial Density Estimators," Journal of the American Statistical Association, Taylor & Francis Journals, vol. 115(531), pages 1449-1455, July.
    3. 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.
    4. Marshall Burke & Erick Gong & Kelly Jones, 2015. "Income Shocks and HIV in Africa," Economic Journal, Royal Economic Society, vol. 125(585), pages 1157-1189, June.
    5. Eliana La Ferrara & Annamaria Milazzo, 2017. "Customary Norms, Inheritance, and Human Capital: Evidence from a Reform of the Matrilineal System in Ghana," American Economic Journal: Applied Economics, American Economic Association, vol. 9(4), pages 166-185, October.
    6. Jeremy Magruder, 2011. "Marital Shopping and Epidemic AIDS," Demography, Springer;Population Association of America (PAA), vol. 48(4), pages 1401-1428, November.
    7. Tawfik, Linda & Watkins, Susan Cotts, 2007. "Sex in Geneva, sex in Lilongwe, and sex in Balaka," Social Science & Medicine, Elsevier, vol. 64(5), pages 1090-1101, March.
    8. Jorge M. Agüero & Prashant Bharadwaj, 2014. "Do the More Educated Know More about Health? Evidence from Schooling and HIV Knowledge in Zimbabwe," Economic Development and Cultural Change, University of Chicago Press, vol. 62(3), pages 489-517.
    Full references (including those not matched with items on IDEAS)

    Citations

    Blog mentions

    As found by EconAcademics.org, the blog aggregator for Economics research:
    1. Chris Sampson’s journal round-up for 8th March 2021
      by Chris Sampson in The Academic Health Economists' Blog on 2021-03-08 12:00:01

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Gawain Heckley & Martin Nordin & Ulf‐G. Gerdtham, 2022. "The health returns of attending university for the marginally eligible student," Health Economics, John Wiley & Sons, Ltd., vol. 31(5), pages 877-903, May.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kathleen Beegle & Michelle Poulin & Gil Shapira, 2015. "HIV Testing, Behavior Change, and the Transition to Adulthood in Malawi," Economic Development and Cultural Change, University of Chicago Press, vol. 63(4), pages 665-684.
    2. Eastin, Joshua, 2018. "Climate change and gender equality in developing states," World Development, Elsevier, vol. 107(C), pages 289-305.
    3. Wilson, Nicholas, 2016. "Antiretroviral therapy and demand for HIV testing: Evidence from Zambia," Economics & Human Biology, Elsevier, vol. 21(C), pages 221-240.
    4. Miron Tequame & Nyasha Tirivayi, 2015. "Higher education and fertility: Evidence from a natural experiment in Ethiopia," CINCH Working Paper Series 1509, Universitaet Duisburg-Essen, Competent in Competition and Health, revised Aug 2015.
    5. Aaron Richterman & Harsha Thirumurthy, 2022. "The effects of cash transfer programmes on HIV-related outcomes in 42 countries from 1996 to 2019," Nature Human Behaviour, Nature, vol. 6(10), pages 1362-1371, October.
    6. Bertocchi, Graziella & Dimico, Arcangelo, 2019. "The long-term determinants of female HIV infection in Africa: The slave trade, polygyny, and sexual behavior," Journal of Development Economics, Elsevier, vol. 140(C), pages 90-105.
    7. Jones, Kelly & Gong, Erick, 2021. "Precautionary savings and shock-coping behaviors: Effects of promoting mobile bank savings on transactional sex in Kenya," Journal of Health Economics, Elsevier, vol. 78(C).
    8. Stoebenau, Kirsten & Heise, Lori & Wamoyi, Joyce & Bobrova, Natalia, 2016. "Revisiting the understanding of “transactional sex” in sub-Saharan Africa: A review and synthesis of the literature," Social Science & Medicine, Elsevier, vol. 168(C), pages 186-197.
    9. Lucia Corno & Nicole Hildebrandt & Alessandra Voena, 2020. "Age of Marriage, Weather Shocks, and the Direction of Marriage Payments," Econometrica, Econometric Society, vol. 88(3), pages 879-915, May.
    10. Nava Ashraf & Natalie Bau & Nathan Nunn & Alessandra Voena, 2020. "Bride Price and Female Education," Journal of Political Economy, University of Chicago Press, vol. 128(2), pages 591-641.
    11. 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.
    12. Rachel E. Baker, 2020. "Climate change drives increase in modeled HIV prevalence," Climatic Change, Springer, vol. 163(1), pages 237-252, November.
    13. McGavock, Tamara & Novak, Lindsey, 2023. "Now, Later, or Never? Evidence of the effect of weather shocks on female genital cutting in Sub-Saharan Africa," Journal of Development Economics, Elsevier, vol. 165(C).
    14. Fenske, James, 2015. "African polygamy: Past and present," Journal of Development Economics, Elsevier, vol. 117(C), pages 58-73.
    15. Wilson, Nicholas, 2012. "Economic booms and risky sexual behavior: Evidence from Zambian copper mining cities," Journal of Health Economics, Elsevier, vol. 31(6), pages 797-812.
    16. Dessy, Sylvain & Tiberti, Luca & Zoundi, David, 2023. "The gender education gap in developing countries: Roles of income shocks and culture," Journal of Comparative Economics, Elsevier, vol. 51(1), pages 160-180.
    17. TENIKUE Michel & TEQUAME Miron, 2018. "Economic and Health Impacts of the 2011 Post-Electoral Crisis in Côte d’Ivoire: Evidence from Microdata," LISER Working Paper Series 2018-03, Luxembourg Institute of Socio-Economic Research (LISER).
    18. 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.
    19. 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.
    20. Gong, Erick & de Walque, Damien & Dow, William H., 2019. "Coping with risk: Negative shocks, transactional sex, and the limitations of conditional cash transfers," Journal of Health Economics, Elsevier, vol. 67(C).

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:hlthec:v:30:y:2021:i:3:p:642-658. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www3.interscience.wiley.com/cgi-bin/jhome/5749 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.