Antiretroviral drug access and behavior change

Willa Friedman

Journal of Development Economics, 2018, vol. 135, issue C, 392-411

Abstract: Assessing the impact of antiretroviral-drug access on future HIV infections in Sub-Saharan Africa requires identification of the behavioral response. This paper combines geocoded information about the timing of introduction of ARVs in Kenyan health facilities with population surveys to estimate the impact of proximity to ARV providers on adolescent risky sexual behavior. A variety of difference-in-difference strategies yield a range of estimates of behavioral effects on pregnancy rates and self-reported sexual activity among 15-18 year-olds in areas where ARVs were introduced, from small to quite large. A simulation combining estimated behavioral responses with medical evidence regarding HIV transmission suggests increasing ARV access will reduce new HIV infections even with a very large increases in risk-taking.

Keywords: I15; I18; J13; O15 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (21)

Downloads: (external link)
http://www.sciencedirect.com/science/article/pii/S0304387818304516
Full text for ScienceDirect subscribers only

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:eee:deveco:v:135:y:2018:i:c:p:392-411

DOI: 10.1016/j.jdeveco.2018.07.011

Access Statistics for this article

Journal of Development Economics is currently edited by M. R. Rosenzweig

More articles in Journal of Development Economics from Elsevier
Bibliographic data for series maintained by Catherine Liu ().