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The heterogeneous effects of HIV testing

Sarah Baird, Erick Gong (), Craig McIntosh and Berk Özler

No 6823, Policy Research Working Paper Series from The World Bank

Abstract: An extensive multi-disciplinary literature examines the effects of learning one's HIV status on subsequent risky sexual behaviors. However, many of these studies rely on non-experimental designs; use self-reported outcome measures, or both. This study investigates the effects of a randomly assigned home based HIV testing and counseling (HTC) intervention on risky sexual behaviors and schooling investments among school-age females in Malawi. The study finds no overall effects on HIV, Herpes Simplex Virus (HSV-2), or achievement test scores at follow-up. However, among the small group of individuals who tested positive for HIV, a large increase in the probability of contracting HSV-2 is found, with this effect stronger among those surprised by their test results. Similarly, those surprised by HIV-negative test results see a significant improvement in achievement test scores, consistent with increased returns to investments in human capital. The finding of increased HSV-2 prevalence among HIV-positive individuals suggests that the conventional wisdom that those who learn they are HIV-positive will adopt safer sexual practices should be treated with caution.

Keywords: Disease Control&Prevention; Population Policies; HIV AIDS; Gender and Health; HIV AIDS and Business (search for similar items in EconPapers)
Date: 2014-03-01
New Economics Papers: this item is included in nep-exp, nep-ger and nep-hea
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (23)

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Journal Article: The heterogeneous effects of HIV testing (2014) Downloads
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