Coping with Risk : The Effects of Shocks on Reproductive Health and Transactional Sex in Rural Tanzania

de Walque, Damien ; Dow, William H. ; Gong, Erick

World Bank, Washington, DC

关键词: ADOLESCENT;    ADOLESCENT GIRLS;    ADVERSE HEALTH;    AIDS PREVENTION;    ALCOHOL;   

DOI  :  10.1596/1813-9450-6751
RP-ID  :  WPS6751

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

Transactional sex is believed to be animportant risk-coping mechanism for women in Sub-SaharanAfrica and a leading contributor to the HIV/AIDS epidemic.This paper uses data from a panel of women in rural Tanzaniawhose primary occupation is agriculture. The analysis findsthat following a negative shock (such as food insecurity),unmarried women are about three times more likely to havebeen paid for sex. Regardless of marital status, after ashock women have more unprotected sex and are 36 percentmore likely to have a sexually transmitted infection. Theseempirical findings support the claims that transactional sexis not confined to commercial sex workers and thatfrequently experienced shocks, such as food insecurity, maylead women to engage in transactional sex as a risk-coping behavior.