HIV/AIDS-related expectations and risky sexual behaviour in Malawi

Adeline Delavande, Hans Peter Kohler

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

We use probabilistic expectations data elicited from survey respondents in rural Malawi to investigate how risky sexual behaviour may be influenced by individuals' expectations about survival, and future HIVstatus, which in turn depend on the perceived impact of HIV/AIDS on survival, expectations about own and partner's current HIV status, and expectations about HIV transmission rates. Subjective expectations, in particular about mortality risk but not the risk of living with HIV, play an important role in determining the decision to have multiple sexual partners. Using our estimated parameters, we simulate the impact of various policies that would influence expectations. An information campaign on mortality risk would decrease risky sexual behaviour on average, whereas an information campaign on HIV transmission risks, which tend to be overestimated by respondents, would actually increase risky behaviour. Also, the expansion of anti-retroviral therapy (ART) treatments to all individuals infected with HIV would increase risky sexual behaviour for a quarter of the HIV-negative individuals or those who have not been tested because they are aware that ART increases life expectancy, and thus reduces the cost of becoming HIV positive.

Original languageEnglish
Pages (from-to)118-164
Number of pages47
JournalReview of Economic Studies
Volume83
Issue number1
DOIs
Publication statusPublished - 2016

Keywords

  • Hiv/aids
  • Sexual behaviour
  • Subjective expectation

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