Cargando…
To educate a woman and to educate a man: Gender‐specific sexual behavior and human immunodeficiency virus responses to an education reform in Botswana
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 fin...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7986816/ https://www.ncbi.nlm.nih.gov/pubmed/33369798 http://dx.doi.org/10.1002/hec.4212 |
_version_ | 1783668517749391360 |
---|---|
author | Lindskog, Annika Durevall, Dick |
author_facet | Lindskog, Annika Durevall, Dick |
author_sort | Lindskog, Annika |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7986816 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-79868162021-03-25 To educate a woman and to educate a man: Gender‐specific sexual behavior and human immunodeficiency virus responses to an education reform in Botswana Lindskog, Annika Durevall, Dick Health Econ Research Articles 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. John Wiley and Sons Inc. 2020-12-28 2021-03 /pmc/articles/PMC7986816/ /pubmed/33369798 http://dx.doi.org/10.1002/hec.4212 Text en © 2020 The Authors. Health Economics published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Research Articles Lindskog, Annika Durevall, Dick To educate a woman and to educate a man: Gender‐specific sexual behavior and human immunodeficiency virus responses to an education reform in Botswana |
title | To educate a woman and to educate a man: Gender‐specific sexual behavior and human immunodeficiency virus responses to an education reform in Botswana |
title_full | To educate a woman and to educate a man: Gender‐specific sexual behavior and human immunodeficiency virus responses to an education reform in Botswana |
title_fullStr | To educate a woman and to educate a man: Gender‐specific sexual behavior and human immunodeficiency virus responses to an education reform in Botswana |
title_full_unstemmed | To educate a woman and to educate a man: Gender‐specific sexual behavior and human immunodeficiency virus responses to an education reform in Botswana |
title_short | To educate a woman and to educate a man: Gender‐specific sexual behavior and human immunodeficiency virus responses to an education reform in Botswana |
title_sort | to educate a woman and to educate a man: gender‐specific sexual behavior and human immunodeficiency virus responses to an education reform in botswana |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7986816/ https://www.ncbi.nlm.nih.gov/pubmed/33369798 http://dx.doi.org/10.1002/hec.4212 |
work_keys_str_mv | AT lindskogannika toeducateawomanandtoeducateamangenderspecificsexualbehaviorandhumanimmunodeficiencyvirusresponsestoaneducationreforminbotswana AT durevalldick toeducateawomanandtoeducateamangenderspecificsexualbehaviorandhumanimmunodeficiencyvirusresponsestoaneducationreforminbotswana |