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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...

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Detalles Bibliográficos
Autores principales: Lindskog, Annika, Durevall, Dick
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
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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.
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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
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