Antiretroviral Therapy Awareness and Risky Sexual Behaviors : Evidence from Mozambique

de Walque, Damien; Kazianga, Harounan; Over, Mead

dc.creator	de Walque, Damien
dc.creator	Kazianga, Harounan
dc.creator	Over, Mead
dc.date	2012-03-19T18:43:02Z
dc.date	2012-03-19T18:43:02Z
dc.date	2010-11-01
dc.date.accessioned	2023-02-17T21:06:49Z
dc.date.available	2023-02-17T21:06:49Z
dc.identifier	http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20101130114522
dc.identifier	http://hdl.handle.net/10986/3968
dc.identifier.uri	http://localhost:8080/xmlui/handle/CUHPOERS/244938
dc.description	This paper studies the effect of increased access to antiretroviral therapy on risky sexual behavior, using data collected in Mozambique in 2007 and 2008. The survey sampled both households of randomly selected HIV positive individuals and households from the general population. Controlling for unobserved individual characteristics, the findings support the hypothesis of disinhibition behaviors, whereby risky sexual behaviors increase in response to the perceived changes in risk associated with increased access to antiretroviral therapy. Furthermore, men and women respond differently to the perceived changes in risk. In particular, risky behaviors increase for men who believe, wrongly, that AIDS can be cured, while risky behaviors increase for women who believe, correctly, that antiretroviral therapy can treat AIDS but cannot cure it. The findings suggest that scaling up access to antiretroviral therapy without prevention programs may not be optimal if the objective is to contain the disease, since people would adjust their sexual behavior in response to the perceived changes in risk. Therefore, prevention programs need to include educational messages about antiretroviral therapy, and address the changing beliefs about HIV in the era of increasing antiretroviral therapy availability.
dc.language	English
dc.relation	Policy Research working paper ; no. WPS 5486,Impact Evaluation series ; no. IE 47
dc.rights	CC BY 3.0 IGO
dc.rights	http://creativecommons.org/licenses/by/3.0/igo/
dc.rights	World Bank
dc.subject	ABORTION
dc.subject	ABORTION RATE
dc.subject	ABSTINENCE
dc.subject	ADHERENCE TO TREATMENT
dc.subject	AID
dc.subject	AIDS TREATMENT
dc.subject	PRENATAL CLINIC
dc.subject	BIRTH CONTROL
dc.subject	BISEXUAL MEN
dc.subject	CHRONIC CONDITION
dc.subject	CHRONIC DISEASE
dc.subject	COMMERCIAL SEX
dc.subject	CONDOM
dc.subject	CONDOM USE
dc.subject	DEMAND FOR CONDOMS
dc.subject	DISEASES
dc.subject	DISSEMINATION
dc.subject	DRUGS
dc.subject	EARLY DETECTION
dc.subject	ECONOMIC GROWTH
dc.subject	EDUCATIONAL ATTAINMENT
dc.subject	EMERGENCY CONTRACEPTION
dc.subject	EPIDEMIC
dc.subject	FEMALE
dc.subject	GENDER
dc.subject	GENDER DIFFERENCE
dc.subject	GENDER INEQUALITIES
dc.subject	GLOBAL DEVELOPMENT
dc.subject	HEALTH FACILITY
dc.subject	HIV
dc.subject	HIV INFECTION
dc.subject	HIV POSITIVE
dc.subject	HIV PREVENTION
dc.subject	HIV TESTING
dc.subject	HIV/AIDS
dc.subject	HUMAN CAPITAL
dc.subject	HUMAN DEVELOPMENT
dc.subject	INDIVIDUAL CHARACTERISTICS
dc.subject	INTERNATIONAL COMMUNITY
dc.subject	INTIMATE PARTNER
dc.subject	LABOR FORCE
dc.subject	LIMITED RESOURCES
dc.subject	LONGEVITY
dc.subject	MARITAL SEX
dc.subject	MEDIA COVERAGE
dc.subject	MEDICINES
dc.subject	MICROBICIDES
dc.subject	MONOGAMY
dc.subject	PATIENTS
dc.subject	PILL
dc.subject	POLICY MAKERS
dc.subject	POLICY RESEARCH
dc.subject	POLICY RESEARCH WORKING PAPER
dc.subject	POST-EXPOSURE PROPHYLAXIS
dc.subject	PREGNANCY
dc.subject	PREGNANCY TERMINATION
dc.subject	PREMATURE DEATH
dc.subject	PREVALENCE
dc.subject	PREVALENCE RATE
dc.subject	PREVENTIVE MEDICINE
dc.subject	PROGRESS
dc.subject	PROSTITUTES
dc.subject	PUBLIC SERVICES
dc.subject	QUALITY OF LIFE
dc.subject	REPRODUCTIVE HEALTH
dc.subject	RISK TAKING
dc.subject	RISKY BEHAVIOR
dc.subject	RISKY BEHAVIORS
dc.subject	RISKY SEX
dc.subject	RISKY SEXUAL BEHAVIOR
dc.subject	RISKY SEXUAL BEHAVIORS
dc.subject	SAFE SEX
dc.subject	SEAT BELTS
dc.subject	SEX WITH MEN
dc.subject	SEX WORKERS
dc.subject	SEXUAL CHOICES
dc.subject	SEXUAL CONDUCT
dc.subject	SEXUAL INTERCOURSE
dc.subject	SEXUAL PARTNER
dc.subject	SEXUAL PARTNERS
dc.subject	SEXUAL PRACTICES
dc.subject	SEXUAL RISK
dc.subject	SEXUAL RISK BEHAVIOUR
dc.subject	SEXUALLY ACTIVE
dc.subject	SEXUALLY TRANSMITTED DISEASES
dc.subject	SOCIAL SCIENCE
dc.subject	SPOUSE
dc.subject	STATE UNIVERSITY
dc.subject	STD
dc.subject	STIS
dc.subject	THERAPY
dc.subject	UNAIDS
dc.subject	UNINTENDED PREGNANCIES
dc.subject	UNIVERSAL ACCESS
dc.subject	UNIVERSAL ACCESS TO TREATMENT
dc.subject	UNPROTECTED SEX
dc.subject	UNPROTECTED SEXUAL INTERCOURSE
dc.subject	USE OF CONDOMS
dc.subject	VACCINES
dc.subject	VIOLENCE
dc.subject	VOLUNTARY COUNSELING
dc.subject	YOUTH
dc.title	Antiretroviral Therapy Awareness and Risky Sexual Behaviors : Evidence from Mozambique
dc.type	Publications & Research :: Policy Research Working Paper
dc.coverage	Africa
dc.coverage	Mozambique