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

Transactional sex is believed to be an important risk-coping mechanism for women in Sub-Saharan Africa and a leading contributor to the HIV/AIDS epidemic. This paper uses data from a panel of women in rural Tanzania whose primary occupation is agri...

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Main Authors: de Walque, Damien, Dow, William H., Gong, Erick
Format: Policy Research Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2014
Subjects:
HIV
LAM
SEX
Online Access:http://documents.worldbank.org/curated/en/2014/01/18832582/coping-risk-effects-shocks-reproductive-health-transactional-sex-rural-tanzania
http://hdl.handle.net/10986/16827
id okr-10986-16827
recordtype oai_dc
spelling okr-10986-168272021-04-23T14:03:33Z Coping with Risk : The Effects of Shocks on Reproductive Health and Transactional Sex in Rural Tanzania de Walque, Damien Dow, William H. Gong, Erick ADOLESCENT ADOLESCENT GIRLS ADVERSE HEALTH AIDS PREVENTION ALCOHOL AVERAGE AGE BABY BIOLOGICAL MARKERS BIRTH OUTCOMES BIRTH WEIGHT BIRTHS BLINDNESS CHILDHOOD CHLAMYDIA CHRONIC PAIN CLINICS COMMERCIAL SEX COMMERCIAL SEX WORKERS COMPLICATIONS COMPLICATIONS DURING PREGNANCY CONDOM CONDOM USE CULTURAL CHANGE DEVELOPMENT POLICY ECONOMIC STATUS EPIDEMIC FACT SHEET FALLOPIAN TUBES FAMILY PLANNING FEMALE FERTILITY FOOD INSECURITY FOOD SECURITY GONORRHEA HEALTH OUTCOMES HEALTH PROBLEMS HIGH-RISK HIGH-RISK SEXUAL BEHAVIOR HIV HIV INFECTION HIV/AIDS HOME HOUSEHOLD LEVEL HUMAN DEVELOPMENT HUSBANDS ILLNESS IMPORTANT POLICY INFECTION PREVENTION INFERTILITY INSURANCE LAM LOW-INCOME COUNTRIES MALE PARTNERS MARITAL STATUS MARRIAGES MEDICAL TREATMENT MEDICINE MEDICINES MIGRATION MORBIDITY NURSE OLDER MEN PANDEMIC PELVIC INFLAMMATORY DISEASE POLICY DISCUSSIONS POLICY IMPLICATIONS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POLITICAL INSTABILITY POPULATION REFERENCE BUREAU PREGNANCIES PROGRESS PROSTITUTION PUBLIC HEALTH PUBLIC SERVICES REPRODUCTIVE HEALTH RESPECT RISK FACTORS RISKY SEXUAL BEHAVIOR RISKY SEXUAL BEHAVIORS SAFE SEX SEX SEX FOR MONEY SEXUAL ACTIVITY SEXUAL BEHAVIOR SEXUAL BEHAVIORS SEXUAL BEHAVIOUR SEXUAL INTERCOURSE SEXUAL PARTNERS SEXUAL RELATIONS SEXUAL RELATIONSHIPS SEXUAL RISK SEXUAL RISK FACTORS SEXUALLY TRANSMITTED INFECTION SEXUALLY TRANSMITTED INFECTIONS SINGLE WOMEN SOCIAL ECONOMIC STATUS SOCIAL SCIENCE SOCIOECONOMIC STATUS SPOUSE SPOUSES STIS SUSTAINABLE DEVELOPMENT SYPHILIS UNMARRIED WOMEN UNMARRIED YOUTHS UNPROTECTED SEX URBAN MIGRATION WIDOWS WILL WOMAN YOUNG ADULTS YOUNG MEN YOUNG WOMEN YOUNGER WOMEN YOUTHS Transactional sex is believed to be an important risk-coping mechanism for women in Sub-Saharan Africa and a leading contributor to the HIV/AIDS epidemic. This paper uses data from a panel of women in rural Tanzania whose primary occupation is agriculture. The analysis finds that following a negative shock (such as food insecurity), unmarried women are about three times more likely to have been paid for sex. Regardless of marital status, after a shock women have more unprotected sex and are 36 percent more likely to have a sexually transmitted infection. These empirical findings support the claims that transactional sex is not confined to commercial sex workers and that frequently experienced shocks, such as food insecurity, may lead women to engage in transactional sex as a risk-coping behavior. 2014-02-03T20:55:45Z 2014-02-03T20:55:45Z 2014-01 http://documents.worldbank.org/curated/en/2014/01/18832582/coping-risk-effects-shocks-reproductive-health-transactional-sex-rural-tanzania http://hdl.handle.net/10986/16827 English en_US Policy Research Working Paper;No. 6751 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research Africa Tanzania
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic ADOLESCENT
ADOLESCENT GIRLS
ADVERSE HEALTH
AIDS PREVENTION
ALCOHOL
AVERAGE AGE
BABY
BIOLOGICAL MARKERS
BIRTH OUTCOMES
BIRTH WEIGHT
BIRTHS
BLINDNESS
CHILDHOOD
CHLAMYDIA
CHRONIC PAIN
CLINICS
COMMERCIAL SEX
COMMERCIAL SEX WORKERS
COMPLICATIONS
COMPLICATIONS DURING PREGNANCY
CONDOM
CONDOM USE
CULTURAL CHANGE
DEVELOPMENT POLICY
ECONOMIC STATUS
EPIDEMIC
FACT SHEET
FALLOPIAN TUBES
FAMILY PLANNING
FEMALE
FERTILITY
FOOD INSECURITY
FOOD SECURITY
GONORRHEA
HEALTH OUTCOMES
HEALTH PROBLEMS
HIGH-RISK
HIGH-RISK SEXUAL BEHAVIOR
HIV
HIV INFECTION
HIV/AIDS
HOME
HOUSEHOLD LEVEL
HUMAN DEVELOPMENT
HUSBANDS
ILLNESS
IMPORTANT POLICY
INFECTION PREVENTION
INFERTILITY
INSURANCE
LAM
LOW-INCOME COUNTRIES
MALE PARTNERS
MARITAL STATUS
MARRIAGES
MEDICAL TREATMENT
MEDICINE
MEDICINES
MIGRATION
MORBIDITY
NURSE
OLDER MEN
PANDEMIC
PELVIC INFLAMMATORY DISEASE
POLICY DISCUSSIONS
POLICY IMPLICATIONS
POLICY RESEARCH
POLICY RESEARCH WORKING PAPER
POLITICAL INSTABILITY
POPULATION REFERENCE BUREAU
PREGNANCIES
PROGRESS
PROSTITUTION
PUBLIC HEALTH
PUBLIC SERVICES
REPRODUCTIVE HEALTH
RESPECT
RISK FACTORS
RISKY SEXUAL BEHAVIOR
RISKY SEXUAL BEHAVIORS
SAFE SEX
SEX
SEX FOR MONEY
SEXUAL ACTIVITY
SEXUAL BEHAVIOR
SEXUAL BEHAVIORS
SEXUAL BEHAVIOUR
SEXUAL INTERCOURSE
SEXUAL PARTNERS
SEXUAL RELATIONS
SEXUAL RELATIONSHIPS
SEXUAL RISK
SEXUAL RISK FACTORS
SEXUALLY TRANSMITTED INFECTION
SEXUALLY TRANSMITTED INFECTIONS
SINGLE WOMEN
SOCIAL ECONOMIC STATUS
SOCIAL SCIENCE
SOCIOECONOMIC STATUS
SPOUSE
SPOUSES
STIS
SUSTAINABLE DEVELOPMENT
SYPHILIS
UNMARRIED WOMEN
UNMARRIED YOUTHS
UNPROTECTED SEX
URBAN MIGRATION
WIDOWS
WILL
WOMAN
YOUNG ADULTS
YOUNG MEN
YOUNG WOMEN
YOUNGER WOMEN
YOUTHS
spellingShingle ADOLESCENT
ADOLESCENT GIRLS
ADVERSE HEALTH
AIDS PREVENTION
ALCOHOL
AVERAGE AGE
BABY
BIOLOGICAL MARKERS
BIRTH OUTCOMES
BIRTH WEIGHT
BIRTHS
BLINDNESS
CHILDHOOD
CHLAMYDIA
CHRONIC PAIN
CLINICS
COMMERCIAL SEX
COMMERCIAL SEX WORKERS
COMPLICATIONS
COMPLICATIONS DURING PREGNANCY
CONDOM
CONDOM USE
CULTURAL CHANGE
DEVELOPMENT POLICY
ECONOMIC STATUS
EPIDEMIC
FACT SHEET
FALLOPIAN TUBES
FAMILY PLANNING
FEMALE
FERTILITY
FOOD INSECURITY
FOOD SECURITY
GONORRHEA
HEALTH OUTCOMES
HEALTH PROBLEMS
HIGH-RISK
HIGH-RISK SEXUAL BEHAVIOR
HIV
HIV INFECTION
HIV/AIDS
HOME
HOUSEHOLD LEVEL
HUMAN DEVELOPMENT
HUSBANDS
ILLNESS
IMPORTANT POLICY
INFECTION PREVENTION
INFERTILITY
INSURANCE
LAM
LOW-INCOME COUNTRIES
MALE PARTNERS
MARITAL STATUS
MARRIAGES
MEDICAL TREATMENT
MEDICINE
MEDICINES
MIGRATION
MORBIDITY
NURSE
OLDER MEN
PANDEMIC
PELVIC INFLAMMATORY DISEASE
POLICY DISCUSSIONS
POLICY IMPLICATIONS
POLICY RESEARCH
POLICY RESEARCH WORKING PAPER
POLITICAL INSTABILITY
POPULATION REFERENCE BUREAU
PREGNANCIES
PROGRESS
PROSTITUTION
PUBLIC HEALTH
PUBLIC SERVICES
REPRODUCTIVE HEALTH
RESPECT
RISK FACTORS
RISKY SEXUAL BEHAVIOR
RISKY SEXUAL BEHAVIORS
SAFE SEX
SEX
SEX FOR MONEY
SEXUAL ACTIVITY
SEXUAL BEHAVIOR
SEXUAL BEHAVIORS
SEXUAL BEHAVIOUR
SEXUAL INTERCOURSE
SEXUAL PARTNERS
SEXUAL RELATIONS
SEXUAL RELATIONSHIPS
SEXUAL RISK
SEXUAL RISK FACTORS
SEXUALLY TRANSMITTED INFECTION
SEXUALLY TRANSMITTED INFECTIONS
SINGLE WOMEN
SOCIAL ECONOMIC STATUS
SOCIAL SCIENCE
SOCIOECONOMIC STATUS
SPOUSE
SPOUSES
STIS
SUSTAINABLE DEVELOPMENT
SYPHILIS
UNMARRIED WOMEN
UNMARRIED YOUTHS
UNPROTECTED SEX
URBAN MIGRATION
WIDOWS
WILL
WOMAN
YOUNG ADULTS
YOUNG MEN
YOUNG WOMEN
YOUNGER WOMEN
YOUTHS
de Walque, Damien
Dow, William H.
Gong, Erick
Coping with Risk : The Effects of Shocks on Reproductive Health and Transactional Sex in Rural Tanzania
geographic_facet Africa
Tanzania
relation Policy Research Working Paper;No. 6751
description Transactional sex is believed to be an important risk-coping mechanism for women in Sub-Saharan Africa and a leading contributor to the HIV/AIDS epidemic. This paper uses data from a panel of women in rural Tanzania whose primary occupation is agriculture. The analysis finds that following a negative shock (such as food insecurity), unmarried women are about three times more likely to have been paid for sex. Regardless of marital status, after a shock women have more unprotected sex and are 36 percent more likely to have a sexually transmitted infection. These empirical findings support the claims that transactional sex is not confined to commercial sex workers and that frequently experienced shocks, such as food insecurity, may lead women to engage in transactional sex as a risk-coping behavior.
format Publications & Research :: Policy Research Working Paper
author de Walque, Damien
Dow, William H.
Gong, Erick
author_facet de Walque, Damien
Dow, William H.
Gong, Erick
author_sort de Walque, Damien
title Coping with Risk : The Effects of Shocks on Reproductive Health and Transactional Sex in Rural Tanzania
title_short Coping with Risk : The Effects of Shocks on Reproductive Health and Transactional Sex in Rural Tanzania
title_full Coping with Risk : The Effects of Shocks on Reproductive Health and Transactional Sex in Rural Tanzania
title_fullStr Coping with Risk : The Effects of Shocks on Reproductive Health and Transactional Sex in Rural Tanzania
title_full_unstemmed Coping with Risk : The Effects of Shocks on Reproductive Health and Transactional Sex in Rural Tanzania
title_sort coping with risk : the effects of shocks on reproductive health and transactional sex in rural tanzania
publisher World Bank, Washington, DC
publishDate 2014
url http://documents.worldbank.org/curated/en/2014/01/18832582/coping-risk-effects-shocks-reproductive-health-transactional-sex-rural-tanzania
http://hdl.handle.net/10986/16827
_version_ 1764435075438477312