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Links between Wealth, Transactional Sex, and Risk Behavior in Kisumu, Kenya

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Abstract:

Early in the HIV/AIDS epidemic in sub-Saharan Africa, economic status was positively associated with infection. A key explanation was that wealthier men could afford multiple sexual partners—particularly commercial sex workers—and therefore faced greater risk of infection. At present, economic status is generally found to be negatively associated with HIV infection, particularly among women. It is believed that many women are motivated by poor economic conditions to engage in “transactional sex” for receipt of needed financial transfers. The relationship between wealth and HIV infection is less clear for men. On the one hand, wealth may continue to be a risk factor for men of higher economic status, who can afford to engage in transactional sex. On the other hand, wealthy men may have greater incentives to protect themselves from HIV infection than poorer men. Using survey data from men in urban Kisumu, Kenya, where HIV prevalence is estimated at 30%, we examine the relationship between men’s wealth and risk behavior. We find that economic status is positively associated with engaging in transactional sex, as expected. Economic status is not correlated with condom use, however. Much of this analysis is concerned with exploring alternative explanations for this interesting finding.

Most Common Document Word Stems:

transfer (112), men (111), use (96), status (92), econom (84), condom (81), sexual (79), partnership (66), partner (63), last (57), relationship (48), marit (43), femal (39), month (39), non (38), non-marit (33), signific (33), age (31), year (31), male (31), incom (30),

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HIV/AIDS, sexual risk behavior, transactional sex, Kenya
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Name: American Sociological Association
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MLA Citation:

Luke, Nancy. "Links between Wealth, Transactional Sex, and Risk Behavior in Kisumu, Kenya" Paper presented at the annual meeting of the American Sociological Association, Montreal Convention Center, Montreal, Quebec, Canada, Aug 10, 2006 <Not Available>. 2009-05-24 <http://www.allacademic.com/meta/p97120_index.html>

APA Citation:

Luke, N. , 2006-08-10 "Links between Wealth, Transactional Sex, and Risk Behavior in Kisumu, Kenya" Paper presented at the annual meeting of the American Sociological Association, Montreal Convention Center, Montreal, Quebec, Canada Online <APPLICATION/PDF>. 2009-05-24 from http://www.allacademic.com/meta/p97120_index.html

Publication Type: Conference Paper/Unpublished Manuscript
Abstract: Early in the HIV/AIDS epidemic in sub-Saharan Africa, economic status was positively associated with infection. A key explanation was that wealthier men could afford multiple sexual partners—particularly commercial sex workers—and therefore faced greater risk of infection. At present, economic status is generally found to be negatively associated with HIV infection, particularly among women. It is believed that many women are motivated by poor economic conditions to engage in “transactional sex” for receipt of needed financial transfers. The relationship between wealth and HIV infection is less clear for men. On the one hand, wealth may continue to be a risk factor for men of higher economic status, who can afford to engage in transactional sex. On the other hand, wealthy men may have greater incentives to protect themselves from HIV infection than poorer men. Using survey data from men in urban Kisumu, Kenya, where HIV prevalence is estimated at 30%, we examine the relationship between men’s wealth and risk behavior. We find that economic status is positively associated with engaging in transactional sex, as expected. Economic status is not correlated with condom use, however. Much of this analysis is concerned with exploring alternative explanations for this interesting finding.

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Document Type: application/pdf
Page count: 21
Word count: 6517
Text sample:
Links between Wealth Transactional Sex and Risk Behavior in Kisumu Kenya Nancy Luke Assistant Professor (Research) Population Studies and Training Center Visiting Assistant Professor Department of Sociology Brown University Box 1836 Providence RI 02912 401-863-3239 Tel 401-863-3351 Fax nluke@brown.edu DRAFT PAPER: DO NOT CITE WITHOUT AUTHOR’S PERMISSION January 2006 Abstract Early in the HIV/AIDS epidemic in sub-Saharan Africa economic status was positively associated with infection. A key explanation was that wealthier men could afford multiple sexual partners—particularly commercial sex
(.125) (.125) Duration of partnership (months) -0.002 -0.002 (.002) (.002) Constant 0.729 *** 0.729 *** (.188) (.186) N 1609 1585 ***p=<0.001; **p<0.01; *p<0.05; +p<0.10; standard errors in parentheses Standard errors are corrected for heteroscedasticity and are robust to Recent non-marital sexual partnerhips refer to men's non-marital sexual partnerships whose last act of sexual intercourse occurred in the last Income: income in last month in Kenyan shillings/1000 Total amount of transfers: transfers in Kenyana shillings/1000


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