ABSTRACT

We document the extent to which economic shocks through economic incentives explain HIV transmission through risky sexual behaviours in LMICs. We include 35 papers containing 31 unique negative and 11 unique positive economic shocks combined with over 320 health and risky sex outcomes. We find a diverse literature with varying empirical approaches showing increases in risky sexual behaviours are more sensitive to negative shocks than decreases are to positive shocks. Those already at risk of engaging in transactional sex are particularly vulnerable to increasing risky behaviours. Protecting against negative shocks is likely to most effective in preventing HIV transmission.

摘要

我们记录了通过经济激励措施造成的经济冲击在多大程度上解释了中低收入国家通过危险的性行为传播艾滋病毒。我们收录了 35 篇论文，其中包含 31 种独特的负面经济冲击和 11 种独特的正面经济冲击，以及 320 多种健康和危险的性行为结果。我们发现具有不同经验方法的多样化文献表明，危险性行为的增加对负面冲击的敏感性高于减少对正面冲击的敏感性。那些已经有从事性交易风险的人特别容易受到越来越多的危险行为的影响。防止负面冲击可能最有效地预防艾滋病毒传播。