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

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
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World Bank, Washington, DC
Africa | Tanzania
2014-02-03T20:55:45Z | 2014-02-03T20:55:45Z | 2014-01

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.

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