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Antiretroviral Therapy Awareness and Risky Sexual Behaviors : Evidence from Mozambique

ABORTION ABORTION RATE ABSTINENCE ADHERENCE TO TREATMENT AID AIDS TREATMENT PRENATAL CLINIC BIRTH CONTROL BISEXUAL MEN CHRONIC CONDITION CHRONIC DISEASE COMMERCIAL SEX CONDOM CONDOM USE DEMAND FOR CONDOMS DISEASES DISSEMINATION DRUGS EARLY DETECTION ECONOMIC GROWTH EDUCATIONAL ATTAINMENT EMERGENCY CONTRACEPTION EPIDEMIC FEMALE GENDER GENDER DIFFERENCE GENDER INEQUALITIES GLOBAL DEVELOPMENT HEALTH FACILITY HIV HIV INFECTION HIV POSITIVE HIV PREVENTION HIV TESTING HIV/AIDS HUMAN CAPITAL HUMAN DEVELOPMENT INDIVIDUAL CHARACTERISTICS INTERNATIONAL COMMUNITY INTIMATE PARTNER LABOR FORCE LIMITED RESOURCES LONGEVITY MARITAL SEX MEDIA COVERAGE MEDICINES MICROBICIDES MONOGAMY PATIENTS PILL POLICY MAKERS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POST-EXPOSURE PROPHYLAXIS PREGNANCY PREGNANCY TERMINATION PREMATURE DEATH PREVALENCE PREVALENCE RATE PREVENTIVE MEDICINE PROGRESS PROSTITUTES PUBLIC SERVICES QUALITY OF LIFE REPRODUCTIVE HEALTH RISK TAKING RISKY BEHAVIOR RISKY BEHAVIORS RISKY SEX RISKY SEXUAL BEHAVIOR RISKY SEXUAL BEHAVIORS SAFE SEX SEAT BELTS SEX WITH MEN SEX WORKERS SEXUAL CHOICES SEXUAL CONDUCT SEXUAL INTERCOURSE SEXUAL PARTNER SEXUAL PARTNERS SEXUAL PRACTICES SEXUAL RISK SEXUAL RISK BEHAVIOUR SEXUALLY ACTIVE SEXUALLY TRANSMITTED DISEASES SOCIAL SCIENCE SPOUSE STATE UNIVERSITY STD STIS THERAPY UNAIDS UNINTENDED PREGNANCIES UNIVERSAL ACCESS UNIVERSAL ACCESS TO TREATMENT UNPROTECTED SEX UNPROTECTED SEXUAL INTERCOURSE USE OF CONDOMS VACCINES VIOLENCE VOLUNTARY COUNSELING YOUTH
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Africa | Mozambique
2012-03-19T18:43:02Z | 2012-03-19T18:43:02Z | 2010-11-01

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.

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