Effects of Household Shocks and Poverty on the Timing of Traditional Male Circumcision and HIV Risk in South Africa

被引:2
作者
Venkataramani, Atheendar S. [1 ]
Maughan-Brown, Brendan [2 ]
机构
[1] Harvard Univ, Massachusetts Gen Hosp, Dept Med, Cambridge, MA 02138 USA
[2] Univ Cape Town, SALDRU, ZA-7701 Cape Town, South Africa
基金
新加坡国家研究基金会; 美国安德鲁·梅隆基金会;
关键词
Economic shocks; Poverty; Male circumcision; HIV; South Africa; SEXUAL-BEHAVIOR; INFECTION; PREVENTION; HEALTH; ACCEPTABILITY; COMPLICATIONS; INTERVENTION; PREVALENCE; WEALTH; MALAWI;
D O I
10.1007/s10461-013-0459-3
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Poverty may influence HIV risk by increasing vulnerability to economic shocks and thereby preventing key health investments. We explored this possibility by examining the relationship between household shocks and the timing of traditional male circumcision, a practice associated with considerable expense and whose HIV-prevention benefits are larger when done earlier, even within young adulthood. Using unique data on a sample of Xhosa men, a group that almost universally practices traditional circumcision, we found that respondents in the poorest households delayed circumcision by 2 years if a household member experienced loss of income or death and/or illness. The impact of these shocks declined with increasing household income. Our findings suggest that interventions that work to mitigate the impact of shocks among the poor may be useful in HIV prevention efforts. More generally, they illustrate that the relationship between HIV and wealth may be more nuanced than assumed in previous work.
引用
收藏
页码:1668 / 1674
页数:7
相关论文
共 27 条
[1]   Male circumcision for HIV prevention: a prospective study of complications in clinical and traditional settings in Bungoma, Kenya [J].
Bailey, Robert C. ;
Egesah, Omar ;
Rosenberg, Stephanie .
BULLETIN OF THE WORLD HEALTH ORGANIZATION, 2008, 86 (09) :669-677
[2]   Effect of a cash transfer programme for schooling on prevalence of HIV and herpes simplex type 2 in Malawi: a cluster randomised trial [J].
Baird, Sarah J. ;
Garfein, Richard S. ;
McIntosh, Craig T. ;
Oezler, Berk .
LANCET, 2012, 379 (9823) :1320-1329
[3]   The economic lives of the poor [J].
Banejee, Abhijit V. ;
Duflo, Esther .
JOURNAL OF ECONOMIC PERSPECTIVES, 2007, 21 (01) :141-167
[4]   Heat or eat? Cold-weather shocks and nutrition in poor American families [J].
Bhattacharya, J ;
DeLeire, T ;
Haider, S ;
Currie, J .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2003, 93 (07) :1149-1154
[5]  
CASE A, 2009, 14998 NBER
[6]   THE HEALTH-EFFECTS OF ECONOMIC INSECURITY [J].
CATALANO, R .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1991, 81 (09) :1148-1152
[7]  
Dupas P., 2011, 17255 NBER
[8]   The (hidden) costs of political instability: Evidence from Kenya's 2007 election crisis [J].
Dupas, Pascaline ;
Robinson, Jonathan .
JOURNAL OF DEVELOPMENT ECONOMICS, 2012, 99 (02) :314-329
[9]   Aggregate Economic Shocks, Child Schooling, and Child Health [J].
Ferreira, Francisco H. G. ;
Schady, Norbert .
WORLD BANK RESEARCH OBSERVER, 2009, 24 (02) :147-181
[10]   Is poverty or wealth driving HIV transmission? [J].
Gillespie, Stuart ;
Kadiyala, Suneetha ;
Greener, Robert .
AIDS, 2007, 21 :S5-S16