How does the impact of an HIV/AIDS information campaign vary with educational attainment? Evidence from rural Uganda

The responsiveness to information is thought to be one channel through which education affects health outcomes. This paper tests this hypothesis by examining the effectiveness of an information campaign that aims at preventing the HIV/AIDS epidemic in Uganda. It uses individual level data from a cohort study following and testing the general population of a cluster of villages in rural Uganda over 12 years and shows that, after more than a decade of prevention campaigns about the dangers of the epidemic, there has been a substantial evolution in the HIV/education gradient. Early in the epidemic, in 1990, there was no robust relation between HIV/AlDS and education. In 2000, among young females, education is associated with a lower risk of being HIV positive. Results on HIV incidence in a duration framework confirm that finding by establishing that, for young women, education reduces the probability of seroconversion. These findings reveal that educated women have been more responsive to the HIV/AIDS information campaigns. The analysis of sexual behavior reinforces that conclusion: condom use is associated positively with schooling levels. (c) 2006 Elsevier B.V. All rights reserved.