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Economic shocks and risky sexual behaviours in low- and middle-income countries: a systematic review of the literature

Cust, H; Jones, H; Powell-Jackson, T; Lépine, A; Radice, R; (2021) Economic shocks and risky sexual behaviours in low- and middle-income countries: a systematic review of the literature. Journal of Development Effectiveness , 13 (2) pp. 166-203. 10.1080/19439342.2021.1928734. Green open access

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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.

Type: Article
Title: Economic shocks and risky sexual behaviours in low- and middle-income countries: a systematic review of the literature
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/19439342.2021.1928734
Publisher version: https://doi.org/10.1080/19439342.2021.1928734
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Economic shocks, risky sexual behaviours, HIV, transactional sex, systematic review, literature review
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
URI: https://discovery.ucl.ac.uk/id/eprint/10129779
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