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How do Roads Spread AIDS in Africa ? A Critique of the Received Policy Wisdom

Djemaï, Elodie (2009-11), How do Roads Spread AIDS in Africa ? A Critique of the Received Policy Wisdom. https://basepub.dauphine.fr/handle/123456789/7315

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wp_dev_120_2009.pdf (513.8Kb)
Type
Document de travail / Working paper
Date
2009-11
Publisher
Toulouse School of Economics
Series title
TSE working paper series
Series number
09-120
Published in
Toulouse
Pages
53
Metadata
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Author(s)
Djemaï, Elodie
Abstract (EN)
This paper empirically analyzes the influence of road proximity on HIV- infection using geographical data on road infrastructure and the Demographic and Health Surveys collected in six African countries. Firstly we show that living in proximity to a major road increases the individual risk of infection. This observed relationship is found to be sensitive to the use of the road and to be robust after correcting for potential selection bias related to the non random placement of people. Secondly, our ndings reveal that road infrastructure improves the level of HIV/AIDS-knowledge and facilitates access to condoms, providing no support to the hypothesis that HIV-infection is purely due to ignorance and misfortune. Thirdly, we find that the increased risk of infection is driven by a higher likelihood of engaging in casual sexual partner- ships that more than o sets the e ffect of the increased use of condoms.
Subjects / Keywords
HIV/AIDS epidemic; spatial inequalities; risk taking; infrastructure; geography; Sub-Saharan Africa
JEL
I10 - General
O12 - Microeconomic Analyses of Economic Development
O18 - Urban, Rural, Regional, and Transportation Analysis; Housing; Infrastructure
R23 - Regional Migration; Regional Labor Markets; Population; Neighborhood Characteristics
C21 - Cross-Sectional Models; Spatial Models; Treatment Effect Models; Quantile Regressions

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