Publication: Transactional Sex as a Response to Risk in Western Kenya
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Date
2011
ISSN
19457782
Published
2011
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Though formal and informal sex work has long been identified as crucial for the spread of HIV/AIDS, the nature of the sex-for-money market remains poorly understood. Using a unique panel dataset constructed from 192 self-reported diaries, we find that women who engage in transactional sex substantially increase their supply of risky, better compensated sex to cope with unexpected health shocks, particularly the illness of another household member. These behavioral responses entail significant health risks for these women and their partners, and suggest that these women are unable to cope with risk through other consumption smoothing mechanisms.
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Publication Transactional Sex as a Response to Risk in Western Kenya(2009-03-01)Formal and informal commercial sex work is a way of life for many poor women in developing countries. Though sex workers have long been identified as crucial in affecting the spread of HIV/AIDS, particularly in Sub-Saharan Africa, the nature of sex-for-money transactions remains poorly understood. Using a unique panel dataset constructed from 192 self-reported sex worker diaries which include detailed information on sexual behavior, labor supply, and health shocks, the authors find that sex workers adjust their supply of risky, better compensated sex to cope with unexpected health shocks, exposing themselves to increased risk of HIV infection. In particular, women are 3.1 percent more likely to see a client, 21.2 percent more likely to have anal sex, and 19.1 percent more likely to have unprotected sex on days in which a household member falls ill. Women also increase their supply of risky sex on days after missing work due to symptoms from a sexually transmitted infection. Given that HIV prevalence has been estimated at 9.8 percent in this part of Kenya, these behavioral responses entail significant health risks for sex workers and their partners, and suggest that sex workers are unable to cope with risk through other formal or informal consumption smoothing mechanisms.Publication Risk-Coping through Sexual Networks : Evidence from Client Transfers in Kenya(2011-02-01)Why do women engage in transactional sex? While much of the explanation is that sex-for-money pays more than other jobs, this paper uses a unique panel dataset constructed from 192 self-reported diaries of sex workers in Western Kenya to show that women who supply transactional sex develop relationships with regular clients, and that these clients send transfers in response to negative income shocks. Regular clients are the primary source of inter-person insurance that women receive, and women report in a separate survey that client transfers are an important reason that they participate in the market.Publication AERC-Cornell Symposium on 'Risk, Knowledge and Health in Africa': ARV Treatment and Time Allocation to Household Tasks: Evidence from Kenya(2009)Using longitudinal survey data collected over a period of two years, this paper examines the impact of antiretroviral (ARV) treatment on the time allocated to various household tasks by treated HIV-positive patients and their household members. We study outcomes such as time devoted to housework, firewood and water collection, as well as care-giving and care-seeking. As treatment improves the health and productivity of patients, we find that female patients in particular are able to increase the amount of time they devote to water and firewood collection. This increased productivity of patients coupled with large decreases in the amount of time they spend seeking medical care leads to a reduced burden on children and other household members. We find evidence that boys and girls in treated patients' households devote less time to housework and other chores. These results suggest that the provision of ARV treatment generates a wide variety of benefits to households in resource-poor settings.Publication Changes in Wage Distributions, Wage Gaps and Wage Inequality by Gender in Kenya(2009)Using data from Kenya, the determinants of gender differences in the overall distribution of earnings are estimated as part of explaining the positive association between the return to measured and unmeasured human capital attributes as formalised by human capital theory (Mincer in 'Schooling Experience, and Earnings', New York: National Bureau of Economic Research, Columbia University Press, 1974). The Kenyan data allows us to demonstrate that males possess relatively more human capital, and once gender differences in measured and unmeasured skills are accounted for, males receive relatively higher returns to both their measured and unmeasured human capital attributes. These findings support the notion that gender differences in the return to human capital trigger male and female earnings differences in Kenya.Publication Risk and Reward in Managua's Commercial Sex Market: The Importance of Workplace(2010)This article focuses on the capabilities of women in sex work--a sector in which a substantial number of women in developing countries find themselves. Sex workers confront important unfreedoms-violence and disease--on a daily basis. How well sex workers can manage these threats has implications not only for the workers themselves but also their families and communities, and thus is an important concern in development policy. Using original data from Managua, Nicaragua, I show how workplace conditions determine women's autonomy to manage risks of disease and violence, including their capacity to negotiate appropriate risk compensation. I present a model of a segmented labor market, and describe how women's autonomy in choosing a particular segment is constrained by access to networks and human capital. Next, I estimate the compensation to different risks by market segment. I find that sex workers in higher-end segments are less likely than women in other segments to take risks to their health or safety, and more able to charge a high-risk premium when they do. In addition, women who enjoy more autonomy in decision-making take risks less often than those whose decisions are constrained either by a manager or by low earnings. These findings indicate the need to consider differences in workplace conditions in designing policy to expand the capabilities of women in sex work.
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