Publication:
Transactional Sex as a Response to Risk in Western Kenya

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dc.contributor.authorRobinson, Jonathan
dc.contributor.authorYeh, Ethan
dc.date.accessioned2012-03-19T19:09:08Z
dc.date.available2012-03-19T19:09:08Z
dc.date.issued2009-03-01
dc.description.abstractFormal 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.en
dc.identifierhttp://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20090309080629
dc.identifier.doi10.1596/1813-9450-4857
dc.identifier.urihttps://hdl.handle.net/10986/4053
dc.languageEnglish
dc.relation.isnodouble4754
dc.relation.ispartofseriesPolicy Research working paper ; no. WPS 4857
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectACCESS TO HEALTH SERVICES
dc.subjectADOLESCENT
dc.subjectADOLESCENT GIRLS
dc.subjectAGED
dc.subjectAIDS EPIDEMIC
dc.subjectALCOHOL
dc.subjectANAL INTERCOURSE
dc.subjectANAL SEX
dc.subjectBEHAVIOR CHANGE
dc.subjectBURNS
dc.subjectCHILDHOOD
dc.subjectCLEANLINESS
dc.subjectCOMMERCIAL SEX
dc.subjectCOMMERCIAL SEX MARKET
dc.subjectCOMMERCIAL SEX WORK
dc.subjectCOMMERCIAL SEX WORKERS
dc.subjectCONDOM
dc.subjectCONDOM DISTRIBUTION
dc.subjectCONDOM USE
dc.subjectCONDOMS
dc.subjectCS
dc.subjectCULTURAL CHANGE
dc.subjectCULTURAL SENSITIVITY
dc.subjectDEVELOPING COUNTRIES
dc.subjectDIARRHEA
dc.subjectEDUCATIONAL ATTAINMENT
dc.subjectEMOTIONAL SUPPORT
dc.subjectENVIRONMENTAL PROTECTION
dc.subjectEPIDEMIC
dc.subjectEPIDEMIOLOGY
dc.subjectFACT SHEET
dc.subjectFAMILIES
dc.subjectFAMILY BACKGROUND
dc.subjectFAMILY MEMBERS
dc.subjectFAMILY PLANNING
dc.subjectFEMALE
dc.subjectFEMALE SEX WORKERS
dc.subjectFEVER
dc.subjectFEWER WOMEN
dc.subjectFOCUS GROUP DISCUSSIONS
dc.subjectHEALTH CONSEQUENCES
dc.subjectHEALTH INTERVENTIONS
dc.subjectHEALTH RISKS
dc.subjectHETEROSEXUAL TRANSMISSION
dc.subjectHIGH-RISK
dc.subjectHIV
dc.subjectHIV EDUCATION
dc.subjectHIV INFECTION
dc.subjectHIV POSITIVE
dc.subjectHIV PREVENTION
dc.subjectHIV TRANSMISSION
dc.subjectHIV/AIDS
dc.subjectHOUSEHOLD NUMBER
dc.subjectHUMAN CAPITAL
dc.subjectILLITERATE WOMAN
dc.subjectILLITERATE WOMEN
dc.subjectILLNESS
dc.subjectILLNESSES
dc.subjectINCOME SECURITY
dc.subjectINFECTIONS
dc.subjectINFECTIOUS DISEASE
dc.subjectINFECTIOUS DISEASES
dc.subjectINJURIES
dc.subjectINTERCOURSE
dc.subjectINTERVENTION
dc.subjectLABOR SUPPLY
dc.subjectLEADING CAUSE OF DEATH
dc.subjectLOW-INCOME COUNTRIES
dc.subjectMALARIA
dc.subjectMARITAL STATUS
dc.subjectMARRIED WOMEN
dc.subjectMEDICAL ANTHROPOLOGY
dc.subjectMEDICINE
dc.subjectMIGRATION
dc.subjectMINISTRY OF HEALTH
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectMULTIPLE PARTNERS
dc.subjectNATIONAL AIDS
dc.subjectNATIONAL AIDS CONTROL
dc.subjectNEGATIVE HEALTH CONSEQUENCES
dc.subjectNUMBER OF WOMEN
dc.subjectNURSE
dc.subjectORAL SEX
dc.subjectPEER EDUCATOR
dc.subjectPEER EDUCATORS
dc.subjectPEER GROUP
dc.subjectPEER GROUPS
dc.subjectPOLICY RESEARCH
dc.subjectPOLICY RESEARCH WORKING PAPER
dc.subjectPOOR WOMEN
dc.subjectPOORER WOMEN
dc.subjectPOPULATION AND DEVELOPMENT
dc.subjectPOPULATION CENSUS
dc.subjectPREGNANCY
dc.subjectPREVALENCE
dc.subjectPRIMARY SCHOOL
dc.subjectPROGRESS
dc.subjectPROSTITUTES
dc.subjectPROSTITUTION
dc.subjectPSYCHIATRY
dc.subjectPUBLIC HEALTH
dc.subjectQUALITY OF LIFE
dc.subjectRESPECT
dc.subjectRESTAURANTS
dc.subjectRISK FACTORS
dc.subjectRISK OF INFECTION
dc.subjectRISK REDUCTION
dc.subjectRISKY BEHAVIOR
dc.subjectRISKY SEX
dc.subjectRISKY SEXUAL BEHAVIOR
dc.subjectRURAL AREAS
dc.subjectRURAL POPULATION
dc.subjectSAFE SEX
dc.subjectSEX
dc.subjectSEX FOR MONEY
dc.subjectSEX INDUSTRY
dc.subjectSEX PARTNERS
dc.subjectSEX WORKER
dc.subjectSEX WORKERS
dc.subjectSEXUAL ACTIVITIES
dc.subjectSEXUAL BEHAVIOR
dc.subjectSEXUAL ENCOUNTERS
dc.subjectSEXUAL PARTNERS
dc.subjectSEXUAL RELATIONSHIPS
dc.subjectSEXUALLY TRANSMITTED DISEASES
dc.subjectSEXUALLY TRANSMITTED INFECTION
dc.subjectSEXUALLY TRANSMITTED INFECTIONS
dc.subjectSOCIAL SCIENCE
dc.subjectSTD
dc.subjectSTIS
dc.subjectSYMPTOMS
dc.subjectTEENAGE PREGNANCY
dc.subjectTV
dc.subjectTYPHOID
dc.subjectUNPROTECTED SEX
dc.subjectUNPROTECTED SEX ACTS
dc.subjectVAGINAL SEX
dc.subjectVIOLENCE
dc.subjectVULNERABILITY
dc.subjectWOMAN
dc.titleTransactional Sex as a Response to Risk in Western Kenyaen
dspace.entity.typePublication
okr.crosscuttingsolutionareaGender
okr.crossref.titleTransactional Sex As A Response To Risk In Western Kenya
okr.date.doiregistration2025-04-10T12:20:03.884863Z
okr.doctypePublications & Research::Policy Research Working Paper
okr.docurlhttp://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20090309080629
okr.globalpracticeHealth, Nutrition, and Population
okr.guid882341468090576881
okr.identifier.doi10.1596/1813-9450-4857
okr.identifier.externaldocumentum000158349_20090309080629
okr.identifier.internaldocumentum10330174
okr.identifier.reportWPS4857
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2009/03/09/000158349_20090309080629/Rendered/PDF/WPS4857.pdfen
okr.region.administrativeAfrica
okr.region.administrativeAfrica
okr.region.countryKenya
okr.region.geographicalSub-Saharan Africa
okr.region.geographicalEast Africa
okr.topicHealth, Nutrition and Population::Population Policies
okr.topicHealth, Nutrition and Population::Adolescent Health
okr.topicHealth, Nutrition and Population::Disease Control & Prevention
okr.topicGender::Gender and Health
okr.topicHealth, Nutrition and Population
okr.unitDevelopment Research Group (DECRG)
okr.volume1 of 1
relation.isSeriesOfPublication26e071dc-b0bf-409c-b982-df2970295c87
relation.isSeriesOfPublication.latestForDiscovery26e071dc-b0bf-409c-b982-df2970295c87
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