Dow, William H.de Walque, DamienGong, Erick2014-02-032014-02-032014-01https://hdl.handle.net/10986/16827Transactional sex is believed to be an important risk-coping mechanism for women in Sub-Saharan Africa and a leading contributor to the HIV/AIDS epidemic. This paper uses data from a panel of women in rural Tanzania whose primary occupation is agriculture. The analysis finds that following a negative shock (such as food insecurity), unmarried women are about three times more likely to have been paid for sex. Regardless of marital status, after a shock women have more unprotected sex and are 36 percent more likely to have a sexually transmitted infection. These empirical findings support the claims that transactional sex is not confined to commercial sex workers and that frequently experienced shocks, such as food insecurity, may lead women to engage in transactional sex as a risk-coping behavior.en-USCC BY 3.0 IGOADOLESCENTADOLESCENT GIRLSADVERSE HEALTHAIDS PREVENTIONALCOHOLAVERAGE AGEBABYBIOLOGICAL MARKERSBIRTH OUTCOMESBIRTH WEIGHTBIRTHSBLINDNESSCHILDHOODCHLAMYDIACHRONIC PAINCLINICSCOMMERCIAL SEXCOMMERCIAL SEX WORKERSCOMPLICATIONSCOMPLICATIONS DURING PREGNANCYCONDOMCONDOM USECULTURAL CHANGEDEVELOPMENT POLICYECONOMIC STATUSEPIDEMICFACT SHEETFALLOPIAN TUBESFAMILY PLANNINGFEMALEFERTILITYFOOD INSECURITYFOOD SECURITYGONORRHEAHEALTH OUTCOMESHEALTH PROBLEMSHIGH-RISKHIGH-RISK SEXUAL BEHAVIORHIVHIV INFECTIONHIV/AIDSHOMEHOUSEHOLD LEVELHUMAN DEVELOPMENTHUSBANDSILLNESSIMPORTANT POLICYINFECTION PREVENTIONINFERTILITYINSURANCELAMLOW-INCOME COUNTRIESMALE PARTNERSMARITAL STATUSMARRIAGESMEDICAL TREATMENTMEDICINEMEDICINESMIGRATIONMORBIDITYNURSEOLDER MENPANDEMICPELVIC INFLAMMATORY DISEASEPOLICY DISCUSSIONSPOLICY IMPLICATIONSPOLICY RESEARCHPOLICY RESEARCH WORKING PAPERPOLITICAL INSTABILITYPOPULATION REFERENCE BUREAUPREGNANCIESPROGRESSPROSTITUTIONPUBLIC HEALTHPUBLIC SERVICESREPRODUCTIVE HEALTHRESPECTRISK FACTORSRISKY SEXUAL BEHAVIORRISKY SEXUAL BEHAVIORSSAFE SEXSEXSEX FOR MONEYSEXUAL ACTIVITYSEXUAL BEHAVIORSEXUAL BEHAVIORSSEXUAL BEHAVIOURSEXUAL INTERCOURSESEXUAL PARTNERSSEXUAL RELATIONSSEXUAL RELATIONSHIPSSEXUAL RISKSEXUAL RISK FACTORSSEXUALLY TRANSMITTED INFECTIONSEXUALLY TRANSMITTED INFECTIONSSINGLE WOMENSOCIAL ECONOMIC STATUSSOCIAL SCIENCESOCIOECONOMIC STATUSSPOUSESPOUSESSTISSUSTAINABLE DEVELOPMENTSYPHILISUNMARRIED WOMENUNMARRIED YOUTHSUNPROTECTED SEXURBAN MIGRATIONWIDOWSWILLWOMANYOUNG ADULTSYOUNG MENYOUNG WOMENYOUNGER WOMENYOUTHSWorld Bank10.1596/1813-9450-6751