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Do Sex Workers Respond to Disease? Evidence from the Male Market for Sex

Manisha Shah

American Economic Review · 2013 · Volume 103 · Issue 3

DOI: 10.1257/aer.103.3.445

Abstract

Sex markets play a key role in the transmission of sexually transmitted infections (STI) and HIV/AIDS in developing countries. While individuals should substitute away from risky sex as STI prevalence rises, female sex workers draw a premium for engaging in unprotected sex, mitigating their propensity to use condoms. We provide the first evidence of a positive premium for non-condom sex in developing country male sex markets. Testing whether this is a compensating differential for disease risk, we find that a one percentage point increase in the STI rate increases the premium 28 percent. Market forces may curb the self-limiting effect of STI epidemics.

Keywords

Health Production, Economics of Gender, Non-labor Discrimination, Economic Development: Human Resources, Human Development, Income Distribution, Migration

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