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American Economic Review Vol. 103 No. 3 2013

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

Manisha Shah

UCLA Department of Public Policy, 3250 Public Affairs Building, Los Angeles, CA 90095, and NBER.

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.

DOI
10.1257/aer.103.3.445
Volume
103
Issue
3
Pages
445-450
Language
en
Sources
bibtex:phds-export.bib crossref openalex

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