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Economic shocks and risky sexual behaviours in low- and middle-income countries: a systematic review of the literature

Cust, H., Jones, H., Powell-Jackson, T., Lepine, A. and Radice, R. ORCID: 0000-0002-6316-3961 (2021). Economic shocks and risky sexual behaviours in low- and middle-income countries: a systematic review of the literature. Journal of Development Effectiveness, 13(2), pp. 166-203. doi: 10.1080/19439342.2021.1928734


We document the extent to which economic shocks through economic incentives explain HIV transmission through risky sexual behaviours in LMICs. We include 35 papers containing 31 unique negative and 11 unique positive economic shocks combined with over 320 health and risky sex outcomes. We find a diverse literature with varying empirical approaches showing increases in risky sexual behaviours are more sensitive to negative shocks than decreases are to positive shocks. Those already at risk of engaging in transactional sex are particularly vulnerable to increasing risky behaviours. Protecting against negative shocks is likely to most effective in preventing HIV transmission.

Publication Type: Article
Additional Information: This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Development Effectiveness, available online: https://doi-org/10.1080/19439342.2021.1928734.
Publisher Keywords: Economic shocks, risky sexual behaviours, HIV, transactional sex, systematic review, literature review
Subjects: H Social Sciences > HB Economic Theory
H Social Sciences > HG Finance
Q Science > QR Microbiology > QR180 Immunology
R Medicine > RA Public aspects of medicine
Departments: Business School > Actuarial Science & Insurance
Date available in CRO: 20 May 2021 07:51
Date deposited: 20 May 2021
Date of acceptance: 5 May 2021
Date of first online publication: 8 June 2021
[img] Text - Accepted Version
This document is not freely accessible until 8 December 2022 due to copyright restrictions.

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