The Heterogeneous Effects of HIV Testing

An extensive multi-disciplinary literature examines the effects of learning one's HIV status on subsequent risky sexual behaviors. However, many of these studies rely on non-experimental designs; use self-reported outcome measures, or both. Th...

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Main Authors: Baird, Sarah, Gong, Erick, McIntosh, Craig, Özler, Berk
Format: Policy Research Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2014
Subjects:
HIV
SEX
Online Access:http://documents.worldbank.org/curated/en/2014/03/19322060/heterogeneous-effects-hiv-testin
http://hdl.handle.net/10986/17737
id okr-10986-17737
recordtype oai_dc
spelling okr-10986-177372021-04-23T14:03:40Z The Heterogeneous Effects of HIV Testing Baird, Sarah Gong, Erick McIntosh, Craig Özler, Berk ABSENTEEISM ACQUIRED IMMUNE DEFICIENCY SYNDROME ADOLESCENTS AGED AIDS EPIDEMIC BEHAVIOR CHANGE BIOLOGICAL OUTCOMES BLOOD SAMPLES BURNS CASUAL PARTNERS CHLAMYDIA CLEANLINESS CLINICS CONDOM CONDOM PROMOTION CONDOM USE CONDOMS CONFERENCE ON POPULATION COUNSELING INTERVENTION DEVELOPING COUNTRIES DEVELOPMENT POLICY DIAGNOSTICS EPIDEMIOLOGY FAMILY PLANNING FEMALE FEMALES FERTILITY GENDER GENDER DIFFERENCES GENDER GAP GLOBAL DEVELOPMENT GLOBAL HIV/AIDS GONORRHEA HEALTH INFORMATION HERPES HERPES SIMPLEX HERPES SIMPLEX VIRUS HIV HIV DATA HIV INFECTION HIV INFECTIONS HIV POSITIVE HIV PREVALENCE HIV PREVENTION HIV TEST HIV TESTING HIV TRANSMISSION HIV/AIDS HOUSEHOLD SURVEYS HUMAN CAPITAL HUMAN IMMUNODEFICIENCY VIRUS HYGIENE IMMUNE DEFICIENCY IMMUNODEFICIENCY IMPACT OF HIV INCIDENCE OF HIV INFECTIOUS DISEASES INFORMED CONSENT INVESTMENTS IN EDUCATION JOURNAL OF EPIDEMIOLOGY JOURNAL OF MEDICINE LIFE EXPECTANCIES LIFE EXPECTANCY MARRIED MEN MEDICINE MINISTRY OF HEALTH MORBIDITY MORBIDITY AND MORTALITY MORTALITY RATES MOTHER MOTHER-TO-CHILD MOTHER-TO-CHILD TRANSMISSION NURSES ORAL SEX OUTPATIENT CLINICS POINT-OF-CARE POLICY DISCUSSIONS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POPULATION ASSOCIATION PRACTITIONERS PREVALENCE PREVALENCE RATE PREVALENCE RATES PREVENTION STRATEGIES PRIMARY SCHOOL PROGRESS PUBLIC HEALTH REPRODUCTIVE HEALTH RESPECT RISK BEHAVIOR RISK FACTORS RISK OF TRANSMISSION RISK REDUCTION RISKY BEHAVIOR RISKY BEHAVIORS RISKY SEX RISKY SEXUAL BEHAVIOR RISKY SEXUAL BEHAVIORS ROLE MODELS RURAL AREAS SAFER SEX SECONDARY SCHOOL SEX SEX PRACTICES SEXUAL ACTIVITY SEXUAL PARTNERS SEXUAL PRACTICES SEXUAL RISK SEXUAL RISK BEHAVIOR SEXUAL TRANSMISSION SEXUALLY ACTIVE SEXUALLY TRANSMITTED DISEASES SEXUALLY TRANSMITTED INFECTIONS SOCIAL SCIENCE STIS SUBSISTENCE FARMING SYPHILIS TEENAGERS THERAPY TRANSMISSION OF DISEASE TREATMENT TROPICAL MEDICINE UNAIDS UNINFECTED PARTNER UNPROTECTED SEX UNSAFE SEX VIRUS VOLUNTARY COUNSELING WHOLE BLOOD SAMPLES YOUNG ADULTS YOUNG PEOPLE YOUNG WOMEN An extensive multi-disciplinary literature examines the effects of learning one's HIV status on subsequent risky sexual behaviors. However, many of these studies rely on non-experimental designs; use self-reported outcome measures, or both. This study investigates the effects of a randomly assigned home based HIV testing and counseling (HTC) intervention on risky sexual behaviors and schooling investments among school-age females in Malawi. The study finds no overall effects on HIV, Herpes Simplex Virus (HSV-2), or achievement test scores at follow-up. However, among the small group of individuals who tested positive for HIV, a large increase in the probability of contracting HSV-2 is found, with this effect stronger among those surprised by their test results. Similarly, those surprised by HIV-negative test results see a significant improvement in achievement test scores, consistent with increased returns to investments in human capital. The finding of increased HSV-2 prevalence among HIV-positive individuals suggests that the conventional wisdom that those who learn they are HIV-positive will adopt safer sexual practices should be treated with caution. 2014-04-10T20:32:56Z 2014-04-10T20:32:56Z 2014-03 http://documents.worldbank.org/curated/en/2014/03/19322060/heterogeneous-effects-hiv-testin http://hdl.handle.net/10986/17737 English en_US Policy Research Working Paper;No. 6823 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research Africa Malawi
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic ABSENTEEISM
ACQUIRED IMMUNE DEFICIENCY SYNDROME
ADOLESCENTS
AGED
AIDS EPIDEMIC
BEHAVIOR CHANGE
BIOLOGICAL OUTCOMES
BLOOD SAMPLES
BURNS
CASUAL PARTNERS
CHLAMYDIA
CLEANLINESS
CLINICS
CONDOM
CONDOM PROMOTION
CONDOM USE
CONDOMS
CONFERENCE ON POPULATION
COUNSELING INTERVENTION
DEVELOPING COUNTRIES
DEVELOPMENT POLICY
DIAGNOSTICS
EPIDEMIOLOGY
FAMILY PLANNING
FEMALE
FEMALES
FERTILITY
GENDER
GENDER DIFFERENCES
GENDER GAP
GLOBAL DEVELOPMENT
GLOBAL HIV/AIDS
GONORRHEA
HEALTH INFORMATION
HERPES
HERPES SIMPLEX
HERPES SIMPLEX VIRUS
HIV
HIV DATA
HIV INFECTION
HIV INFECTIONS
HIV POSITIVE
HIV PREVALENCE
HIV PREVENTION
HIV TEST
HIV TESTING
HIV TRANSMISSION
HIV/AIDS
HOUSEHOLD SURVEYS
HUMAN CAPITAL
HUMAN IMMUNODEFICIENCY VIRUS
HYGIENE
IMMUNE DEFICIENCY
IMMUNODEFICIENCY
IMPACT OF HIV
INCIDENCE OF HIV
INFECTIOUS DISEASES
INFORMED CONSENT
INVESTMENTS IN EDUCATION
JOURNAL OF EPIDEMIOLOGY
JOURNAL OF MEDICINE
LIFE EXPECTANCIES
LIFE EXPECTANCY
MARRIED MEN
MEDICINE
MINISTRY OF HEALTH
MORBIDITY
MORBIDITY AND MORTALITY
MORTALITY RATES
MOTHER
MOTHER-TO-CHILD
MOTHER-TO-CHILD TRANSMISSION
NURSES
ORAL SEX
OUTPATIENT CLINICS
POINT-OF-CARE
POLICY DISCUSSIONS
POLICY RESEARCH
POLICY RESEARCH WORKING PAPER
POPULATION ASSOCIATION
PRACTITIONERS
PREVALENCE
PREVALENCE RATE
PREVALENCE RATES
PREVENTION STRATEGIES
PRIMARY SCHOOL
PROGRESS
PUBLIC HEALTH
REPRODUCTIVE HEALTH
RESPECT
RISK BEHAVIOR
RISK FACTORS
RISK OF TRANSMISSION
RISK REDUCTION
RISKY BEHAVIOR
RISKY BEHAVIORS
RISKY SEX
RISKY SEXUAL BEHAVIOR
RISKY SEXUAL BEHAVIORS
ROLE MODELS
RURAL AREAS
SAFER SEX
SECONDARY SCHOOL
SEX
SEX PRACTICES
SEXUAL ACTIVITY
SEXUAL PARTNERS
SEXUAL PRACTICES
SEXUAL RISK
SEXUAL RISK BEHAVIOR
SEXUAL TRANSMISSION
SEXUALLY ACTIVE
SEXUALLY TRANSMITTED DISEASES
SEXUALLY TRANSMITTED INFECTIONS
SOCIAL SCIENCE
STIS
SUBSISTENCE FARMING
SYPHILIS
TEENAGERS
THERAPY
TRANSMISSION OF DISEASE
TREATMENT
TROPICAL MEDICINE
UNAIDS
UNINFECTED PARTNER
UNPROTECTED SEX
UNSAFE SEX
VIRUS
VOLUNTARY COUNSELING
WHOLE BLOOD SAMPLES
YOUNG ADULTS
YOUNG PEOPLE
YOUNG WOMEN
spellingShingle ABSENTEEISM
ACQUIRED IMMUNE DEFICIENCY SYNDROME
ADOLESCENTS
AGED
AIDS EPIDEMIC
BEHAVIOR CHANGE
BIOLOGICAL OUTCOMES
BLOOD SAMPLES
BURNS
CASUAL PARTNERS
CHLAMYDIA
CLEANLINESS
CLINICS
CONDOM
CONDOM PROMOTION
CONDOM USE
CONDOMS
CONFERENCE ON POPULATION
COUNSELING INTERVENTION
DEVELOPING COUNTRIES
DEVELOPMENT POLICY
DIAGNOSTICS
EPIDEMIOLOGY
FAMILY PLANNING
FEMALE
FEMALES
FERTILITY
GENDER
GENDER DIFFERENCES
GENDER GAP
GLOBAL DEVELOPMENT
GLOBAL HIV/AIDS
GONORRHEA
HEALTH INFORMATION
HERPES
HERPES SIMPLEX
HERPES SIMPLEX VIRUS
HIV
HIV DATA
HIV INFECTION
HIV INFECTIONS
HIV POSITIVE
HIV PREVALENCE
HIV PREVENTION
HIV TEST
HIV TESTING
HIV TRANSMISSION
HIV/AIDS
HOUSEHOLD SURVEYS
HUMAN CAPITAL
HUMAN IMMUNODEFICIENCY VIRUS
HYGIENE
IMMUNE DEFICIENCY
IMMUNODEFICIENCY
IMPACT OF HIV
INCIDENCE OF HIV
INFECTIOUS DISEASES
INFORMED CONSENT
INVESTMENTS IN EDUCATION
JOURNAL OF EPIDEMIOLOGY
JOURNAL OF MEDICINE
LIFE EXPECTANCIES
LIFE EXPECTANCY
MARRIED MEN
MEDICINE
MINISTRY OF HEALTH
MORBIDITY
MORBIDITY AND MORTALITY
MORTALITY RATES
MOTHER
MOTHER-TO-CHILD
MOTHER-TO-CHILD TRANSMISSION
NURSES
ORAL SEX
OUTPATIENT CLINICS
POINT-OF-CARE
POLICY DISCUSSIONS
POLICY RESEARCH
POLICY RESEARCH WORKING PAPER
POPULATION ASSOCIATION
PRACTITIONERS
PREVALENCE
PREVALENCE RATE
PREVALENCE RATES
PREVENTION STRATEGIES
PRIMARY SCHOOL
PROGRESS
PUBLIC HEALTH
REPRODUCTIVE HEALTH
RESPECT
RISK BEHAVIOR
RISK FACTORS
RISK OF TRANSMISSION
RISK REDUCTION
RISKY BEHAVIOR
RISKY BEHAVIORS
RISKY SEX
RISKY SEXUAL BEHAVIOR
RISKY SEXUAL BEHAVIORS
ROLE MODELS
RURAL AREAS
SAFER SEX
SECONDARY SCHOOL
SEX
SEX PRACTICES
SEXUAL ACTIVITY
SEXUAL PARTNERS
SEXUAL PRACTICES
SEXUAL RISK
SEXUAL RISK BEHAVIOR
SEXUAL TRANSMISSION
SEXUALLY ACTIVE
SEXUALLY TRANSMITTED DISEASES
SEXUALLY TRANSMITTED INFECTIONS
SOCIAL SCIENCE
STIS
SUBSISTENCE FARMING
SYPHILIS
TEENAGERS
THERAPY
TRANSMISSION OF DISEASE
TREATMENT
TROPICAL MEDICINE
UNAIDS
UNINFECTED PARTNER
UNPROTECTED SEX
UNSAFE SEX
VIRUS
VOLUNTARY COUNSELING
WHOLE BLOOD SAMPLES
YOUNG ADULTS
YOUNG PEOPLE
YOUNG WOMEN
Baird, Sarah
Gong, Erick
McIntosh, Craig
Özler, Berk
The Heterogeneous Effects of HIV Testing
geographic_facet Africa
Malawi
relation Policy Research Working Paper;No. 6823
description An extensive multi-disciplinary literature examines the effects of learning one's HIV status on subsequent risky sexual behaviors. However, many of these studies rely on non-experimental designs; use self-reported outcome measures, or both. This study investigates the effects of a randomly assigned home based HIV testing and counseling (HTC) intervention on risky sexual behaviors and schooling investments among school-age females in Malawi. The study finds no overall effects on HIV, Herpes Simplex Virus (HSV-2), or achievement test scores at follow-up. However, among the small group of individuals who tested positive for HIV, a large increase in the probability of contracting HSV-2 is found, with this effect stronger among those surprised by their test results. Similarly, those surprised by HIV-negative test results see a significant improvement in achievement test scores, consistent with increased returns to investments in human capital. The finding of increased HSV-2 prevalence among HIV-positive individuals suggests that the conventional wisdom that those who learn they are HIV-positive will adopt safer sexual practices should be treated with caution.
format Publications & Research :: Policy Research Working Paper
author Baird, Sarah
Gong, Erick
McIntosh, Craig
Özler, Berk
author_facet Baird, Sarah
Gong, Erick
McIntosh, Craig
Özler, Berk
author_sort Baird, Sarah
title The Heterogeneous Effects of HIV Testing
title_short The Heterogeneous Effects of HIV Testing
title_full The Heterogeneous Effects of HIV Testing
title_fullStr The Heterogeneous Effects of HIV Testing
title_full_unstemmed The Heterogeneous Effects of HIV Testing
title_sort heterogeneous effects of hiv testing
publisher World Bank, Washington, DC
publishDate 2014
url http://documents.worldbank.org/curated/en/2014/03/19322060/heterogeneous-effects-hiv-testin
http://hdl.handle.net/10986/17737
_version_ 1764438230291185664