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Sex and the Mission: The Conflicting Effects of Early Christian Missions on HIV in sub-Saharan Africa

Author

Listed:
  • Julia Cage

    (ECON - Département d'économie (Sciences Po) - Sciences Po - Sciences Po - CNRS - Centre National de la Recherche Scientifique, CEPR - Center for Economic Policy Research)

  • Valeria Rueda

    (University of Oxford)

Abstract
This article investigates the long-term historical impact of missionary activity on the prevalence of HIV/AIDS in sub-Saharan Africa. On the one hand, missionaries were among the first to invest in modern medicine in a number of countries. On the other hand, Christianity influenced sexual beliefs and behaviors. We build a new geocoded dataset locating Protestant and Catholic missions in the early 20th century, as well as their health investments. Using a number of different empirical strategies to address selection in missionary locations and into health investments, we show that missionary presence has conflicting effects on HIV today. Regions close to historical mission stations exhibit higher HIV prevalence. This negative impact is robust to multiple specifications accounting for urbanization, and we provide evidence that it is specific to STDs. Less knowledge about condom use is a likely channel. On the contrary, among regions historically close to missionary settlements, proximity to a mission with a health investment is associated with lower HIV prevalence nowadays. Safer sexual behaviors around these missions are a possible explanatory channel.

Suggested Citation

  • Julia Cage & Valeria Rueda, 2019. "Sex and the Mission: The Conflicting Effects of Early Christian Missions on HIV in sub-Saharan Africa," Working Papers hal-03393101, HAL.
    • Handle: RePEc:hal:wpaper:hal-03393101
    Note: View the original document on HAL open archive server: https://sciencespo.hal.science/hal-03393101
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    7. Sascha O. Becker & Steven Pfaff, 2022. "Church and State in Historical Political Economy," Monash Economics Working Papers 2022-09, Monash University, Department of Economics.
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    9. Bertocchi, Graziella & Dimico, Arcangelo, 2020. "COVID-19, Race, and Redlining," GLO Discussion Paper Series 603, Global Labor Organization (GLO).
    10. Remi Jedwab & Felix Meier zu Selhausen & Alexander Moradi, 2022. "The economics of missionary expansion: evidence from Africa and implications for development," Journal of Economic Growth, Springer, vol. 27(2), pages 149-192, June.
    11. Becker, Bastian & Schmitt, Carina, 2023. "License to educate: The role of national networks in colonial empires," World Development, Elsevier, vol. 169(C).
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    More about this item

    Keywords

    Historical persistence; Missions; Health investments; HIV/AIDS; Sexual behaviour;
    All these keywords.

    JEL classification:

    • D72 - Microeconomics - - Analysis of Collective Decision-Making - - - Political Processes: Rent-seeking, Lobbying, Elections, Legislatures, and Voting Behavior
    • N37 - Economic History - - Labor and Consumers, Demography, Education, Health, Welfare, Income, Wealth, Religion, and Philanthropy - - - Africa; Oceania
    • N77 - Economic History - - Economic History: Transport, International and Domestic Trade, Energy, and Other Services - - - Africa; Oceania
    • O33 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - Technological Change: Choices and Consequences; Diffusion Processes
    • Z12 - Other Special Topics - - Cultural Economics - - - Religion
    • Z13 - Other Special Topics - - Cultural Economics - - - Economic Sociology; Economic Anthropology; Language; Social and Economic Stratification

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