ArticleAIDS and behavior2017
Economic Context and HIV Vulnerability in Adolescents and Young Adults Living in Urban Slums in Kenya: A Qualitative Analysis Based on Scarcity Theory.
Article in AIDS and behavior, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Experiences and perceptions of conditional cash incentive provision and cessation among people with HIV for care engagement: a qualitative study.BMC public health · 2025Trial
- "How am I going to live?": exploring barriers to ART adherence among adolescents and young adults living with HIV in Uganda.BMC public health · 2018Trial
- Extreme Weather Events and Linkages with HIV Vulnerabilities Among Young Sex Workers and Sexually Diverse Men in Nairobi, Kenya: Qualitative Multi-method Insights.AIDS and behavior · 2025Article
- Feasibility and Acceptability of a Digital Health Portal to Improve HIV Care Engagement Among Kenyan Youth: Mixed Methods Study.JMIR formative research · 2025Article
- HIV prevalence and associated factors among adolescent boys and young men in South Africa: 2017 nationally representative household-based population survey.BMJ public health · 2024Article
- Experiences and perceptions of conditional cash incentive provision and cessation among people with HIV for care engagement: A qualitative study.Research square · 2024Article
- Resilience and associated factors in orphaned and separated adolescents in Kenya: Understanding the relationship with care environment and HIV risks.Global public health · 2024Article
- A qualitative description of HIV testing and healthcare experiences among trans women in Ghanaian urban slums BSGH-012.PLOS global public health · 2024Article
- Condom Use Behaviors, Risk Perception, and Partner Communication Following Oral HIV Self-testing Among Adolescents and Young Adults in Kenya: A Cohort Study.AIDS and behavior · 2023Article
- Assessing behavioral economic biases among young adults who have increased likelihood of acquiring HIV: a mixed methods study in Baltimore, Maryland.AIDS research and therapy · 2023Article
- Effectiveness of a mobile-based HIV prevention intervention for the rural and low-income population involving incentive policy to doctors in Liangshan, China: a randomized controlled trial protocol.BMC public health · 2022Article
- Understanding patterns of family support and its role on viral load suppression among youth living with HIV aged 15 to 24 years in southwestern Uganda.Health science reports · 2022Article
- Framing Contraceptive Use Motivations Among Adolescents and Young Adults Living in Informal Settlements in Kira Municipality, Wakiso District, Uganda.Frontiers in global women's health · 2021Article
- Qualitative Analysis of Community Support to Methadone Access in Kenya.Substance use & misuse · 2021Article
- Slums, Space, and State of Health-A Link between Settlement Morphology and Health Data.International journal of environmental research and public health · 2020Article
- Article
- Towards a better understanding of factors affecting smoking uptake among Saudi male adolescents: A qualitative study.Tobacco prevention & cessation · 2020Article
- Article
- Cash Transfers, Young Women's Economic Well-Being, and HIV Risk: Evidence from HPTN 068.AIDS and behavior · 2019Article
- Factors associated with HIV infection among Yi minority residents in Liangshan Prefecture, Sichuan Province: A path analysis.Medicine · 2018Article
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Authors and funding
7 authors.
Funding
Abstract
Urban slum adolescents and young adults have disproportionately high rates of HIV compared to rural and non-slum urban youth. Yet, few studies have examined youth's perceptions of the economic drivers of HIV. Informed by traditional and behavioral economics, we applied a scarcity theoretical framework to qualitatively examine how poverty influences sexual risk behaviors among adolescents and young adults. Focus group discussions with one hundred twenty youth in Kenyan's urban slums were transcribed, coded, and analyzed using interpretive phenomenology. Results indicated that slum youth made many sexual decisions considered rational from a traditional economics perspective, such as acquiring more sex when resources were available, maximizing wealth through sex, being price-sensitive to costs of condoms or testing services, and taking more risks when protected from adverse sexual consequences. Youth's engagement in sexual risk behaviors was also motivated by scarcity phenomena explained by behavioral economics, such as compensating for sex lost during scarce periods (risk-seeking), valuing economic gains over HIV risks (tunneling, bandwidth tax), and transacting sex as an investment strategy (internal referencing). When scarcity was alleviated, young women additionally described reducing the number of sex partners to account for non-economic preferences (slack). Prevention strategies should address the traditional and behavioral economics of the HIV epidemic.
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