{"title":"The sins of the church: The long-term impacts of Christian missionary praxis on HIV and sexual behaviour in Zambia","authors":"Michael Chanda Chiseni","doi":"10.1080/20780389.2023.2243036","DOIUrl":null,"url":null,"abstract":"This study examines the long-term effect of Christian missionary exposure on HIV infection and related sexual behaviour in Zambia. I use distance to a historical missionary church and health facility as proxies for missionary exposure. I constructed a geocoded data set combining information on the historical locations of churches and missionary health centres with contemporary individual-level data. I find that individuals who live close to a historical missionary church have a higher likelihood of being infected with HIV. I find no significant effect of proximity to a missionary health centre on HIV. Considering that heterosexual transmission is the main channel of HIV transmission in Zambia, I analyse the effect of missionary exposure on sexual behaviour. The following patterns emerge: individuals who live close to a Protestant church are less likely to engage in premarital sexual abstinence; they also have their first sexual encounter at an earlier age, with the effect being stronger for men than women. Living near a Catholic church is associated with having a higher number of sexual partners.","PeriodicalId":54115,"journal":{"name":"Economic History of Developing Regions","volume":null,"pages":null},"PeriodicalIF":0.9000,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Economic History of Developing Regions","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/20780389.2023.2243036","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HISTORY","Score":null,"Total":0}
引用次数: 0
Abstract
This study examines the long-term effect of Christian missionary exposure on HIV infection and related sexual behaviour in Zambia. I use distance to a historical missionary church and health facility as proxies for missionary exposure. I constructed a geocoded data set combining information on the historical locations of churches and missionary health centres with contemporary individual-level data. I find that individuals who live close to a historical missionary church have a higher likelihood of being infected with HIV. I find no significant effect of proximity to a missionary health centre on HIV. Considering that heterosexual transmission is the main channel of HIV transmission in Zambia, I analyse the effect of missionary exposure on sexual behaviour. The following patterns emerge: individuals who live close to a Protestant church are less likely to engage in premarital sexual abstinence; they also have their first sexual encounter at an earlier age, with the effect being stronger for men than women. Living near a Catholic church is associated with having a higher number of sexual partners.