The indirect impact of antiretroviral therapy: Mortality risk, mental health, and HIV-negative labor supply

B-Tier
Journal: Journal of Health Economics
Year: 2015
Volume: 44
Issue: C
Pages: 195-211

Score contribution per author:

0.670 = (α=2.01 / 3 authors) × 1.0x B-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

To reduce the burden of the HIV/AIDS epidemic, international donors recently began providing free antiretroviral therapy (ART) in parts of Sub-Saharan Africa. ART dramatically prolongs life and reduces infectiousness for people with HIV. This paper shows that ART availability increases work time for HIV-negative people without caretaker obligations, who do not directly benefit from the medicine. A difference-in-difference design compares people living near and far from ART, before and after treatment becomes available. Next we explore the possible reasons for this pattern. Although we cannot pinpoint the mechanism, we find that ART availability substantially reduces subjective mortality risk and improves mental health. These results show an undocumented economic consequence of the HIV/AIDS epidemic and an important externality of medical innovation. They also provide the first evidence of a link between the disease environment and mental health.

Technical Details

RePEc Handle
repec:eee:jhecon:v:44:y:2015:i:c:p:195-211
Journal Field
Health
Author Count
3
Added to Database
2026-01-24