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非洲HIV/AIDS流行病的均衡模型

An Equilibrium Model of the African HIV/AIDS Epidemic
Econometrica · 2019 · Jeremy Greenwood、Philipp Kircher、Cezar Santos、Michèle Tertilt

中文摘要

马拉维12%的人口感染了HIV。18%的性接触是随意的。安全套的使用比例为三分之一。为了分析马拉维的流行病,本文构建了一个选择理论一般均衡搜索模型。在所构建的框架中,人们在知晓内在风险的情况下选择不同的性行为方式。校准后的模型被用于研究几项政策干预,即抗逆转录病毒治疗(ART)、包皮环切术、更好的安全套以及其他性传播疾病的治疗。公共政策的有效性取决于其引致的行为变化和均衡效应。该框架补充了来自流行病学研究和小规模实地实验的见解。

Abstract

Twelve percent of the Malawian population is HIV infected. Eighteen percent of sexual encounters are casual. A condom is used a third of the time. To analyze the Malawian epidemic, a choice‐theoretic general equilibrium search model is constructed. In the developed framework, people select between different sexual practices while knowing the inherent risk. The calibrated model is used to study several policy interventions, namely, ART, circumcision, better condoms, and the treatment of other STDs. The efficacy of public policy depends upon the induced behavioral changes and equilibrium effects. The framework complements the insights from epidemiological studies and small‐scale field experiments.
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