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药物对抗冲突

Medication against conflict
Journal of Development Economics · 2024 · Andrea Berlanda、Matteo Cervellati、Elena Esposito、Dominic Rohner、Uwe Sunde

中文摘要

不良健康状况和社会冲突是发展中国家的主要障碍。通过成功的公共卫生干预减少社会冲突的潜力在很大程度上仍属未知。本文通过评估一项重大卫生干预——成功扩大抗逆转录病毒治疗(ART)以应对非洲的HIV/AIDS疫情——的效果来填补这一空白。我们将ART可及性的外生时间变化与治疗覆盖范围的横截面变化相结合进行识别,发现ART的扩大显著减少了非洲国家及次国家区域的暴力事件数量。该效应针对的是社会冲突,而非内战。证据还表明,该效应与健康状况改善、对政府政策更高的认可度以及对政治机构信任度的提升有关。反事实模拟的结果显示,ART的扩大使社会冲突事件数量减少了约10%。

Abstract

Adverse health conditions and social conflict constitute major impediments for developing countries. The potential for reducing social conflict by successful public health interventions is largely unknown. This paper closes this gap by evaluating the effect of a major health intervention—the successful expansion of anti-retroviral therapy (ART) to combat the HIV/AIDS pandemic in Africa. Combining exogenous time variation in access to ART with cross-sectional variation in the scope for treatment for identification, we find that the ART expansion significantly reduced the number of violent events in African countries and sub-national regions. The effect pertains to social conflict, not civil war. The evidence also shows that the effect is related to health improvements, greater approval of government policy, and increased trust in political institutions. Results of a counterfactual simulation reveal that the ART expansion reduced the number of social conflict events by about 10%.
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