Three Essays on The Economics of Sexually Transmitted Infections
type: CreativeWork
description: Sexually transmitted infections (STIs) have important consequences for individuals and society. Extensive literature has shown that various individual factors impact STIs. However, much less is known about their structural causes and how they affect sexual behavior and sexual network formation. In the first two chapters of this dissertation, I investigate how sex ratios and ethnic divisions affect sexual activity and the spread of STIs. In the third chapter, I analyze the effect of ethnic-based romantic homophily on STIs. I provide a brief description of each chapter below. Chapter 1. We extend a theory of fidelity in a two-sided economy, and empirically discriminate between different rationales of sexual network formation by testing their implications for how sex ratios affect sexual activity, relationship stability, and the spread of sexually transmitted diseases in men versus women. We use a unique individual-level dataset in combination with census data from England and Wales, a setting where adult women outnumber adult men. Exploiting variation in cohort/ethnicity/region-specific sex ratios as a quasi-natural experiment, we find that a decrease in sex ratio imbalance decreases sexual infidelity and the number of serial partners, and increases the likelihood of safe sex. This in turn reduces the likelihood of acquiring a range of sexually transmitted infections and diseases, including chlamydia, gonorrhoea, genital warts, and herpes. Consistent with the rationale underlying the formation of egalitarian (in)fidelity networks, the effects of the sex ratio on sexual activity are larger for men compared to women, while its effects on sexual diseases are larger for women compared to men. The causality of these effects is established using classical and recent instrumental variables approaches and various robustness checks. For falsification, we show that sex ratios have no impact on several "atheoretical" health conditions, such as Parkinson's disease, chronic lung d…
abstract: Sexually transmitted infections (STIs) have important consequences for individuals and society. Extensive literature has shown that various individual factors impact STIs. However, much less is known about their structural causes and how they affect sexual behavior and sexual network formation. In the first two chapters of this dissertation, I investigate how sex ratios and ethnic divisions affect sexual activity and the spread of STIs. In the third chapter, I analyze the effect of ethnic-based romantic homophily on STIs. I provide a brief description of each chapter below. Chapter 1. We extend a theory of fidelity in a two-sided economy, and empirically discriminate between different rationales of sexual network formation by testing their implications for how sex ratios affect sexual activity, relationship stability, and the spread of sexually transmitted diseases in men versus women. We use a unique individual-level dataset in combination with census data from England and Wales, a setting where adult women outnumber adult men. Exploiting variation in cohort/ethnicity/region-specific sex ratios as a quasi-natural experiment, we find that a decrease in sex ratio imbalance decreases sexual infidelity and the number of serial partners, and increases the likelihood of safe sex. This in turn reduces the likelihood of acquiring a range of sexually transmitted infections and diseases, including chlamydia, gonorrhoea, genital warts, and herpes. Consistent with the rationale underlying the formation of egalitarian (in)fidelity networks, the effects of the sex ratio on sexual activity are larger for men compared to women, while its effects on sexual diseases are larger for women compared to men. The causality of these effects is established using classical and recent instrumental variables approaches and various robustness checks. For falsification, we show that sex ratios have no impact on several "atheoretical" health conditions, such as Parkinson's disease, chronic lung d…
author: Kang, Yifan
language: en
keywords: Sexual Economy, Sex Ratios, (in)fidelity Networks, Racial Diversity, Sexual Infidelity, Sexually Transmitted Infections, Sexual Homophily, United Kingdom
date published: 2020-09-10T17:53:49Z
date modified: 2026-07-24T03:39:16Z
provider: University of Ottawa
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: Université d'Ottawa / University of Ottawa

PropertyValue
property ID: Handle
value: http://hdl.handle.net/10393/40963

PropertyValue
property ID: DOI
value: 10.20381/ruor-25189