Compliance in the public versus the private realm: Economic preferences, institutional trust and COVID-19 health behaviors

IF 2 3区 医学 Q2 ECONOMICS
Health economics Pub Date : 2024-02-23 DOI:10.1002/hec.4807
Henrike Sternberg, Janina Isabel Steinert, Tim Büthe
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引用次数: 0

Abstract

To what extent do economic preferences and institutional trust predict compliance with physical distancing rules during the COVID-19 pandemic? We reexamine this question by introducing the theoretical and empirical distinction between individual health behaviors in the public and in the private domain (e.g., keeping a distance from strangers vs. abstaining from private gatherings with friends). Using structural equation modeling to analyze survey data from Germany's second wave of the pandemic (N = 3350), we reveal the following major differences between compliance in both domains: Social preferences, especially (positive) reciprocity, play an essential role in predicting compliance in the public domain but are barely relevant in the private domain. Conversely, individuals' degree of trust in the national government matters predominantly for increasing compliance in the private domain. The clearly strongest predictor in this domain is the perception pandemic-related threats. Our findings encourage tailoring communication strategies to either domain-specific circumstances or factors common across domains. Tailored communication may also help promote compliance with other health-related regulatory policies beyond COVID-19.

Abstract Image

公共领域与私人领域的遵纪守法:经济偏好、机构信任和 COVID-19 健康行为。
在 COVID-19 大流行期间,经济偏好和制度信任能在多大程度上预测对物理距离规则的遵守情况?我们通过引入个人在公共领域和私人领域的健康行为(例如,与陌生人保持距离与不参加与朋友的私人聚会)之间的理论和实证区别,重新审视了这一问题。利用结构方程模型分析德国第二波大流行病的调查数据(N = 3350),我们揭示了这两个领域的遵医行为之间存在以下主要差异:社会偏好,尤其是(积极的)互惠,在预测公共领域的遵纪守法情况时起着至关重要的作用,但在私人领域却几乎无关紧要。相反,在私人领域,个人对国家政府的信任程度对提高遵纪守法程度起着至关重要的作用。在这一领域,最有力的预测因素显然是对大流行病相关威胁的感知。我们的研究结果鼓励根据特定领域的具体情况或各领域的共同因素调整传播策略。除了 COVID-19 之外,有针对性的沟通还有助于促进人们遵守其他与健康相关的监管政策。
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来源期刊
Health economics
Health economics 医学-卫生保健
CiteScore
3.60
自引率
4.80%
发文量
177
审稿时长
4-8 weeks
期刊介绍: This Journal publishes articles on all aspects of health economics: theoretical contributions, empirical studies and analyses of health policy from the economic perspective. Its scope includes the determinants of health and its definition and valuation, as well as the demand for and supply of health care; planning and market mechanisms; micro-economic evaluation of individual procedures and treatments; and evaluation of the performance of health care systems. Contributions should typically be original and innovative. As a rule, the Journal does not include routine applications of cost-effectiveness analysis, discrete choice experiments and costing analyses. Editorials are regular features, these should be concise and topical. Occasionally commissioned reviews are published and special issues bring together contributions on a single topic. Health Economics Letters facilitate rapid exchange of views on topical issues. Contributions related to problems in both developed and developing countries are welcome.
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