Time Preferences, Risk Preferences and Choices of Healthy Diet: Evidence From Mekelle City, Northern Ethiopia.

IF 2 3区 医学 Q2 ECONOMICS
Health economics Pub Date : 2026-08-08 DOI:10.1002/hec.70146
Taddese Mezgebo, Zenebe Gebreegziabher, Haftom Bayray Kahsay, Abrha Megos Meressa, Lemlem Weldegerima Gebremariam, Valentino Marini Govigli, Marco Setti
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Abstract

Diet-related morbidity and mortality now exceed those associated with hunger worldwide. Although risk and time preferences are correlated with dietary behavior, evidence from the Global South remains limited. In particular, the role of human-capital risk-distinct from health risk-in shaping dietary choices has not been systematically examined. This study addresses this gap using incentivized lab-in-the-field experiments and 2024 survey data from Mekelle city, northern Ethiopia. A control-function approach accounts for potential health-status endogeneity, Oster's coefficient stability test assesses sensitivity to unobserved heterogeneity, and double Lasso tests the exclusion of insignificant variables while controlling for structural errors. Results show that impatience, impulsivity, and risk aversion are generally negatively associated with demand for healthy dietary components, although associations vary by outcome. Risk-averse subjects report stronger healthy-eating intentions but exhibit comparatively lower observed investment in healthy foods, consistent with concerns about human-capital risk.

时间偏好、风险偏好和健康饮食选择:来自埃塞俄比亚北部Mekelle市的证据
在世界范围内,与饮食有关的发病率和死亡率现已超过与饥饿有关的发病率和死亡率。尽管风险偏好和时间偏好与饮食行为相关,但来自全球南方的证据仍然有限。特别是,人力资本风险——不同于健康风险——在形成饮食选择方面的作用尚未得到系统研究。本研究使用激励实验室现场实验和2024年来自埃塞俄比亚北部Mekelle市的调查数据来解决这一差距。控制函数方法解释了潜在的健康状态内质性,奥斯特系数稳定性检验评估了对未观察到的异质性的敏感性,双拉索检验在控制结构误差的同时排除了无关重要的变量。结果表明,急躁、冲动和风险厌恶通常与健康饮食成分的需求呈负相关,尽管相关关系因结果而异。风险厌恶的受试者报告了更强的健康饮食意图,但在健康食品上的投资相对较少,这与对人力资本风险的担忧一致。
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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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