是好是坏?健康行为的主观期望和成本效益权衡:在英国的封锁合规应用。

IF 2 3区 医学 Q2 ECONOMICS
Health economics Pub Date : 2025-03-07 DOI:10.1002/hec.4942
Gabriella Conti, Pamela Giustinelli
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引用次数: 0

摘要

我们研究了COVID-19大流行早期自愿遵守的决定因素。利用我们在英国2020年春季封锁期间收集的丰富的主观预期数据,我们估计了一个成本和收益不确定的合规选择的简单模型,其估计量化了合规背后的效用权衡。使用这些估计,我们将遵从性的组差异分解为由于偏好vs -à-vis期望而产生的组件,并计算不同组遵守所需的货币补偿。我们发现,公民在不遵守规定的成本和收益之间面临着直观的权衡,其中最大的成本是远离COVID-19的负效用和被发现违规的心理成本,最大的好处是保持自己的心理健康。群体间存在显著的异质性,女性较高的依从性可由偏好和期望的性别差异解释,而弱势群体较高的依从性主要由偏好差异驱动。个人行为对他人行为的反应也因个人特征和环境而异。我们的研究结果强调了公共卫生政策考虑公民偏好、期望和对他人反应的行为相关异质性的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

For Better or Worse? Subjective Expectations and Cost-Benefit Trade-Offs in Health Behavior: An Application to Lockdown Compliance in the United Kingdom

For Better or Worse? Subjective Expectations and Cost-Benefit Trade-Offs in Health Behavior: An Application to Lockdown Compliance in the United Kingdom

We study the determinants of voluntary compliance in the early phase of the COVID-19 pandemic. Using rich data on subjective expectations we collected during the spring 2020 lockdown in the UK, we estimate a simple model of compliance choice with uncertain costs and benefits whose estimates quantify the utility trade-offs underlying compliance. Using these estimates, we decompose group differences in compliance into components due to preferences vis-à-vis expectations and compute the monetary compensation required for different groups to comply. We find citizens face intuitive trade-offs between costs and benefits of noncompliance, with the largest costs being the disutility of passing away from COVID-19 and the psychological cost of being caught transgressing, and the largest benefit being preserving own mental health. Significant heterogeneity exists across groups, with women's higher compliance being explained by gender differences in both preferences and expectations, while vulnerables' higher compliance being mainly driven by differences in preferences. The response of individual behavior to others' behavior, too, varies across personal characteristics and circumstances. Our findings underscore the importance for public health policies to take into account behavior-relevant heterogeneity in citizens' preferences, expectations, and responses to others.

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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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