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“The better you feel, the harder you fall”: Health perception biases and mental health among Chinese adults during the COVID-19 pandemic

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  • Nie, Peng
  • Wang, Lu
  • Dragone, Davide
  • Lu, Haiyang
  • Sousa-Poza, Alfonso
  • Ziebarth, Nicolas R.

Abstract

The health risks of the current COVID-19 pandemic, together with the drastic mitigation measures taken in many affected nations, pose an obvious threat to public mental health. To assess predictors of poor mental health in the context of the COVID-19 pandemic, this study first implements survey-based measures of health perception biases among Chinese adults during the pandemic. Then, it analyzes their relation to three mental health outcomes: life satisfaction, happiness, and depression (as measured by the CES−D). We show that the health overconfidence displayed by approximately 30% of the survey respondents is a clear risk factor for mental health problems; it is a statistically significant predictor of depression and low levels of happiness and life satisfaction. We also document that these effects are stronger in regions that experienced higher numbers of confirmed COVID-19 cases and deaths. Our results offer clear guidelines for the implementation of effective interventions to temper health overconfidence, particularly in uncontrollable situations like the COVID-19 pandemic.

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  • Nie, Peng & Wang, Lu & Dragone, Davide & Lu, Haiyang & Sousa-Poza, Alfonso & Ziebarth, Nicolas R., 2022. "“The better you feel, the harder you fall”: Health perception biases and mental health among Chinese adults during the COVID-19 pandemic," China Economic Review, Elsevier, vol. 71(C).
    • Handle: RePEc:eee:chieco:v:71:y:2022:i:c:s1043951x21001267
    DOI: 10.1016/j.chieco.2021.101708
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    More about this item

    Keywords

    Health perception bias; Overconfidence; Underconfidence; Mental health; China;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • P46 - Political Economy and Comparative Economic Systems - - Other Economic Systems - - - Consumer Economics; Health; Education and Training; Welfare, Income, Wealth, and Poverty

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