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Choices, beliefs, and infectious disease dynamics

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  • Auld, M. Christopher

Abstract

This paper develops a dynamic model of behavioural response to the risk of infectious disease. People respond to increased risk of infection by either making marginal adjustments in risky behaviour or by moving to a corner solution where perceived risk is zero. Individuals most prone to high-risk activity will tend to reduce activity less than low-risk people; very high risk people may exhibit "fatalism" and increase risky behaviour as the risk of becoming infected rises. Beliefs about the future course of the epidemic affect current behaviour even when utility is additively separable: pessimistic beliefs induce more risky behaviour. Simulations contrast the disease dynamics generated under these behaviours with those of standard epidemiological models and examine policy issues.

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File URL: http://www.sciencedirect.com/science/article/B6V8K-47GHX3T-1/2/e8072117910cab23fd6f2958da204e79
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Bibliographic Info

Article provided by Elsevier in its journal Journal of Health Economics.

Volume (Year): 22 (2003)
Issue (Month): 3 (May)
Pages: 361-377

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Handle: RePEc:eee:jhecon:v:22:y:2003:i:3:p:361-377

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Web page: http://www.elsevier.com/locate/inca/505560

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References

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  1. Geoffard, P.Y. & Philipson, T., 1995. "Rational Epidemics and their Public Control," DELTA Working Papers 95-15, DELTA (Ecole normale supérieure).
  2. Kremer, Michael, 1996. "Integrating Behavioral Choice into Epidemiological Models of AIDS," The Quarterly Journal of Economics, MIT Press, vol. 111(2), pages 549-73, May.
  3. Philipson, Tomas, 2000. "Economic epidemiology and infectious diseases," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 33, pages 1761-1799 Elsevier.
  4. Peltzman, Sam, 1975. "The Effects of Automobile Safety Regulation," Journal of Political Economy, University of Chicago Press, vol. 83(4), pages 677-725, August.
  5. Tomas Philipson, 1996. "Private Vaccination and Public Health: An Empirical Examination for U.S. Measles," Journal of Human Resources, University of Wisconsin Press, vol. 31(3), pages 611-630.
  6. Mechoulan Stéphane, 2004. "HIV Testing: a Trojan Horse?," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 4(1), pages 1-26, August.
  7. Avner Ahituv & V. Joseph Hotz & Tomas Philipson, 1996. "The Responsiveness of the Demand for Condoms to the Local Prevalence of AIDS," Journal of Human Resources, University of Wisconsin Press, vol. 31(4), pages 869-897.
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Citations

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Cited by:
  1. David Aadland & David Finnoff & Kevin X.D. Huang, 2010. "Syphilis Cycles," Vanderbilt University Department of Economics Working Papers 1006, Vanderbilt University Department of Economics.
  2. Philipson, Tomas, 2000. "Economic epidemiology and infectious diseases," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 33, pages 1761-1799 Elsevier.
  3. Fenichel, Eli P., 2013. "Economic considerations for social distancing and behavioral based policies during an epidemic," Journal of Health Economics, Elsevier, vol. 32(2), pages 440-451.
  4. Toxvaerd, Flavio, 2010. "Recurrent Infection and Externalities in Prevention," CEPR Discussion Papers 8112, C.E.P.R. Discussion Papers.
  5. Mannberg, Andréa, 2012. "Risk and rationalization—The role of affect and cognitive dissonance for sexual risk taking," European Economic Review, Elsevier, vol. 56(6), pages 1325-1337.
  6. M. Ceddia, 2012. "Optimal Disease Eradication in Sympatric Metapopulations," Environmental & Resource Economics, European Association of Environmental and Resource Economists, vol. 52(4), pages 499-530, August.
  7. David Aadland & David Finnoff & Kevin x.d. Huang, 2013. "The Equilibrium Dynamics of Economic Epidemiology," Vanderbilt University Department of Economics Working Papers 13-00003, Vanderbilt University Department of Economics.
  8. Adeline Delavande & Hans-Peter Kohler, 2009. "Subjective expectations in the context of HIV/AIDS in Malawi," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 20(31), pages 817-875, June.
  9. Monica J. Grant, 2008. "Children’s school participation and HIV/AIDS in rural Malawi:," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 19(45), pages 1603-1634, September.
  10. Stéphane Mechoulan, 2006. "Risky Sexual Behavior, Testing and New HIV Treatments," Working Papers tecipa-239, University of Toronto, Department of Economics.
  11. Sheikh Shahnawaz, 2011. "Infectious disease outbreak and trade policy formulation," Economics Bulletin, AccessEcon, vol. 31(4), pages 2959-2967.
  12. Chris Papageorgiou & Petia Stoytcheva, . "What Do We Know About the Impact of AIDS on Cross-Country Income So Far?," Departmental Working Papers 2005-01, Department of Economics, Louisiana State University.

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