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Optimal self‐protection and health risk perceptions: Exploring connections between risk theory and the Health Belief Model

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  • Emmanuelle Augeraud‐Véron
  • Marc Leandri

Abstract

In this contribution to the longstanding risk theory debate on optimal self‐protection, we aim to enrich the microeconomic modeling of self‐protection, in the wake of Ehrlich and Becker (1972), by exploring the representation of risk perception at the core of the Health Belief Model (HBM), a conceptual framework extremely influential in Public Health studies (Janz and Becker, 1984). In our two‐period model, we highlight the crucial role of risk perception in the individual decision to adopt a preventive behavior toward a generic health risk. We discuss the optimal prevention effort engaged by an agent displaying either imperfect knowledge of the susceptibility (probability of occurrence) or the severity (magnitude of the loss) of a health hazard, or facing uncertainty on these risk components. We assess the impact of risk aversion and prudence on the optimal level of self‐protection, a critical issue in the risk and insurance economic literature, yet often overlooked in HBM studies. Our results pave the way for the design of efficient information instruments to improve health prevention when risk perceptions are biased.

Suggested Citation

  • Emmanuelle Augeraud‐Véron & Marc Leandri, 2024. "Optimal self‐protection and health risk perceptions: Exploring connections between risk theory and the Health Belief Model," Health Economics, John Wiley & Sons, Ltd., vol. 33(7), pages 1565-1583, July.
    • Handle: RePEc:wly:hlthec:v:33:y:2024:i:7:p:1565-1583
    DOI: 10.1002/hec.4826
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    References listed on IDEAS

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    1. Kihlstrom, Richard E. & Mirman, Leonard J., 1974. "Risk aversion with many commodities," Journal of Economic Theory, Elsevier, vol. 8(3), pages 361-388, July.
    2. Keenan, Donald C. & Snow, Arthur, 2009. "Greater downside risk aversion in the large," Journal of Economic Theory, Elsevier, vol. 144(3), pages 1092-1101, May.
    3. David Crainich & Louis Eeckhoudt, 2017. "Average willingness to pay for disease prevention with personalized health information," Journal of Risk and Uncertainty, Springer, vol. 55(1), pages 29-39, August.
    4. Han Bleichrodt & Louis Eeckhoudt, 2006. "Willingness to pay for reductions in health risks when probabilities are distorted," Health Economics, John Wiley & Sons, Ltd., vol. 15(2), pages 211-214, February.
    5. Aurélien Baillon & Han Bleichrodt & Aysil Emirmahmutoglu & Johannes Jaspersen & Richard Peter, 2022. "When Risk Perception Gets in the Way: Probability Weighting and Underprevention," Operations Research, INFORMS, vol. 70(3), pages 1371-1392, May.
    6. Han Bleichrodt, 2022. "The prevention puzzle," The Geneva Risk and Insurance Review, Palgrave Macmillan;International Association for the Study of Insurance Economics (The Geneva Association), vol. 47(2), pages 277-297, September.
    7. Antoine Bommier & François Le Grand, 2019. "Risk Aversion and Precautionary Savings in Dynamic Settings," Management Science, INFORMS, vol. 65(3), pages 1386-1397, March.
    8. Chiu, W.Henry, 2005. "Degree of downside risk aversion and self-protection," Insurance: Mathematics and Economics, Elsevier, vol. 36(1), pages 93-101, February.
    9. Christophe Courbage & Richard Peter, 2021. "On the effect of uncertainty on personal vaccination decisions," Health Economics, John Wiley & Sons, Ltd., vol. 30(11), pages 2937-2942, November.
    10. Richard Peter, 2021. "Who should exert more effort? Risk aversion, downside risk aversion and optimal prevention," Economic Theory, Springer;Society for the Advancement of Economic Theory (SAET), vol. 71(4), pages 1259-1281, June.
    11. Johanna Etner & Meglena Jeleva, 2013. "Risk Perception, Prevention And Diagnostic Tests," Health Economics, John Wiley & Sons, Ltd., vol. 22(2), pages 144-156, February.
    12. Tobias Huber, 2022. "Comparative risk aversion in two periods: An application to self‐insurance and self‐protection," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 89(1), pages 97-130, March.
    13. Louis Eeckhoudt & Christian Gollier, 2005. "The impact of prudence on optimal prevention," Economic Theory, Springer;Society for the Advancement of Economic Theory (SAET), vol. 26(4), pages 989-994, November.
    14. Stefan Felder & Thomas Mayrhofer, 2017. "Medical Decision Making," Springer Books, Springer, edition 2, number 978-3-662-53432-8, July.
    15. Antoine Bommier & François Grand, 2014. "Too risk averse to purchase insurance?," Journal of Risk and Uncertainty, Springer, vol. 48(2), pages 135-166, April.
    16. Antoine Bommier & Arnold Chassagnon & François Le Grand, 2012. "Comparative risk aversion : A formal approach with applications to saving behavior," Post-Print hal-02312602, HAL.
    17. repec:dau:papers:123456789/4434 is not listed on IDEAS
    18. Brianti, Marco & Magnani, Marco & Menegatti, Mario, 2018. "Optimal choice of prevention and cure under uncertainty on disease effect and cure effectiveness," Research in Economics, Elsevier, vol. 72(2), pages 327-342.
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