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Optimal self-protection and health risk perception: bridging the gap 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 bridge the gap between the microeconomic modeling of self-protection, in the wake of Ehrlich and Becker (1972), and the Health Belief Model, a conceptual framework extremely influential in Public Health studies (Janz and Becker, 1984). In doing so, we highlight the crucial role of risk perception in the individual decision to adopt a preventive behavior towards 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, an issue at the core of the risk and insurance economic literature. Our results also 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, 2023. "Optimal self-protection and health risk perception: bridging the gap between risk theory and the Health Belief Model," EconomiX Working Papers 2023-12, University of Paris Nanterre, EconomiX.
  • Handle: RePEc:drm:wpaper:2023-12
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    References listed on IDEAS

    as
    1. Menegatti, Mario, 2009. "Optimal prevention and prudence in a two-period model," Mathematical Social Sciences, Elsevier, vol. 58(3), pages 393-397, November.
    2. Chiu, W.Henry, 2005. "Degree of downside risk aversion and self-protection," Insurance: Mathematics and Economics, Elsevier, vol. 36(1), pages 93-101, February.
    3. Bommier, Antoine & Chassagnon, Arnold & Le Grand, François, 2012. "Comparative risk aversion: A formal approach with applications to saving behavior," Journal of Economic Theory, Elsevier, vol. 147(4), pages 1614-1641.
    4. Antoine Bommier & Arnold Chassagnon & François Le Grand, 2012. "Comparative risk aversion: A formal approach with applications to saving behavior," PSE-Ecole d'économie de Paris (Postprint) halshs-00754583, HAL.
    5. 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.
    6. Kihlstrom, Richard E. & Mirman, Leonard J., 1974. "Risk aversion with many commodities," Journal of Economic Theory, Elsevier, vol. 8(3), pages 361-388, July.
    7. 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.
    8. Johanna Etner & Meglena Jeleva, 2013. "Risk Perception, Prevention And Diagnostic Tests," Health Economics, John Wiley & Sons, Ltd., vol. 22(2), pages 144-156, February.
    9. Mario Menegatti, 2021. "Subsidizing risk prevention," Journal of Economics, Springer, vol. 134(2), pages 175-193, October.
    10. 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.
    11. 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.
    12. 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.
    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. Antoine Bommier & Arnold Chassagnon & François Le Grand, 2012. "Comparative risk aversion: A formal approach with applications to saving behavior," Post-Print halshs-00754583, HAL.
    15. Stefan Felder & Thomas Mayrhofer, 2017. "Medical Decision Making," Springer Books, Springer, edition 2, number 978-3-662-53432-8, September.
    16. Dionne, Georges & Eeckhoudt, Louis, 1985. "Self-insurance, self-protection and increased risk aversion," Economics Letters, Elsevier, vol. 17(1-2), pages 39-42.
    17. Antoine Bommier & François Grand, 2014. "Too risk averse to purchase insurance?," Journal of Risk and Uncertainty, Springer, vol. 48(2), pages 135-166, April.
    18. Johanna Etner & Meglena Jeleva, 2013. "Risk Perception, Health Prevention and Diagnostic Test," Post-Print hal-01385815, HAL.
    19. Heaton, J.B., 2018. "Risk aversion as risk-neutral pessimism: A simple proof," International Review of Law and Economics, Elsevier, vol. 56(C), pages 70-72.
    20. Kai A. Konrad & Stergios Skaperdas, 1993. "Self-Insurance and Self-Protection: A Nonexpected Utility Analysis," The Geneva Risk and Insurance Review, Palgrave Macmillan;International Association for the Study of Insurance Economics (The Geneva Association), vol. 18(2), pages 131-146, December.
    21. Ehrlich, Isaac & Becker, Gary S, 1972. "Market Insurance, Self-Insurance, and Self-Protection," Journal of Political Economy, University of Chicago Press, vol. 80(4), pages 623-648, July-Aug..
    22. Antoine Bommier & Arnold Chassagnon & François Le Grand, 2012. "Comparative risk aversion : A formal approach with applications to saving behavior," Post-Print hal-02312602, HAL.
    23. Antoine Bommier & François Le Grand, 2019. "Risk Aversion and Precautionary Savings in Dynamic Settings," Management Science, INFORMS, vol. 65(3), pages 1386-1397, March.
    24. 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.
    25. repec:dau:papers:123456789/4434 is not listed on IDEAS
    26. Antoine Bommier & François Le Grand, 2019. "Risk Aversion and Precautionary Savings in Dynamic Settings," Post-Print hal-02312171, HAL.
    27. 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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    More about this item

    Keywords

    Prevention; Self-protection; Health Belief Model; Risk perception; Risk aversion; Prudence;
    All these keywords.

    JEL classification:

    • D81 - Microeconomics - - Information, Knowledge, and Uncertainty - - - Criteria for Decision-Making under Risk and Uncertainty
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • D9 - Microeconomics - - Micro-Based Behavioral Economics

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