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IZA Discussion Paper No. 16143
May 2023
For Better or Worse? Subjective Expectations and Cost-Benefit Trade-Offs in Health Behavior

published in: Health Economics, 2025, 34, 992 - 1012

We provide a framework to disentangle preferences and beliefs in health behavior and apply it to lockdown compliance in the UK. We estimate a model of compliance choice with uncertain costs and benefits to quantify utility tradeoffs, decompose group differences in compliance, and compute monetary compensations for complying. Individuals have largest disutility from passing away from COVID and being caught transgressing, and largest utility from preserving their mental health. While preferences and beliefs explain compliance differences by gender, only preferences drive differences by vulnerability. When others fail to comply and trust breaks down, the risk tolerant and those without prior COVID experience comply less, the vulnerables more. When a public figure breaches the rules, opponents comply less. Heterogenous beliefs, preferences, and responses to others are key to health policies.

Communications
Mark Fallak
mark.fallak@liser.lu
+352 585-855-526
World of Labour
Olga Nottmeyer
olga.nottmeyer@liser.lu
+352 585-855-501
Network Coordination
Christina Gathmann
christina.gathmann@liser.lu

The IZA@LISER Network is a global community of scholars dedicated to excellence in labor economics and related fields, now coordinated at the Luxembourg Institute of Socio-Economic Research (LISER) following its transition from Bonn.

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