@TechReport{iza:izadps:dp18301,
            	author={Bietenbeck, Jan and Maschmann, Lukas and Nilsson, Therese and Spika, Devon},
            	title={Cultural Origins of Preventive Health Care Utilization},
            	year={2025},
	month={Dec},
            	institution={Institute of Labor Economics (IZA)},
            	address={Bonn},
            	type={IZA Discussion Paper},
            	number={18301},
            	url={https://www.iza.org/index.php/publications/dp18301},
	abstract={We examine whether culturally transmitted time and risk preferences help explain differences in preventive health care uptake. We combine individual-level survey data from 27 European countries with country-level preference measures from the Global Preferences Survey. To isolate cultural influences from institutional and economic confounders, we focus on second-generation immigrants, who were born and currently reside in the same country -- and thus face the same institutional environment and health care system -- but whose parents originate from culturally distinct countries. We find that descendants of more patient cultures are more likely to use preventive services, while those from more risk-taking cultures are less likely to do so. These associations appear across multiple preventive care outcomes and remain robust to a wide range of socio-demographic and country-of-origin controls. The results highlight the role of culturally shaped preferences as a subtle but systematic determinant of preventive health behavior.},
	keywords={patience;culture;preventive care;risk-taking},
            }