直接害怕还是害怕死亡? 对疾病风险的反应中的宿命主义
1Department of Economics and Center for the Study of Demography and Ecology, University of Washington, 342 Savery Hall, 410 Spokane Lane, Seattle, WA 98105.
概括
人们可能会以宿命主义来应对疾病风险,增加冒险行为. 这项研究发现,在马拉维提供艾滋病毒风险信息导致性活动增加,特别是在那些初始风险高的人群中.
科学领域:
- 行为经济学是一种行为经济学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 了解风险感知对于设计有效的公共卫生干预至关重要.
- 宿命主义信仰,即个人认为结果是预定的,可以影响与健康相关的行为.
- 以前的研究表明,感知风险和实际的冒险行为之间存在复杂的关系.
研究的目的:
- 调查"命运主义"现象,以应对疾病风险.
- 测试是否提供准确的风险信息可以改变冒险行为.
- 根据最初的风险信念,检查风险信息的差异性影响.
主要方法:
- 在马拉维进行了一项随机对照试验.
- 参与者获得了有关艾滋病毒传播的真实,低平均风险的信息.
- 在干预之前和之后测量了性活动和风险信念.
主要成果:
- 干预导致性活动的平均轻微增加.
- 具有高初始风险信念的个人在性活动中显著下降.
- 这表明对风险信息的反应是微妙的,依赖于信念的.
结论:
- 疾病风险感知可以表现出"命运主义"的反应,在这种情况下,感知风险的增加会导致风险承担的增加.
- 准确的风险沟通可以产生差异性的影响,可能会减少高风险信仰群体的风险承担.
- 公共卫生策略应该考虑宿命主义和基线风险信念在塑造行为中的作用.
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