Anticipation of deteriorating health and information avoidance
将预期效用与对未来负面健康冲击的内生信念整合进生理老化的生命周期模型,发现预期与内生信念共同构成回避亨廷顿病检测的强烈动机,解释了低检测率,并研究了乳腺癌和卵巢癌检测率随收入变化的原因。
We integrate anticipatory utility and endogenous beliefs about future negative health shocks into a life-cycle model of physiological aging. Individuals care about their future utility derived from their health status and form endogenous beliefs about the probability of a negative health shock. We calibrate the model with data from gerontology and use the model to predict medical testing decisions of individuals. We find that anticipation in combination with endogenous beliefs provides a quantitatively strong motive to avoid medical testing for Huntington's disease, which explains the low testing rates found empirically. We also study the case of breast and ovarian cancer and provide an explanation for why testing rates depend on the individual's income when treatment is available.