For Better or Worse? Subjective Expectations and Cost‐Benefit Trade‐Offs in Health Behavior: An Application to Lockdown Compliance in the United Kingdom

We study the determinants of voluntary compliance in the early phase of the COVID-19 pandemic. Using rich data on subjective expectations we collected during the spring 2020 lockdown in the UK, we estimate a simple model of compliance choice with uncertain costs and benefits whose estimates quantify the utility trade-offs underlying compliance. Using these estimates, we decompose group differences in compliance into components due to preferences vis-à-vis expectations and compute the monetary compensation required for different groups to comply. We find citizens face intuitive trade-offs between costs and benefits of noncompliance, with the largest costs being the disutility of passing away from COVID-19 and the psychological cost of being caught transgressing, and the largest benefit being preserving own mental health. Significant heterogeneity exists across groups, with women's higher compliance being explained by gender differences in both preferences and expectations, while vulnerables' higher compliance being mainly driven by differences in preferences. The response of individual behavior to others' behavior, too, varies across personal characteristics and circumstances. Our findings underscore the importance for public health policies to take into account behavior-relevant heterogeneity in citizens' preferences, expectations, and responses to others.

Authors

Institutions

Publication Details

Journal
Health Economics
Published
2025-03-07
DOI
https://doi.org/10.1002/hec.4942
Citations
2
Primary Topic
COVID-19 Pandemic Impacts
Type
article
Field-Weighted Citation Impact
3.13

Funders

Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
article

For Better or Worse? Subjective Expectations and Cost‐Benefit Trade‐Offs in Health Behavior: An Application to Lockdown Compliance in the United Kingdom

Gabriella Conti, Pamela Giustinelli
2 citations
Health Economics
COVID-19 Pandemic Impacts
3.13
article

For Better or Worse? Subjective Expectations and Cost‐Benefit Trade‐Offs in Health Behavior: An Application to Lockdown Compliance in the United Kingdom

Gabriella Conti, Pamela Giustinelli
article en
2 citations

Abstract

We study the determinants of voluntary compliance in the early phase of the COVID-19 pandemic. Using rich data on subjective expectations we collected during the spring 2020 lockdown in the UK, we estimate a simple model of compliance choice with uncertain costs and benefits whose estimates quantify the utility trade-offs underlying compliance. Using these estimates, we decompose group differences in compliance into components due to preferences vis-à-vis expectations and compute the monetary compensation required for different groups to comply. We find citizens face intuitive trade-offs between costs and benefits of noncompliance, with the largest costs being the disutility of passing away from COVID-19 and the psychological cost of being caught transgressing, and the largest benefit being preserving own mental health. Significant heterogeneity exists across groups, with women's higher compliance being explained by gender differences in both preferences and expectations, while vulnerables' higher compliance being mainly driven by differences in preferences. The response of individual behavior to others' behavior, too, varies across personal characteristics and circumstances. Our findings underscore the importance for public health policies to take into account behavior-relevant heterogeneity in citizens' preferences, expectations, and responses to others.

Health EconomicsVol. 34(5)
Institute for Fiscal Studies (GB), IZA - Institute of Labor Economics (DE), Centre for Economic Policy Research (GB), University College London (GB), Bocconi University (IT)
Economic and Social Research Council, European Research Council
Gender equality
Openalex Percentile: Top 10%
COVID-19 Pandemic Impacts
3.13
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.

For Better or Worse? Subjective Expectations and Cost‐Benefit Trade‐Offs in Health Behavior: An Application to Lockdown Compliance in the United Kingdom — Gabriella Conti, Pamela Giustinelli · Health Economics (2025) | TGRS Research Map | TGRS