Các yếu tố xã hội - nhân khẩu học liên quan đến hành vi tự bảo vệ trong đại dịch Covid-19

Nicholas W. Papageorge1, Matthew Zahn2, Michèle Bélot3, Eline van den Broek-Altenburg4, Syngjoo Choi5, Jennifer R. Jamison6, Egon Tripodi7
1Department of Economics, Johns Hopkins University, IZA and NBER, Balitmore, MD, USA
2Department of Economics, Johns Hopkins University, Baltimore, MD, USA
3Department of Economics, Cornell University and IZA, Ithaca, NY, USA
4Larner College of Medicine, University of Vermont, Burlington, VT, USA
5Department of Economics, Seoul National University, Seoul, Gwanak-gu, South Korea
6University of Exeter Business School, Exeter, Devon, UK
7Department of Economics, University of Essex, Colchester, Essex, UK

Tóm tắt

Trong tóm tắt

Với vai trò của hành vi con người trong sự lây lan của bệnh tật, việc hiểu rõ những gì thúc đẩy con người tham gia hay tránh xa các hành vi liên quan đến sức khỏe trong thời kỳ đại dịch là vô cùng cần thiết. Bài báo này xem xét các yếu tố liên quan đến việc áp dụng các hành vi bảo vệ sức khỏe bản thân, chẳng hạn như giãn cách xã hội và đeo khẩu trang, vào đầu đại dịch Covid-19 tại Hoa Kỳ. Những hành vi này không chỉ làm giảm nguy cơ nhiễm bệnh của chính cá nhân mà còn hạn chế sự lây lan của bệnh tật tới những người khác. Mặc dù có được hai lợi ích này, nhưng việc áp dụng đồng bộ các hành vi này không được đảm bảo. Chúng tôi tập trung vào vai trò của sự khác biệt về kinh tế - xã hội trong việc giải thích hành vi, dựa trên dữ liệu thu thập vào tháng 4 năm 2020 trong giai đoạn đầu của đại dịch Covid-19. Dữ liệu bao gồm thông tin về thu nhập, giới tính và chủng tộc cùng với các biến số đặc thù liên quan đến đại dịch hiện tại, chẳng hạn như chế độ làm việc và chất lượng nhà ở. Chúng tôi nhận thấy rằng thu nhập cao hơn liên quan đến những thay đổi lớn hơn trong các hành vi tự bảo vệ. Những chênh lệch này được giải thích một phần bởi thực tế là những người có thu nhập thấp hơn thường báo cáo tình huống khiến việc áp dụng hành vi tự bảo vệ trở nên khó khăn hơn, chẳng hạn như không thể làm việc từ xa. Cả ở Hoa Kỳ và những nơi khác, các chính sách giả định sự tuân thủ phổ quát các biện pháp tự bảo vệ—hoặc không tính đến sự khác biệt kinh tế - xã hội trong chi phí thực hiện—khó có khả năng hiệu quả hoặc bền vững.

Từ khóa

#Covid-19 #hành vi tự bảo vệ #khác biệt kinh tế - xã hội #giãn cách xã hội #khẩu trang

Tài liệu tham khảo

Adams-Prassl A, Boneva T, Golin M, Rauh C (2020) Inequality in the impact of the coronavirus shock: evidence from real time surveys. Cambridge-INET

Adams-Prassl A, Boneva T, Golin M, Rauh C (2020) The impact of the coronavirus lockdown on mental health: evidence from the US. Working Paper 2020-030. Human Capital and Economic Opportunity Working Group

Adda J (2016) Economic activity and the spread of viral diseases: evidence from high frequency data, vol 131, pp 891–941

Adolph C, Amano K, Bang-Jensen B, Fullman N, Wilkerson J (2020) Pandemic politics: timing state-level social distancing responses to COVID-19. In: medRxiv

Akesson J, Ashworth-Hayes S, Hahn R, Metcalfe RD, Rasooly I (2020) Fatalism, beliefs, and behaviors during the COVID-19 pandemic. Working Paper 27245. National Bureau of Economic Research

Allcott H, Boxell L, Conway J, Ferguson BA, Gentzkow M, Goldman B (2020a) What explains temporal and geographic variation in the early us coronavirus pandemic? Working Paper 27965. National Bureau of Economic Research

Allcott H, Boxell L, Conway J, Gentzkow M, Thaler M, Yang DY (2020b) Polarization and public health: partisan differences in social distancing during the coronavirus pandemic. Working Paper 26946. National Bureau of Economic Research

Alon TM, Doepke M, Olmstead-Rumsey J, Tertilt M (2020) The impact of COVID-19 on gender equality. Covid Econ 4:62–85

Andersen M (2020) Early evidence on social distancing in response to COVID-19 in the United States. Tech. rep. SSRN

Arango T, Cowan J (2020) Gov. Gavin Newsom of California Orders Californians to Stay at Home. https://www.nytimes.com/2020/03/19/us/California-stay-at-home-order-virus.html (visited on 10/20/2020)

Ashraf BN (2020) Socioeconomic Conditions, Government Interventions and Health Outcomes During COVID-19, vol 37, pp 141–162

Barbash Fred, Horton A (2020) Florida Governor Issues Coronavirus Stay-At-Home Order After Heavy Criticism. https://www.washingtonpost.com/nation/2020/04/01/coronavirus-florida-desantis/ (10/20/2020)

Barrios JM, Hochberg Y (2020) Risk perception through the lens of politics in the time of the COVID-19 pandemic. Working Paper 27008. National Bureau of Economic Research

Barth D, Papageorge NW, Thom K (2020) Genetic endowments and wealth inequality. J Polit Econ 128(4):1474–1522

Béland Louis-Philippe, Brodeur A, Wright T (2020) Covid-19, stay-at-home orders and employment: evidence from CPS data. Discussion Paper 13282. IZA

Belot M, Choi S, Jamison J, Papageorge NW, Tripodi E, van den Broek-Altenburg E (2020a) Unequal consequences of Covid 19 across age and income: representative evidence from six countries

Belot M, Choi S, Jamison J, Papageorge NW, Tripodi E, van den Broek-Altenburg E (2020b) Six-country survey on Covid-19. Covid Econ 17:205–219

Bonacini L, Gallo G, Patriarca F (2021) Identifying policy challenges of COVID-19 in hardly reliable data and judging the success of lockdown measures. J Popul Econ 34:275–301

Bonacini L, Gallo G, Scicchitano S (2021) Working from home and income inequality: risks of a ‘new normal’ with Covid-19. J Popul Econ 34:303–360

Borjas GJ (2020) Demographic determinants of testing incidence and COVID-19 infections in New York City neighborhoods. Covid Econ 3:12–39

Briscese G, Lacetera N, Macis M, Tonin M (2020) Compliance with Covid-19 social-distancing measures in Italy: the role of expectations and duration. Discussion Paper 13092. IZA

Carroll CD, Crawley E, Slacalek J, White MN (2020) Modeling the consumption response to the CARES Act. Working Paper 27876. National Bureau of Economic Research

Cawley J, Ruhm CJ (2011) The economics of risky health behaviors. In: Handbook of Health Economics, vol 2. Elsevier, pp 95–199

Chan TY, Hamilton BH, Papageorge NW (2016) Health, risky behaviour and the value of medical innovation for infectious disease, vol 83, pp 1465–1510

Chiou L, Tucker C (2020) Social distancing, internet access and inequality. Working Paper 26982. National Bureau of Economic Research

CMS (2011) At risk: pre-existing conditions could affect 1 in 2 Americans. https://www.cms.gov/CCIIO/Resources/Forms-Reports-and-Other-Resources/preexisting (visited on 10/20/2020)

Coibion O, Gorodnichenko Y, Weber M (2020) The cost of the COVID-19 crisis: lockdowns, macroeconomic expectations, and consumer spending. Covid Econ 29:1–49

Cutler DM, Lleras-Muney A, Vogl T (2011) Socioeconomic status and health: dimensions and mechanisms. The Oxford Handbook of Health Economics. Oxford University Press, Oxford

De Avila J (2020) Gov. Cuomo orders all workforce in state to stay home. https://www.wsj.com/articles/new-york-gov-cuomo-orders-all-nonessential-workers-in-state-to-stay-home-11584718223 (visited on 10/20/2020)

Delavande A, Perry M, Willis RJ (2006) Probabilistic thinking and social security claiming. Working Paper 129. Michigan Retirement Research Center

DeLuca S, Papageorge NW, Kalish E (2020) The unequal cost of social distancing. Available at https://coronavirus.jhu.edu/from-our-experts/the-unequal-cost-of-social-distancing

Fairlie RW, Couch K, Xu H (2020) The impacts of COVID-19 on minority unemployment: first evidence from April 2020 CPS microdata. Working Paper 27246. National Bureau of Economic Research

Ferrer RA, Klein William MP (2015) Risk perceptions and health behavior. Curr Opin Psychol 5:85–89

Giuntella O, Hyde K, Saccardo S, Sadoff S (2020) Lifestyle and mental health disruptions during Covid-19. Discussion Paper 13569. IZA

Goodman R, Schulkin D (2020) Timeline of the coronavirus pandemic and U.S. response. https://www.justsecurity.org/69650/timeline-of-the-coronavirus-pandemic-and-u-s-response/ (visited on 10/20/2020)

Higgins-Dunn N, Breuninger K, Mangan D (2020) New York Gov. Andrew Cuomo orders all people to wear face coverings in public. https://www.cnbc.com/2020/04/15/new-york-gov-cuomo-to-order-all-people-to-wear-masks-or-face-coverings-in-public.html (visited on 10/20/2020)

Huckins JF, daSilva AW, Wang W, Hedlund E, Rogers C, Nepal SK, Wu J, Obuchi M, Murphy EI, Meyer ML, Wagner DD, Holtzheimer PE, Campbell AT (2020) Mental health and behavior of college students during the early phases of the COVID-19 pandemic: longitudinal smartphone and ecological momentary assessment study. J Med Internet Res 22(6):e20185

Lemire J (2020) Trump wears mask in public for first time during pandemic. https://apnews.com/article/7651589ac439646e5cf873d021f1f4b6 (visited on 10/20/2020)

Lillard LA, Willis RJ (2001) Cognition and wealth: the importance of probabilistic thinking. Working Paper 7. Michigan Retirement Research Center

Madrigal AC, Kissane E (2020) The worst day of the pandemic since May. https://www.theatlantic.com/science/archive/2020/11/pandemic-coronavirus-hospitalizations-new-record/617061/ (visited on 11/10/2020)

Manski CF (2020) Covid-19 policy must take all impacts into account. Scientific American. Available at https://blogs.scientificamerican.com/observations/covid-19-policy-must-take-all-impacts-into-account/

Manski CF, Molinari F (2020) Estimating the COVID-19 infection rate: anatomy of an inference problem. Journal of Econom

McCarthy J (2020) 43% of U.S. households report preexisting conditions. https://news.gallup.com/poll/269003/households-report-preexisting-conditions.aspx (visited on 10/20/2020)

Milani F (2021) COVID-19 outbreak, social response, and early economic effects: a global VAR analysis of cross-country interdependencies. J Popul Econ 34:223–252

Mongey S, Pilossoph L, Weinberg A (2020) Which workers bear the burden of social distancing policies?. Covid Econ 12:69–86

Okubo T (2020) Spread of COVID-19 and telework: evidence from Japan. Covid Econ 32:1–25

Painter M, Qiu T (2020) Political beliefs affect compliance with COVID-19 social distancing orders. Covid Econ 4:103–127

Pampel FC, Krueger PM, Denney JT (2010) Socioeconomic disparities in health behaviors. Ann Rev Sociol 36:349–370

Papageorge NW (2016) Why medical innovation is valuable: health, human capital, and the labor market. Quant Econ 7(3):671–725

Papageorge NW, Zahn MV, Belot M, van den Broek-Altenburg E, Choi S, Jamison JC, Tripodi E (2020) Socio-demographic factors associated with self-protecting behavior during the Covid-19 pandemic. Working Paper 27378. National Bureau of Economic Research

Posner RA, Tomas J. P. (1993) Private choices and public health: the aids epidemic in an economic perspective. Harvard University Press, Cambridge

Qiu Y, Chen X, Shi W (2020) Impacts of social and economic factors on the transmission of coronavirus disease 2019 (COVID-19) in China. J Popul Econ 33:1127–1172

Rahman AS (2020) Why can’t everybody work remotely? Blame the robots. Covid Econ 36:105–128

Romo V (2020) California Gov. Newsom makes face masks mandatory amid rising coronavirus cases. https://www.npr.org/sections/coronavirus-live-updates/2020/06/18/880583357/california-gov-newsom-makes-face-masks-mandatory-amid-rising-coronavirus-cases (visited on 10/20/2020)

Saltiel F (2020) Who can work from home in developing countries. Covid Econ 6:104–118

Shapiro J, Wu S (2011) Fatalism and savings. J Socio-Econ 40(5):645–651

Siemaszko C (2020) Texas governor mandates mask-wearing across most of state as coronavirus cases surge. https://www.nbcnews.com/news/us-news/texas-governor-mandates-mask-wearing-across-most-state-coronavirus-cases-n1232845 (visited on 10/20/2020)

Simonov A, Sacher SK, Dubé J-PH, Biswas S (2020) the persuasive effect of fox news: non-compliance with social distancing during the Covid-19 pandemic. Working Paper 27237. National Bureau of Economic Research

Smith AC, Thomas E, Snoswell CL, Haydon H, Mehrotra A, Clemensen Jane, Caffery LJ (2020) Telehealth for global emergencies: implications for coronavirus disease 2019 (Covid-19). J Telemed Telecare 26(5):309–313.

Svitek P (2020a) Gov. Greg Abbott closes bars, restaurants and schools as he anticipates tens of thousands could test positive for coronavirus. https://www.texastribune.org/2020/03/19/texas-restaurants-bars-closed-greg-abbott/ (visited on 10/20/2020)

Svitek P (2020b) Gov. Greg Abbott resists calls for statewide shelter-in-place; moves to expand hospital capacity. https://www.texastribune.org/2020/03/22/texas-shelter-in-place-coronavirus-cases/ (visited on 10/20/2020)

Svitek P (2020c) Gov. Greg Abbott tells texans to stay home except for essential activity in april. https://www.texastribune.org/2020/03/31/greg-abbott-texas-executive-order-closures/ (visited on 10/20/2020)

Viner RM, Russell SJ, Croker H, Packer J, Ward J, Stansfield C, Mytton O, Bonell C, Booy R (2020) School closure and management practices during coronavirus outbreaks including COVID-19: a rapid systematic review. Lancet Child Adolesc Health

WHO (2020) Pandemic fatigue - reinvigorating the public to prevent Covid-19. Tech. rep. WHO Regional Office for Europe

Wozniak A (2020) Disparities and mitigation behavior during COVID-19. Institute Working Paper 32. Opportunity and Inclusive Inclusive Growth Institute: Federal Reserve Bank of Minneapolis

Wright AL, Sonin K, Driscoll J, Wilson J (2020) Poverty and economic dislocation reduce compliance with COVID-19 shelter-in-place protocols. Working Paper 2020-40. University of Chicago, Becker Friedman Institute for Economics

Yancy CW (2020) COVID-19 and african americans. J Am Med Assoc 323(19):1891–1892

Zimmermann KF, Karabulut G, Bilgin MH, Doker AC (2020) Inter-country distancing, globalisation and the coronavirus pandemic. World Econ 43 (6):1484–1498