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Scared Straight or Scared to Death? Fatalism in Response to Disease Risks

Bibliographic Data

ID9713343
AuthorsJason T Kerwin (0000-0003-3576-2833, University of Washington , , IZA, Germany, corresponding author)
Year2025
Volume135
Issue670
Pages1923-1941
Publication date2025-07-28
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueThe Economic Journal (JOURNAL)
Journal identifiersISSN: 0013-0133 • E-ISSN: 1468-0297
PublisherOxford University Press (PUBLISHER • GB)
DOI10.1093/ej/ueaf014
OpenAlexW4407430306
LanguageEN
Citations received1
References cited45

This paper shows that responses to disease risks can be ‘fatalistic’: higher risk beliefs can lead to more risk-taking rather than less. Intuitively, this can occur because high risk beliefs raise not only the chance of contracting the disease (which raises the marginal cost of risk-taking), but also the perceived chance that you are already infected (which lowers the marginal cost). I test for fatalism by randomly providing information about the true (low) average risk of HIV transmission in Malawi. Consistent with rational fatalism, the treatment causes sexual activity to rise slightly on average, but decline sharply for people with high initial risk beliefs—especially those with high baseline levels of sexual activity

Fatalism · Theology · Health and Conflict Studies · Healthcare cost, quality, practices · Medicine · Philosophy · Psychology · Public Health Policies and Education · Social Psychology

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Unique citing works1
Citations per year0,25
Citation span2022 - 2022 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1
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