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Why Do Some Join and Others Don’t? A Behavioral Exploration of Voluntary Social Insurance in Developing Countries

Bibliographic Data

ID22006894
AuthorsSon-Tung Le (0000-0001-9236-4650, Vietnam Maritime University), Thanh Nam Nguyen (0009-0007-7261-3016, Vietnam Maritime University, corresponding author), Cong Xuong Dang (Vietnam Maritime University)
Year2025
Volume15
Issue4
Publication date2025-10-01
Open AccessYes
TypeARTICLE
VenueSAGE Open (JOURNAL)
Journal identifiersISSN: 2158-2440 • E-ISSN: 2158-2440
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/21582440251383689
OpenAlexW7115180622
LanguageEN
Citations received1
References cited51

Voluntary social insurance (VSI) is critical to extending social protection coverage to informal sector workers in developing countries like Vietnam, yet participation rates remain low. This study investigates the behavioral, social, and structural determinants influencing VSI participation, integrating the theory of planned behavior (TPB) and rational choice theory (RCT) into a comprehensive framework. Data were collected through a structured survey of 448 informal workers and analyzed using structural equation modeling (SEM). Results demonstrate that positive attitudes, supportive subjective norms, respected community figures, and community cohesion drive VSI participation, whereas financial incentives and flexible payment options alone do not. The study highlights the dominant role of internal motivations and social trust over purely economic considerations. Practical implications emphasize the need for communication strategies fostering positive perceptions, leveraging community leadership, and reinforcing institutional credibility. These findings provide valuable insights for policymakers aiming to design more inclusive, resilient social protection systems tailored to transitional economies like Vietnam

Developing country · Incentive · Payment · Social insurance · Structural equation modeling · Survey data collection · Theory of planned behavior · Turnover · Healthcare Systems and Reforms · Microfinance and Financial Inclusion · Poverty, Education, and Child Welfare

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Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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