Optimal self-protection and health risk perceptions: Exploring connections between risk theory and the Health Belief Model.

In this contribution to the longstanding risk theory debate on optimal self-protection, we aim to enrich the microeconomic modeling of self-protection, in the wake of Ehrlich and Becker (1972), by exploring the representation of risk perception at the core of the Health Belief Model (HBM), a conceptual framework extremely influential in Public Health studies (Janz and Becker, 1984). In our two-period model, we highlight the crucial role of risk perception in the individual decision to adopt a preventive behavior toward a generic health risk. We discuss the optimal prevention effort engaged by an agent displaying either imperfect knowledge of the susceptibility (probability of occurrence) or the severity (magnitude of the loss) of a health hazard, or facing uncertainty on these risk components. We assess the impact of risk aversion and prudence on the optimal level of self-protection, a critical issue in the risk and insurance economic literature, yet often overlooked in HBM studies. Our results pave the way for the design of efficient information instruments to improve health prevention when risk perceptions are biased.

The relative power of individual distancing efforts and public policies to curb the COVID-19 epidemics.

Lockdown curbs the COVID-19 epidemics but at huge costs. Public debates question its impact compared to reliance on individual responsibility. We study how rationally chosen self-protective behavior impacts the spread of the epidemics and interacts with policies. We first assess the value of lockdown in terms of mortality compared to a counterfactual scenario that incorporates self-protection efforts; and second, assess how individual behavior modify the epidemic dynamics when public regulations change. We couple an SLIAR model, that includes asymptomatic transmission, with utility maximization: Individuals trade off economic and wellbeing costs from physical distancing with a lower infection risk. Physical distancing effort depends on risk aversion, perceptions of the epidemics and average distancing effort in the population. Rational distancing effort is computed as a Nash Equilibrium. Equilibrium effort differs markedly from constant, stochastic or proportional contacts reduction. It adjusts to daily incidence of hospitalization in a way that creates a slightly decreasing plateau in epidemic prevalence. Calibration on French data shows that a business-as-usual benchmark yields an overestimation of the number of deaths by a factor of 10 compared to benchmarks with equilibrium efforts. However, lockdown saves nearly twice as many lives as individual efforts alone. Public policies post-lockdown have a limited impact as they partly crowd out individual efforts. Communication that increases risk salience is more effective.

The dispersion of age differences between partners and the asymptotic dynamics of the HIV epidemic.

In this paper, the effect of a change in the distribution of age differences between sexual partners on the dynamics of the HIV epidemic is studied. In a gender- and age-structured compartmental model, it is shown that if the variance of the distribution is small enough, an increase in this variance strongly increases the basic reproduction number. Moreover, if the variance is large enough, the mean age difference barely affects the basic reproduction number. We, therefore, conclude that the local stability of the disease-free equilibrium relies more on the variance than on the mean.

Assessing the impact of bycatch on dolphin populations: the case of the common dolphin in the eastern North Atlantic.

Fisheries interactions have been implicated in the decline of many marine vertebrates worldwide. In the eastern North Atlantic, at least 1000 common dolphins (Delphinus delphis) are bycaught each year, particularly in pelagic pair-trawls. We have assessed the resulting impact of bycatch on this population using a demographic modeling approach. We relied on a sample of females stranded along the French Atlantic and western Channel coasts. Strandings represent an extensive source of demographic information to monitor our study population. Necropsy analysis provided an estimate of individual age and reproductive state. Then we estimated effective survivorship (including natural and human-induced mortality), age at first reproduction and pregnancy rates. Reproductive parameters were consistent with literature, but effective survivorship was unexpectedly low. Demographic parameters were then used as inputs in two models. A constant parameter matrix proposed an effective growth rate of -5.5±0.5%, corresponding to the current situation (including bycatch mortality). Subsequently, deterministic projections suggested that the population would be reduced to 20% of its current size in 30 years and would be extinct in 100 years. The demographic invariant model suggested a maximum growth rate of +4.5±0.09%, corresponding to the optimal demographic situation. Then, a risk analysis incorporating Potential Biological Removal (PBR), based on two plausible scenarii for stock structure suggested that bycatch level was unsustainable for the neritic population of the Bay of Biscay under a two-stock scenario. In depth assessment of stock structure and improved observer programs to provide scientifically robust bycatch estimates are needed. Effective conservation measures would be reducing bycatch to less than 50% of the current level in the neritic stock to reach PBR. Our approach provided indicators of the status and trajectory of the common dolphin population in the eastern North Atlantic and therefore proved to be a valuable tool for management, applicable to other dolphin populations.