ArticleHealth economics review2019
Are health risk attitude and general risk attitude associated with healthcare utilization, costs and working ability? Results from the German KORA FF4 cohort study.
Article in Health economics review, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Psychometric Properties of the Turkish Medical Maximizer-Minimizer Scale.Journal of multidisciplinary healthcare · 2026Article
- The association between self-employed workers' risk perception and use of preventive occupational physician care.BMC public health · 2025Article
- Cost-effectiveness of incentives for physical activity in coronary heart disease in Germany: pre-trial health economic model of a complex intervention following the new MRC framework.BMJ open sport & exercise medicine · 2024Article
- Subjective expectation of reaching age 85: agreement with population statistics and association with behavioral and psychological factors.BMC geriatrics · 2023Article
- Time and risk preferences and the perceived effectiveness of incentives to comply with diabetic retinopathy screening among older adults with type 2 diabetes.Frontiers in psychology · 2023Article
- Eliciting risk preferences that predict risky health behavior: A comparison of two approaches.Health economics · 2022Article
- The impact of current smoking, regular drinking, and physical inactivity on health care-seeking behavior in China.BMC health services research · 2022Article
- The status of health promotion lifestyle and its related factors in Shandong Province, China.BMC public health · 2021Article
- Investing preventive care and economic development in ageing societies: empirical evidences from OECD countries.Health economics review · 2021Article
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8 authors.
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Abstract
backgroundRisk attitudes influence decisions made under uncertainty. This paper investigates the association of risk attitudes with the utilization of preventive and general healthcare services, work absence and resulting costs to explore their contribution to the heterogeneity in utilization.
methodsData of 1823 individuals (56.5 ± 9.5 years), participating in the German KORA FF4 population-based cohort study (2013/2014) were analyzed. Individuals' general and health risk attitude were measured as willingness to take risk (WTTR) on 11-point scales. Utilization of preventive and medical services and work absence was assessed and annual costs were calculated from a societal perspective. Generalized linear models with log-link function (logistic, negative-binomial and gamma regression) adjusted for age, sex, and height were used to analyze the association of WTTR with the utilizations and costs.
resultsHigher WTTR was significantly associated with lower healthcare utilization (physician visits, physical therapy, and medication intake), work absence days and indirect costs. Regarding preventive services, an overall negative correlation between WTTR and utilization was examined but this observation remained non-significant except for the outcome medical check-up. Here, higher WTTR was significantly associated with a lower probability of participation. For all associations mentioned, Odds Ratios ranged between 0.90 and 0.79, with p < 0.05. Comparing the two risk attitudes (general and regarding health) we obtained similar results regarding the directions of associations.
conclusionsWe conclude that variations in risk attitudes contribute to the heterogeneity of healthcare utilization. Thus, knowledge of their associations with utilization might help to better understand individual decision-making - especially in case of participation in preventive services.
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