Time Preferences and Preventive Health Behavior

Background. Many preventive health behaviors involve immediate costs and delayed benefits. Time preference is the extent to which decision makers value future outcomes relative to immediate ones. Consequently, people with future-oriented time preferences should be more likely to adopt preventive measures. The relationship between time preferences and acceptance of a free influenza vaccination was examined. Sample. The participants were 412 corporate employees who were offered free influenza vac cinations at their workplace. Measures. Participants' time preferences were measured in each of two domains: money and health. They also reported on whether they had accepted the influenza vaccination and their beliefs and attitudes about the vaccine. Results. There was a small (OR = 2.38) relationship of vaccination acceptance to monetary time preferences but not to the health time-preference measures. Other var iables, such as perceived effectiveness of the vaccine, were more predictive. Conclu sion. This study provides some evidence of a small relationship between time prefer ences and preventive health behavior. Key words: time preference; decision making; preventive health behavior; influenza vaccine. (Med Decis Making 1999; 19:307-314)

[1]  G. Chapman Temporal discounting and utility for health and money. , 1996, Journal of experimental psychology. Learning, memory, and cognition.

[2]  G. Chapman Expectations and Preferences for Sequences of Health and Money , 1996 .

[3]  R. Thaler Some empirical evidence on dynamic inconsistency , 1981 .

[4]  A. Yarcheski,et al.  Future Time Perspective and Positive Health Practices in Young Adults: An Extension , 1997, Perceptual and motor skills.

[5]  Daniel B. Hier,et al.  Familiarity and time preferences: Decision making about treatments for migraine headaches and Crohn's disease , 1999 .

[6]  D. Prelec,et al.  Negative Time Preference , 1991 .

[7]  G. Loewenstein,et al.  Do Workers Prefer Increasing Wage Profiles? , 1991, Journal of Labor Economics.

[8]  Victor R. Fuchs,et al.  Economic Aspects of Health , 1983 .

[9]  John B. Kidd,et al.  Decisions with Multiple Objectives—Preferences and Value Tradeoffs , 1977 .

[10]  Ralph L. Keeney,et al.  PREFERENCES OVER TIME , 1993 .

[11]  A. Rapoport,et al.  Discount rates inferred from decisions: an experimental study , 1987 .

[12]  G. Loewenstein Frames of mind in intertemporal choice , 1988 .

[13]  U. Ben-Zion,et al.  Discount rates inferred from decisions: an experimental study , 1989 .

[14]  J. Cairns Health, wealth and time preference , 1992 .

[15]  D A Redelmeier,et al.  Time Preference in Medical Decision Making and Cost - Effectiveness Analysis , 1993, Medical decision making : an international journal of the Society for Medical Decision Making.

[16]  N. E. Mahon,et al.  Future Time Perspective and Positive Health Practices in Adolescents , 1994, Perceptual and motor skills.

[17]  G. Chapman,et al.  Predictors of influenza vaccine acceptance among healthy adults. , 1999, Preventive medicine.

[18]  D. Redelmeier,et al.  Medical decision making in situations that offer multiple alternatives. , 1995, JAMA.

[19]  G. Chapman Preferences for improving and declining sequences of health outcomes , 2000 .

[20]  R. Thaler,et al.  Anomalies: Intertemporal Choice , 1989 .

[21]  Drazen Prelec,et al.  Preferences for sequences of outcomes. , 1993 .

[22]  Time Preference and Health: An Exploratory Study , 1980 .

[23]  R. L. Keeney,et al.  Decisions with Multiple Objectives: Preferences and Value Trade-Offs , 1977, IEEE Transactions on Systems, Man, and Cybernetics.