Choices, beliefs, and infectious disease dynamics.

A dynamic model of risky behavior in the midst of an epidemic is discussed. The key result is that pessimistic expectations over the future of the epidemic induce more current risky behavior. Numerical simulation of equilibrium epidemics shows that this effect can accelerate spread of the disease in an epidemic's early stages and that the effect of policy interventions, such as preventative vaccines, may depend on whether the intervention was anticipated.

[1]  Karen M. Kuntz,et al.  The Impact of a Partially Effective HIV Vaccine on a Population of Intravenous Drug Users in Bangkok, Thailand: A Dynamic Model , 2002, Journal of acquired immune deficiency syndromes.

[2]  P. Geoffard,et al.  Rational Epidemics and Their Public Control , 1996 .

[3]  I. Longini,et al.  Role of the primary infection in epidemics of HIV infection in gay cohorts. , 1995, Journal of acquired immune deficiency syndromes.

[4]  S. Blower,et al.  Prophylactic vaccines, risk behavior change, and the probability of eradicating HIV in San Francisco. , 1994, Science.

[5]  J. Swinton,et al.  Potential impact of low efficacy HIV-1 vaccines in populations with high rates of infection , 1995, Proceedings of the Royal Society of London. Series B: Biological Sciences.

[6]  J. Kahn,et al.  Risk behavior for HIV infection in participants in preventive HIV vaccine trials: a cautionary note. , 1997, Journal of acquired immune deficiency syndromes and human retrovirology : official publication of the International Retrovirology Association.

[7]  M. Johnson,et al.  Belief of vaccine receipt in HIV vaccine trials: further cautions. , 1999, Journal of acquired immune deficiency syndromes.

[8]  M. Kremer.  Integrating Behavioral Choice into Epidemiological Models of the Aids Epidemic , 1996 .

[9]  S. Peltzman.  The Effects of Automobile Safety Regulation , 1975, Journal of Political Economy.

[10]  M. Becker,et al.  AIDS and behavioral change to reduce risk: a review. , 1988, American journal of public health.

[11]  Richard A. Posner,et al.  A Theoretical and Empirical Investigation of the Effects of Public Health Subsidies for STD Testing , 1995 .

[12]  J. Levy,et al.  Clinical, immunologic, and serologic findings in men at risk for acquired immunodeficiency syndrome. The San Francisco Men's Health Study. , 1987, JAMA.

[13]  Richard A. Posner,et al.  Private Choices and Public Health: The AIDS Epidemic in an Economic Perspective , 1993 .

[14]  W Winkelstein,et al.  Infectivity of the human immunodeficiency virus: estimates from a prospective study of homosexual men. , 1987, The Journal of infectious diseases.

[15]  M. Kremer.  Integrating Behavioral Choice into Epidemiological Models of AIDS , 1996 .

[16]  T. Philipson,et al.  Private Vaccination and Public Health: An Empirical Examination for U.S. Measles , 1996 .

[17]  V. Joseph Hotz,et al.  The Responsiveness of the Demand for Condoms to the Local Prevalence of AIDS , 1996 .

[18]  T. Philipson.  Economic Epidemiology and Infectious Diseases , 1999 .

[19]  Tomas J. Philipson,et al.  Chapter 33 Economic epidemiology and infectious diseases , 2000 .

[20]  T. Philipson,et al.  Infectious disease transmission and infection-dependent matching. , 1998, Mathematical biosciences.

[21]  Stéphane Mechoulan.  HIV Testing: a Trojan Horse? , 2004 .

[22]  T. Coates,et al.  AIDS and sexual behavior reported by gay men in San Francisco. , 1985, American journal of public health.

[23]  J. Esparza,et al.  An HIV vaccine: how and when? , 2001, Bulletin of the World Health Organization.

[24]  John Mullahy,et al.  It&Apos;Ll Only Hurt a Second? Microeconomic Determinants of Who Gets Flu Shots , 1998, Health economics.

[25]  T. Coates,et al.  Reported changes in the sexual behavior of men at risk for AIDS, San Francisco, 1982-84--the AIDS Behavioral Research Project. , 1985, Public health reports.

[26]  K. Hadeler,et al.  A core group model for disease transmission. , 1995, Mathematical biosciences.

[27]  T. Philipson,et al.  An empirical examination of the implications of assortative matching on the incidence of HIV. , 1996, Journal of Health Economics.

[28]  R. May,et al.  Infectious Diseases of Humans: Dynamics and Control , 1991, Annals of Internal Medicine.

[29]  A. Stoddard,et al.  Effects of HIV antibody test knowledge on subsequent sexual behaviors in a cohort of homosexually active men. , 1988, American journal of public health.