Preferences for COVID-19 epidemic control measures among French adults: a discrete choice experiment
Jonathan Sicsic
(1)
,
Serge Blondel
(1, 2)
,
Sandra Chyderiotis
(3)
,
François Langot
(4, 5, 6, 7)
,
Judith E. Mueller
(8, 3, 9, 10, 11, 12)
1
LIRAES (URP_ 4470) -
Laboratoire Interdisciplinaire de Recherche Appliquée en Economie de la Santé
2 GRANEM - Groupe de Recherche Angevin en Economie et Management
3 IP - Institut Pasteur [Paris]
4 PSE - Paris School of Economics
5 PJSE - Paris Jourdan Sciences Economiques
6 CEPREMAP - Centre pour la recherche économique et ses applications
7 UM - Le Mans Université
8 EHESP - École des Hautes Études en Santé Publique [EHESP]
9 METIS - Département Méthodes quantitatives en santé publique
10 ARENES - Arènes: politique, santé publique, environnement, médias
11 RSMS - Recherche sur les services et le management en santé
12 UR - Université de Rennes
2 GRANEM - Groupe de Recherche Angevin en Economie et Management
3 IP - Institut Pasteur [Paris]
4 PSE - Paris School of Economics
5 PJSE - Paris Jourdan Sciences Economiques
6 CEPREMAP - Centre pour la recherche économique et ses applications
7 UM - Le Mans Université
8 EHESP - École des Hautes Études en Santé Publique [EHESP]
9 METIS - Département Méthodes quantitatives en santé publique
10 ARENES - Arènes: politique, santé publique, environnement, médias
11 RSMS - Recherche sur les services et le management en santé
12 UR - Université de Rennes
Jonathan Sicsic
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- Fonction : Auteur correspondant
- PersonId : 737289
- IdHAL : jonathan-sicsic
- ORCID : 0000-0002-5509-4791
- IdRef : 183312953
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François Langot
- Fonction : Auteur
- PersonId : 1356941
- IdHAL : francois-langot
- ORCID : 0000-0001-7737-5319
- IdRef : 059336536
Judith E. Mueller
- Fonction : Auteur
- PersonId : 740119
- IdHAL : judith-e-mueller
- ORCID : 0000-0003-0797-9971
Résumé
In this stated preferences study, we describe for the first time French citizens’ preferences for various epidemic control measures, to inform longer-term strategies and future epidemics. We used a discrete choice experiment in a representative sample of 908 adults in November 2020 (before vaccination was available) to quantify the trade-off they were willing to make between restrictions on the social, cultural, and economic life, school closing, targeted lockdown of high-incidence areas, constraints to directly protect vulnerable persons (e.g., self-isolation), and measures to overcome the risk of hospital overload. The estimation of mixed logit models with correlated random effects shows that some trade-offs exist to avoid overload of hospitals and intensive care units, at the expense of stricter control measures with the potential to reduce individuals’ welfare. The willingness to accept restrictions was shared to a large extent across subgroups according to age, gender, education, vulnerability to the COVID-19 epidemic, and other socio-demographic or economic variables. However, individuals who felt at greater risk from COVID-19, and individuals expressing high confidence in the governmental management of the health and economic crisis, more easily accepted all these restrictions. Finally, we compared the welfare impact of alternative strategies combining different epidemic control measures. Our results suggest that policies close to a targeted lockdown or with medically prescribed self-isolation were those satisfying the largest share of the population and achieving high gain in average welfare, while average welfare was maximized by the combination of all highly restrictive measures. This illustrates the difficulty in making preference-based decisions on restrictions.
Domaines
Economies et financesFormat du dépôt | Notice |
---|---|
Type de dépôt | Article dans une revue |
Titre |
en
Preferences for COVID-19 epidemic control measures among French adults: a discrete choice experiment
|
Résumé |
en
In this stated preferences study, we describe for the first time French citizens’ preferences for various epidemic control measures, to inform longer-term strategies and future epidemics. We used a discrete choice experiment in a representative sample of 908 adults in November 2020 (before vaccination was available) to quantify the trade-off they were willing to make between restrictions on the social, cultural, and economic life, school closing, targeted lockdown of high-incidence areas, constraints to directly protect vulnerable persons (e.g., self-isolation), and measures to overcome the risk of hospital overload. The estimation of mixed logit models with correlated random effects shows that some trade-offs exist to avoid overload of hospitals and intensive care units, at the expense of stricter control measures with the potential to reduce individuals’ welfare. The willingness to accept restrictions was shared to a large extent across subgroups according to age, gender, education, vulnerability to the COVID-19 epidemic, and other socio-demographic or economic variables. However, individuals who felt at greater risk from COVID-19, and individuals expressing high confidence in the governmental management of the health and economic crisis, more easily accepted all these restrictions. Finally, we compared the welfare impact of alternative strategies combining different epidemic control measures. Our results suggest that policies close to a targeted lockdown or with medically prescribed self-isolation were those satisfying the largest share of the population and achieving high gain in average welfare, while average welfare was maximized by the combination of all highly restrictive measures. This illustrates the difficulty in making preference-based decisions on restrictions.
|
Auteur(s) |
Jonathan Sicsic
1
, Serge Blondel
1, 2
, Sandra Chyderiotis
3
, François Langot
4, 5, 6, 7
, Judith E. Mueller
8, 3, 9, 10, 11, 12
1
LIRAES (URP_ 4470) -
Laboratoire Interdisciplinaire de Recherche Appliquée en Economie de la Santé
( 1004765 )
- Centre Universitaire des Saints Pères
45 rue des Saints Pères
Bureau 825-10 et 825-11
75006 Paris
- France
2
GRANEM -
Groupe de Recherche Angevin en Economie et Management
( 1096406 )
- Université d'Angers, GRANEM - Faculté de Droit, d’Économie et de Gestion, 13 Allée François Mitterrand, BP 13633 - 49036 Angers CEDEX 01
- France
3
IP -
Institut Pasteur [Paris]
( 300027 )
- 25-28, rue du docteur Roux, 75724 Paris cedex 15
- France
4
PSE -
Paris School of Economics
( 301309 )
- 48 boulevard Jourdan 75014 Paris
- France
5
PJSE -
Paris Jourdan Sciences Economiques
( 578027 )
- 48 boulevard Jourdan 75014 Paris
- France
6
CEPREMAP -
Centre pour la recherche économique et ses applications
( 300479 )
- Ecole normale supérieure (ENS)
48 boulevard Jourdan, 75014 Paris
- France
7
UM -
Le Mans Université
( 7566 )
- Avenue Olivier Messiaen - 72085 Le Mans cedex 9
- France
8
EHESP -
École des Hautes Études en Santé Publique [EHESP]
( 301986 )
- 15, avenue du Pr. Léon Bernard - 35043 Rennes Cedex
- France
9
METIS -
Département Méthodes quantitatives en santé publique
( 460325 )
- 15 avenue du Professeur Léon-Bernard - 35043 Rennes cedex
- France
10
ARENES -
Arènes: politique, santé publique, environnement, médias
( 2577 )
- 104 Bvd Duchesse Anne 35700 RENNES
- France
11
RSMS -
Recherche sur les services et le management en santé
( 1084052 )
- Université de Rennes
- France
12
UR -
Université de Rennes
( 105160 )
- Campus de Beaulieu, 263 avenue Général Leclerc, CS 74205, 35042 RENNES CEDEX
- France
|
Langue du document |
Anglais
|
Nom de la revue |
|
Vulgarisation |
Non
|
Comité de lecture |
Oui
|
Audience |
Internationale
|
Public visé |
Scientifique
|
Volume |
24
|
Page/Identifiant |
81-98
|
Date de publication |
2023-02
|
Numéro |
1
|
Domaine(s) |
|
Mots-clés (JEL) |
|
Financement |
|
Mots-clés |
en
SARS-CoV-2 epidemic, COVID-19, Epidemic control measures, Preferences, Discrete choice experiment, Correlated mixed logit model, Choice certainty
|
DOI | 10.1007/s10198-022-01454-w |
Pubmed Id | 35305178 |
UT key WOS | 000770752300001 |
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