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Predicting (un)healthy behavior: A comparison of risk-taking propensity measures

Published online by Cambridge University Press:  01 January 2023

Helena Szrek*
Affiliation:
Centre for Economics and Finance, University of Porto
Li-Wei Chao
Affiliation:
Population Studies Center, University of Pennsylvania and Social Aspects of HIV/AIDS and Health, Human Sciences Research Council
Shandir Ramlagan
Affiliation:
Social Aspects of HIV/AIDS and Health, Human Sciences Research Council
Karl Peltzer
Affiliation:
Social Aspects of HIV/AIDS and Health, Human Sciences Research Council and Department of Psychology, University of Limpopo
*
*Address: CEF.UP, Faculty of Economics, Rua Dr. Roberto Frias, 4200–001, Porto, Portugal Email: hszrek@wharton.upenn.edu.
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Abstract

We compare four different risk-taking propensity measures on their ability to describe and to predict actual risky behavior in the domain of health. The risk-taking propensity measures we compare are: (1) a general measure of risk-taking propensity derived from a one-item survey question (Dohmen et al., 2011), (2) a risk aversion index calculated from a set of incentivized monetary gambles (Holt & Laury, 2002), (3) a measure of risk taking derived from an incentive compatible behavioral task—the Balloon Analog Risk Task (Lejuez et al., 2002), and (4) a composite score of risk-taking likelihood in the health domain from the Domain-Specific Risk Taking (DOSPERT) scale (Weber et al., 2002). Study participants are 351 clients of health centers around Witbank, South Africa. Our findings suggest that the one-item general measure is the best predictor of risky health behavior in our population, predicting two out of four behaviors at the 5% level and the remaining two behaviors at the 10% level. The DOSPERT score in the health domain performs well, predicting one out of four behaviors at the 1% significance level and two out of four behaviors at the 10% level, but only if the DOSPERT instrument contains a hypothetical risk-taking item that is similar to the actual risky behavior being predicted. Incentivized monetary gambles and the behavioral task were unrelated to actual health behaviors; they were unable to predict any of the risky health behaviors at the 10% level. We provide evidence that this is not because the participants had trouble understanding the monetary trade-off questions or performed poorly in the behavioral task. We conclude by urging researchers to further test the usefulness of the one-item general measure, both in explaining health related risk-taking behavior and in other contexts.

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Type
Research Article
Creative Commons
Creative Common License - CCCreative Common License - BY
The authors license this article under the terms of the Creative Commons Attribution 3.0 License.
Copyright
Copyright © The Authors [2012] This is an Open Access article, distributed under the terms of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Figure 0

Table 1: Means of sociodemographic variables and correlations with actual risk-taking behaviors

Figure 1

Table 2: Means and correlations between actual risk taking and risk-taking propensity measures

Figure 2

Table 3: Regressions of actual behaviors on risk-taking propensity measures

Figure 3

Figure 1a: HL diagrams.

Figure 4

Figure 1b: Most common administration of HL task. Original Holt and Laury (2002), adapted to South African Rand.

Figure 5

Figure 2a: BART diagram used to describe tasks.

Figure 6

Figure 3: Numeracy questions.Note: Question 0 was asked to relax the respondent and was not part of the numeracy score. After answering the question, they were told the correct response (“the same”).

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