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风险态度中的性别差异。

Gender differences in risk attitudes.

作者信息

Warshawsky-Livne L, Novack L, Rosen A B, Downs S M, Shkolnik-Inbar J, Pliskin J S

出版信息

Adv Health Econ Health Serv Res. 2014;24:123-40.

Abstract

PURPOSE

A rich literature has documented gender-based differences in health care utilization and outcomes. The role of risk attitude in explaining the variations is limited at best. This study examines gender differences in health utilities and risk attitudes.

METHODOLOGY

Data on 13 health states were collected from 629 students via questionnaires at the Ben-Gurion University of the Negev in 2005. From each respondent, we assessed utilities for a subset of health states, using Time Trade-Off and Standard Gamble. A risk attitude coefficient was calculated for each respondent as a function of their utilities for all outcomes assessed. The risk coefficient derived from a closed-form utility model for men was compared to that of women using the t-statistic.

FINDINGS

There was a statistically significant difference in the risk attitudes of men and women. Men had a concave utility function, representing risk aversion, while women had a near linear utility function, suggesting that women are risk neutral. PRACTICAL/SOCIAL IMPLICATIONS: Differences in risk attitude may be an important contributor to gender-based disparities in health services utilization. More research is needed to assess its full impact on decision-making in health care.

摘要

目的

大量文献记录了医疗保健利用和结果方面基于性别的差异。风险态度在解释这些差异方面的作用充其量是有限的。本研究考察了健康效用和风险态度方面的性别差异。

方法

2005年,通过问卷调查从内盖夫本古里安大学的629名学生中收集了13种健康状态的数据。对于每个受访者,我们使用时间权衡法和标准博弈法评估了一部分健康状态的效用。根据每个受访者对所有评估结果的效用计算出一个风险态度系数。使用t统计量将从男性封闭形式效用模型得出的风险系数与女性的进行比较。

结果

男性和女性的风险态度存在统计学上的显著差异。男性具有凹形效用函数,代表风险厌恶,而女性具有近似线性的效用函数,表明女性是风险中性的。

实际/社会影响:风险态度的差异可能是医疗服务利用中基于性别的差异的一个重要因素。需要更多研究来评估其对医疗保健决策的全面影响。

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