Status quo bias and health behavior: findings from a cross-sectional study.

Background Status quo bias (SQB) has often been referred to as an important tool for improving public health. However, very few studies were able to link SQB with health behavior. Methods Analysis were based on data from the population-based KORA S4 study (1999–2001, n = 2309). We operationalized SQ...

Descripción completa

Detalles Bibliográficos
Publicado en:European Journal of Public Health Vol. 29; no. 5; pp. 992 - 998
Autores principales: Karl, Florian M, Holle, Rolf, Schwettmann, Lars, Peters, Annette, Laxy, Michael
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Oct2019
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138940320&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 138940320
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        11011262
        BHW
      jtl: European Journal of Public Health
      issn: 11011262
      maglogo: N
    pubinfo:
      dt: Oct2019
      vid: 29
      iid: 5
      pid: 622
      pub: Oxford University Press / USA
    artinfo:
      ui:
        138940320
        138940320
        138940320
        10.1093/eurpub/ckz017
        138940320
      ppf: 992
      ppct: 6
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: Status quo bias and health behavior: findings from a cross-sectional study.
      aug:
        au:
          Karl, Florian M
          Holle, Rolf
          Schwettmann, Lars
          Peters, Annette
          Laxy, Michael
        affil: Institute of Health Economics and Health Care Management, Helmholtz Zentrum München (GmbH), German Research Centre for Environmental Health, Neuherberg, Germany
      sug:
        subj:
          Health Behavior Evaluation
          Emotions Evaluation
          Health Promotion
          Human
          Cross Sectional Studies
          Insurance, Health
          Health Care Costs
          Physical Activity
          Diet
          Smoking
          Alcohol Drinking
          Body Mass Index
          Logistic Regression
          Age Factors
          Sex Factors
          Educational Status
          Income
          Morbidity
          Odds Ratio
          Confidence Intervals
          Life Style
      ab: Background Status quo bias (SQB) has often been referred to as an important tool for improving public health. However, very few studies were able to link SQB with health behavior. Methods Analysis were based on data from the population-based KORA S4 study (1999–2001, n = 2309). We operationalized SQB through two questions. The first asked whether participants switched their health insurance for financial benefits since this was enabled in 1996. Those who did were assigned a 'very low SQB' (n = 213). Participants who did not switch were asked a second hypothetical question regarding switching costs. We assigned 'low SQB' to those who indicated low switching costs (n = 1035), 'high SQB' to those who indicated high switching costs (n = 588), and 'very high SQB' to those who indicated infinite switching costs (n = 473). We tested the association between SQB and physical activity, diet, smoking, alcohol consumption, the sum of health behaviors, and body mass index (BMI) using logistic, Poisson and ordinary least square regression models, respectively. Models were adjusted for age, sex, education, income, satisfaction with current health insurance and morbidity. Results SQB was associated with a higher rate of physical inactivity [OR = 1.22, 95% CI (1.11; 1.35)], a higher sum of unhealthy lifestyle factors [IRR = 1.05, 95% CI (1.01; 1.10)] and a higher BMI [ β = 0.30, 95% CI (0.08; 0.51)]. Conclusion A high SQB was associated with unfavorable health behavior and higher BMI. Targeting SQB might be a promising strategy for promoting healthy behavior.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N