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Ruggeri K, Ashcroft-Jones S, Abate Romero Landini G, Al-Zahli N, Alexander N, Andersen MH, Bibilouri K, Busch K, Cafarelli V, Chen J, Doubravová B, Dugué T, Durrani AA, Dutra N, Garcia-Garzon E, Gomes C, Gracheva A, Grilc N, Gürol DM, Heidenry Z, Hu C, Krasner R, Levin R, Li J, Messenger AME, Miralem M, Nilsson F, Oberschulte JM, Obi T, Pan A, Park SY, Pascu DS, Pelica S, Pyrkowski M, Rabanal K, Ranc P, Mekiš Recek Ž, Symeonidou A, Tutuska OS, Vdovic M, Yuan Q, Stock F. The persistence of cognitive biases in financial decisions across economic groups. Sci Rep 2023; 13:10329. [PMID: 37365245 DOI: 10.1038/s41598-023-36339-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Accepted: 06/01/2023] [Indexed: 06/28/2023] Open
Abstract
While economic inequality continues to rise within countries, efforts to address it have been largely ineffective, particularly those involving behavioral approaches. It is often implied but not tested that choice patterns among low-income individuals may be a factor impeding behavioral interventions aimed at improving upward economic mobility. To test this, we assessed rates of ten cognitive biases across nearly 5000 participants from 27 countries. Our analyses were primarily focused on 1458 individuals that were either low-income adults or individuals who grew up in disadvantaged households but had above-average financial well-being as adults, known as positive deviants. Using discrete and complex models, we find evidence of no differences within or between groups or countries. We therefore conclude that choices impeded by cognitive biases alone cannot explain why some individuals do not experience upward economic mobility. Policies must combine both behavioral and structural interventions to improve financial well-being across populations.
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Affiliation(s)
- Kai Ruggeri
- Department of Health Policy and Management, Columbia University, 722 W 168th Street, New York, NY, 10032, USA
- Centre for Business Research, Judge Business School, University of Cambridge, Cambridge, CB2 1AG, UK
| | | | | | - Narjes Al-Zahli
- Department of Computer Science, Columbia University, 500 W 120th Street, New York, NY, 10027, USA
- Department of Psychology, Columbia University, 1180 Amsterdam Avenue, New York, NY, 10027, USA
| | | | - Mathias Houe Andersen
- Department of Psychology and Behavioural Sciences, Aarhus University, Bartholins Allé 11, 8000, Aarhus, Denmark
| | - Katherine Bibilouri
- Department of Psychology, Columbia University, 1180 Amsterdam Avenue, New York, NY, 10027, USA
| | - Katharina Busch
- German Center for Addiction Research in Childhood and Adolescence, University Medical Center Hamburg-Eppendorf, Martinistr 52, 20246, Hamburg, Germany
| | - Valentina Cafarelli
- Department of Health Policy and Management, Columbia University, 722 W 168th Street, New York, NY, 10032, USA
| | - Jennifer Chen
- Department of Economics, Columbia University, 420 W 118th Street, New York, NY, 10027, USA
| | - Barbora Doubravová
- Department of Psychology, Faculty of Social Studies, Masaryk University, Joštova 218/10, 60200, Brno, Czech Republic
| | - Tatianna Dugué
- Department of Psychology, Columbia University, 1180 Amsterdam Avenue, New York, NY, 10027, USA
| | - Aleena Asfa Durrani
- Department of Health Policy and Management, Columbia University, 722 W 168th Street, New York, NY, 10032, USA
| | - Nicholas Dutra
- Department of Psychology, Columbia University, 1180 Amsterdam Avenue, New York, NY, 10027, USA
| | | | - Christian Gomes
- Department of Psychology, Columbia University, 1180 Amsterdam Avenue, New York, NY, 10027, USA
| | - Aleksandra Gracheva
- Department of Political Science, Columbia University, 420 W 118th Street, New York, NY, 10027, USA
| | - Neža Grilc
- Department of Life Sciences, University of Roehampton, Whitelands College, London, SW15 4JD, UK
| | | | - Zoe Heidenry
- Department of Psychology, Columbia University, 1180 Amsterdam Avenue, New York, NY, 10027, USA
| | - Clara Hu
- Department of Psychology, Columbia University, 1180 Amsterdam Avenue, New York, NY, 10027, USA
| | - Rachel Krasner
- Department of Psychology, Barnard College, Columbia University, 3009 Broadway, New York, NY, 10027, USA
| | - Romy Levin
- Department of Psychology, Barnard College, Columbia University, 3009 Broadway, New York, NY, 10027, USA
| | - Justine Li
- Department of Biological Sciences, Columbia University, 1212 Amsterdam Avenue, New York, NY, 10027, USA
| | | | | | - Fredrik Nilsson
- Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Solna, 171 77, Stockholm, Sweden
| | | | - Takashi Obi
- Department of Public Administration, Columbia University, 420 West 118th Street, New York, NY, 10027, USA
| | - Anastasia Pan
- Department of Psychology, Barnard College, Columbia University, 3009 Broadway, New York, NY, 10027, USA
| | - Sun Young Park
- Department of Psychology, Columbia University, 1180 Amsterdam Avenue, New York, NY, 10027, USA
| | - Daria Stefania Pascu
- Department of Developmental Psychology and Socialisation, University of Padua, Via Venezia 12, 35131, Padua, PD, Italy
| | - Sofia Pelica
- Department of Social and Organizational Psychology, Iscte-University Institute of Lisbon, Avenida das Forças Armadas, 1649-026, Lisbon, Portugal
| | | | - Katherinne Rabanal
- Department of Cognitive Science, Columbia University, 116th & Broadway, New York, NY, 10027, USA
| | - Pika Ranc
- Department of Psychology, University of Ljubljana, Aškerčeva Cesta 2, 1000, Ljubljana, Slovenia
| | - Žiga Mekiš Recek
- Department of Psychology, University of Ljubljana, Aškerčeva Cesta 2, 1000, Ljubljana, Slovenia
| | - Alexandra Symeonidou
- Department of Clinical Psychology, Leiden University, Wassenaarseweg 52, 2333 AK, Leiden, South Holland, The Netherlands
| | - Olivia Symone Tutuska
- Department of Sociology, Columbia University, 606 W 122nd Street, New York, NY, 10027, USA
| | - Milica Vdovic
- Department of Psychology, Faculty of Media and Communications, Singidunum University, Karadjordjeva 65, Belgrade, 11000, Serbia
| | - Qihang Yuan
- Department of Psychology, Columbia University, 1180 Amsterdam Avenue, New York, NY, 10027, USA
| | - Friederike Stock
- University of Cologne, Albertus-Magnus-Platz, 50923, Cologne, Germany
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Wang P, Li S, Wang Z, Jiao M, Zhang Y, Huang W, Ning N, Gao L, Shan L, Li Y, Wu Q. Perceptions of the benefits of the basic medical insurance system among the insured: a mixed methods research of a northern city in China. Front Public Health 2023; 11:1043153. [PMID: 37139382 PMCID: PMC10149763 DOI: 10.3389/fpubh.2023.1043153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Accepted: 03/30/2023] [Indexed: 05/05/2023] Open
Abstract
Background The perceptions of the benefits of the basic medical insurance system among the insured not only reflect the system's performance but also the public's basic medical insurance policy literacy, valuable information for countries that have entered the stage of deepening reform. This study aims to examine the factors that affect the perceptions of the benefits of the basic medical insurance system in China, diagnose the key problems, and propose corresponding measures for improvement. Methods A mixed method design was used. Data for the quantitative study were obtained from a cross-sectional questionnaire survey (n = 1,045) of residents of Harbin who had enrolled for basic medical insurance system. A quota sampling method was further adopted. A multivariate logistic regression model was then employed to identify the factors influencing the perceptions of the benefits of the basic medical insurance system, followed by semi-structured interviews with 30 conveniently selected key informants. Interpretative phenomenological analysis was used to analyze the interview data. Results Approximately 44% of insured persons reported low perceptions of benefits. The logistic regression model showed that low perceptions of the benefits of the basic medical insurance system was positively correlated with the experience of daily drug purchases (OR = 1.967), perceptions of recognition with basic medical insurance system (OR = 1.948), perceptions of the financial burden of participation costs (OR = 1.887), perceptions of the convenience of using basic medical insurance for medical treatment (OR = 1.770), perceptions of the financial burden of daily drug purchases costs (OR = 1.721), perceptions of the financial burden of hospitalization costs (OR = 1.570), and type of basic medical insurance system (OR = 1.456). The results of the qualitative analysis showed that the key problem areas of perceptions of the benefits of the basic medical insurance system were: (I) system design of basic medical insurance; (II) intuitive cognition of the insured; (III) rational cognition of the insured; and (IV) the system environment. Conclusions Improving the perceptions of the benefits of the basic medical insurance system of the insured requires joint efforts in improving system design and implementation, exploring effective publicity methods of basic medical insurance system information, supporting public policy literacy, and promoting the health system environment.
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Affiliation(s)
- Peng Wang
- Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China
- School of Public Health, Harbin Medical University, Harbin, China
| | - Shuyi Li
- Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China
- School of Public Health, Harbin Medical University, Harbin, China
| | - Zhizhen Wang
- Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China
- School of Public Health, Harbin Medical University, Harbin, China
| | - Mingli Jiao
- Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China
- Research Center of Health Policy and Management, School of Health Management, Harbin Medical University, Harbin, China
| | - Yuchao Zhang
- Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China
- School of Public Health, Harbin Medical University, Harbin, China
| | - Weiqi Huang
- Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China
- School of Public Health, Harbin Medical University, Harbin, China
| | - Ning Ning
- Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China
- School of Public Health, Harbin Medical University, Harbin, China
| | - Lijun Gao
- Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China
- School of Public Health, Harbin Medical University, Harbin, China
| | - Linghan Shan
- Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China
- School of Public Health, Harbin Medical University, Harbin, China
| | - Ye Li
- Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China
- Research Center of Health Policy and Management, School of Health Management, Harbin Medical University, Harbin, China
| | - Qunhong Wu
- Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China
- School of Public Health, Harbin Medical University, Harbin, China
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Brandt MJ, Kuppens T, Spears R, Andrighetto L, Autin F, Babincak P, Badea C, Bae J, Batruch A, Becker JC, Bocian K, Bodroža B, Bourguignon D, Bukowski M, Butera F, Butler SE, Chryssochoou X, Conway P, Crawford JT, Croizet J, de Lemus S, Degner J, Dragon P, Durante F, Easterbrook MJ, Essien I, Forgas JP, González R, Graf S, Halama P, Han G, Hong RY, Houdek P, Igou ER, Inbar Y, Jetten J, Jimenez Leal W, Jiménez‐Moya G, Karunagharan JK, Kende A, Korzh M, Laham SM, Lammers J, Lim L, Manstead ASR, Međedović J, Melton ZJ, Motyl M, Ntani S, Owuamalam CK, Peker M, Platow MJ, Prims JP, Reyna C, Rubin M, Saab R, Sankaran S, Shepherd L, Sibley CG, Sobkow A, Spruyt B, Stroebaek P, Sümer N, Sweetman J, Teixeira CP, Toma C, Ujhelyi A, van der Toorn J, van Hiel A, Vásquez‐Echeverría A, Vazquez A, Vianello M, Vranka M, Yzerbyt V, Zimmerman JL. Subjective status and perceived legitimacy across countries. EUROPEAN JOURNAL OF SOCIAL PSYCHOLOGY 2020; 50:921-942. [PMID: 32999511 PMCID: PMC7507836 DOI: 10.1002/ejsp.2694] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2019] [Revised: 02/14/2020] [Accepted: 05/21/2020] [Indexed: 11/28/2022]
Abstract
The relationships between subjective status and perceived legitimacy are important for understanding the extent to which people with low status are complicit in their oppression. We use novel data from 66 samples and 30 countries (N = 12,788) and find that people with higher status see the social system as more legitimate than those with lower status, but there is variation across people and countries. The association between subjective status and perceived legitimacy was never negative at any levels of eight moderator variables, although the positive association was sometimes reduced. Although not always consistent with hypotheses, group identification, self-esteem, and beliefs in social mobility were all associated with perceived legitimacy among people who have low subjective status. These findings enrich our understanding of the relationship between social status and legitimacy.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | - Konrad Bocian
- Sopot Faculty of PsychologySWPS University of Social Sciences and Humanities
| | - Bojana Bodroža
- Department of PsychologyFaculty of PhilosophyUniversity of Novi SadNovi SadSerbia
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Anna Kende
- ELTE Eötvös Loránd UniversityBudapestHungary
| | | | | | | | | | | | - Janko Međedović
- Institute of Criminological and Sociological ResearchBelgradeSerbia
| | | | | | | | | | | | | | | | | | | | | | | | | | | | - Agata Sobkow
- Wroclaw Faculty of PsychologySWPS University of Social Sciences and Humanities
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