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How Does the COVID-19 Pandemic Affect People’s Willingness to Pay for Health in the Short and Long Term? A Longitudinal Study during and after the COVID-19 Pandemic in China

Author

Listed:
  • Wei Song

    (Yatai School of Business Management, Jilin University of Finance and Economics, Changchun 130117, China)

  • Taiyang Zhao

    (School of Philosophy and Sociology, Jilin University, Changchun 130012, China)

  • Ershuai Huang

    (School of Business Administration, Henan Polytechnic University, Jiaozuo 454003, China)

Abstract

The COVID-19 pandemic has posed a substantial threat to people’s lives and aroused health concerns. This study aims at exploring the following questions. First, how does the COVID-19 pandemic affect people’s willingness to pay for health (WPH) in the short and long term? Second, what is the psychological mechanism underlying such an effect? Finally, what are the boundary conditions for this effect? To answer these questions, we conducted three longitudinal surveys. The first survey was launched in February 2020—the time of the most serious outbreak of COVID-19 in China. Data were obtained from 1548 participants through questionnaires on an online survey platform. The sample covered 297 prefecture-level cities in 31 provincial administrative regions. Subsequently, we conducted two follow-up surveys in August 2020 and July 2021. The samples of these surveys were randomly selected from the sample of the first survey. The findings showed that the pandemic promoted people’s WPH in the outbreak period. The fear of death and self-esteem mediated and moderated this effect, respectively. Moreover, the effect persisted for six months after the COVID-19 pandemic had been brought under control (August 2020). However, the effect disappeared after a year and a half (July 2021). These results indicate that the COVID-19 pandemic promoted people’s WPH and that this effect was sustained in the short term after the pandemic had been brought under control but not in the long term.

Suggested Citation

  • Wei Song & Taiyang Zhao & Ershuai Huang, 2022. "How Does the COVID-19 Pandemic Affect People’s Willingness to Pay for Health in the Short and Long Term? A Longitudinal Study during and after the COVID-19 Pandemic in China," IJERPH, MDPI, vol. 19(3), pages 1-11, January.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1568-:d:738436
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    References listed on IDEAS

    as
    1. Giuseppe Forte & Francesca Favieri & Renata Tambelli & Maria Casagrande, 2020. "COVID-19 Pandemic in the Italian Population: Validation of a Post-Traumatic Stress Disorder Questionnaire and Prevalence of PTSD Symptomatology," IJERPH, MDPI, vol. 17(11), pages 1-14, June.
    2. Robert Stanton & Quyen G. To & Saman Khalesi & Susan L. Williams & Stephanie J. Alley & Tanya L. Thwaite & Andrew S. Fenning & Corneel Vandelanotte, 2020. "Depression, Anxiety and Stress during COVID-19: Associations with Changes in Physical Activity, Sleep, Tobacco and Alcohol Use in Australian Adults," IJERPH, MDPI, vol. 17(11), pages 1-13, June.
    3. Buthaina al Falasi & Mouza al Mazrouei & Mai al Ali & Maithah al Dhamani & Aisha al Ali & Mariam al Kindi & Murat Dalkilinc & Mai al Qubaisi & Luciana Aparecida Campos & Hashel al Tunaiji & Ovidiu Con, 2021. "Prevalence and Determinants of Immediate and Long-Term PTSD Consequences of Coronavirus-Related (CoV-1 and CoV-2) Pandemics among Healthcare Professionals: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(4), pages 1-17, February.
    4. Shih-Chieh Hung & Shu-Ching Yang & Yi-Fang Luo, 2021. "New Media Literacy, Health Status, Anxiety, and Preventative Behaviors Related to COVID-19: A Cross-Sectional Study in Taiwan," IJERPH, MDPI, vol. 18(21), pages 1-11, October.
    5. Maayan Shacham & Lee Greenblatt-Kimron & Yaira Hamama-Raz & Leslie R. Martin & Oren Peleg & Menachem Ben-Ezra & Eitan Mijiritsky, 2021. "Increased COVID-19 Vaccination Hesitancy and Health Awareness amid COVID-19 Vaccinations Programs in Israel," IJERPH, MDPI, vol. 18(7), pages 1-11, April.
    6. Mo Li & Taiyang Zhao & Ershuai Huang & Jianan Li, 2020. "How Does a Public Health Emergency Motivate People’s Impulsive Consumption? An Empirical Study during the COVID-19 Outbreak in China," IJERPH, MDPI, vol. 17(14), pages 1-13, July.
    7. Gunnar Einvik & Toril Dammen & Waleed Ghanima & Trond Heir & Knut Stavem, 2021. "Prevalence and Risk Factors for Post-Traumatic Stress in Hospitalized and Non-Hospitalized COVID-19 Patients," IJERPH, MDPI, vol. 18(4), pages 1-12, February.
    8. Elyse R. Grossman & Sara E. Benjamin-Neelon & Susan Sonnenschein, 2020. "Alcohol Consumption during the COVID-19 Pandemic: A Cross-Sectional Survey of US Adults," IJERPH, MDPI, vol. 17(24), pages 1-10, December.
    9. Naomi Mandel & Dirk Smeesters, 2008. "The Sweet Escape: Effects of Mortality Salience on Consumption Quantities for High- and Low-Self-Esteem Consumers," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 35(2), pages 309-323, May.
    10. Ramey Moore & Melissa J. Zielinski & Ronald G. Thompson & Don E. Willis & Rachel S. Purvis & Pearl A. McElfish, 2021. "“This Pandemic Is Making Me More Anxious about My Welfare and the Welfare of Others:” COVID-19 Stressors and Mental Health," IJERPH, MDPI, vol. 18(11), pages 1-12, May.
    11. Alyssa Schneider & Emily B. Kroska, 2021. "Face Covered and Six Feet Apart: Behavioral Awareness Predicts Greater Adherence to Public Health Guidelines during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(16), pages 1-11, August.
    12. Mehran Alijanzadeh & Daniel Kwasi Ahorsu & Zainab Alimoradi & Narges Mahmoudi & Mark D. Griffiths & Chung-Ying Lin & Hsien-Kuan Liu & Amir H. Pakpour, 2021. "Fear of COVID-19 and Trust in the Healthcare System Mediates the Association between Individual’s Risk Perception and Preventive COVID-19 Behaviours among Iranians," IJERPH, MDPI, vol. 18(22), pages 1-9, November.
    13. Rachel O’Donnell & Douglas Eadie & Martine Stead & Ruaraidh Dobson & Sean Semple, 2021. "‘I Was Smoking a Lot More during Lockdown Because I Can’: A Qualitative Study of How UK Smokers Responded to the Covid-19 Lockdown," IJERPH, MDPI, vol. 18(11), pages 1-14, May.
    14. Fares Qeadan & Nana Akofua Mensah & Benjamin Tingey & Rona Bern & Tracy Rees & Sharon Talboys & Tejinder Pal Singh & Steven Lacey & Kimberley Shoaf, 2020. "What Protective Health Measures Are Americans Taking in Response to COVID-19? Results from the COVID Impact Survey," IJERPH, MDPI, vol. 17(17), pages 1-18, August.
    15. Jianan Li & Xiaotong Jin & Taiyang Zhao & Tiannv Ma, 2021. "Conformity Consumer Behavior and External Threats: An Empirical Analysis in China During the COVID-19 Pandemic," SAGE Open, , vol. 11(3), pages 21582440211, July.
    16. Derek D. Rucker & Adam D. Galinsky, 2008. "Desire to Acquire: Powerlessness and Compensatory Consumption," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 35(2), pages 257-267, April.
    17. Wei Song & Xiaotong Jin & Jian Gao & Taiyang Zhao, 2020. "Will Buying Follow Others Ease Their Threat of Death? An Analysis of Consumer Data during the Period of COVID-19 in China," IJERPH, MDPI, vol. 17(9), pages 1-15, May.
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    2. Ying Cui & Yue Han, 2022. "The Impact of the COVID-19 Pandemic on the Mental Health of Urban Residents—Evidence from China," IJERPH, MDPI, vol. 19(23), pages 1-17, December.

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