Cognitive Dissonance in the Self-assessed Health in Brazil: A CUB Model Analysis Using 2013 National Health Survey Data

Integr Psychol Behav Sci. 2023 Dec;57(4):1284-1311. doi: 10.1007/s12124-023-09768-x. Epub 2023 May 19.

Abstract

This study ai ms to verify and analyze the existence of cognitive dissonance in the self-assessment of health by individuals in Brazil, that is, the difference between self-rated health and the health status of individuals. To accomplish this, we use data from the 2013 National Health Survey, which collected the self-assessments that individuals made of their health and information about their health status. This information was used to build indices that seek to represent a person's health status in relation to chronic illnesses, physical and mental well-being, eating habits and lifestyle. To identify the presence of cognitive dissonance, the CUB (Combination of a discrete Uniform and shifted Binomial distributions) model was used, which relates self-assessed health with the developed indices. Cognitive dissonance was identified in self-assessed health in relation to eating habits and lifestyle, and this dissonance may be associated with a present bias in the self-assessment of health in Brazil.

Keywords: Behavioral Economics; Cognitive Dissonance; Health Economics; Self-Assessment of Health.

MeSH terms

  • Brazil
  • Cognitive Dissonance*
  • Health Surveys
  • Humans