People's perception and cost-effectiveness of home confinement during an influenza pandemic: evidence from the French case

Eur J Health Econ. 2018 Dec;19(9):1335-1350. doi: 10.1007/s10198-018-0978-y. Epub 2018 Apr 23.

Abstract

In France, home confinement is not a common preventive measure against an influenza pandemic, although it is used around the world. Based on a stated method approach, we analyze the attitude that the French would adopt if this measure were put in place. Next, we propose a cost-benefit analysis to discuss the cost-effectiveness of this measure. We find that over three-quarters of respondents report complying with home confinement. Their choice depends on their individual characteristics, the interaction they may have with an infected person and home confinement conditions, but not their experience with preventive measures. We find that behaviors such as sensitivity to certainty, selfishness and altruism emerge. As far as cost-effectiveness is concerned, our study shows that home confinement is a prevention path that should not be neglected and should even be prescribed.

Keywords: Cost–benefit analysis; Epidemics; Home confinement; People’s behavior; Prevention measures; Public health interventions.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Attitude to Health
  • Cost-Benefit Analysis
  • France
  • Humans
  • Influenza, Human / economics*
  • Influenza, Human / prevention & control*
  • Influenza, Human / psychology
  • Middle Aged
  • Pandemics / prevention & control
  • Patient Compliance
  • Perception
  • Quarantine / economics*
  • Quarantine / psychology*
  • Sociological Factors