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Surviving Bad News: Health Information without Treatment Options

Alberto Ciancio, Fabrice Kampfen, Hans-Peter Kohler and Rebecca Thornton

American Economic Review: Insights, 2025, vol. 7, issue 1, 1-18

Abstract: When there is no treatment available for a life-threatening disease, providing personal health information could lead to despair or fatalistic behaviors resulting in negative health outcomes. We document this possibility utilizing an experiment in Malawi that randomized incentives to learn HIV testing results in a context where antiretroviral treatment was not yet available. Six years after the experiment, among HIV-positive individuals, those who learned their status were 23 percentage points less likely to survive than those who did not, with effects persisting after 15 years. Receiving an HIV-positive diagnosis resulted in riskier health behaviors, greater anxiety, and higher discount rates.

JEL-codes: D83 D91 I12 I18 O12 (search for similar items in EconPapers)
Date: 2025
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DOI: 10.1257/aeri.20240058

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