Literature DB >> 36213493

Ambiguity and self-protection: evidence from social distancing under the COVID-19 pandemic.

Daiki Kishishita1, Hans H Tung2,3, Charlotte Wang4.   

Abstract

This paper studies how people make decisions over preventive behaviors under ambiguity (i.e., Knightian uncertainty) where they do not even know the probability of a loss. In the context of the current COVID-19 pandemic, scientific uncertainty makes it hard to evaluate not only whether one will be infected, but also probabilities such as the infection rate. We constructed a simple model and demonstrated how its effect was heterogeneous depending on ambiguity-attitudes. Motivated by the model, we further conducted a survey experiment in Japan where we manipulated the information regarding scientific uncertainty on COVID-19. We found that higher ambiguity induced by scientific uncertainty increased the level of social distancing among ambiguity-loving people, but such evidence was nonexistent for ambiguity-averse counterparts. Supplementary Information: The online version contains supplementary material available at 10.1007/s42973-022-00120-3. © Japanese Economic Association 2022, Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Entities:  

Keywords:  Ambiguity; COVID-19; Preventive behaviors; Scientific uncertainty; Self-protection

Year:  2022        PMID: 36213493      PMCID: PMC9525947          DOI: 10.1007/s42973-022-00120-3

Source DB:  PubMed          Journal:  Jpn Econ Rev (Oxf)        ISSN: 1352-4739


Introduction

In our daily lives, people engage in all kinds of preventive activities to avert losses. For example, a driver’s high attention level decreases the probability of a car accident, and a patient’s health investment makes him or her less likely to be sick. Although such self-protection has been extensively analyzed (e.g., Chiu, 2000; Eeckhoudt & Gollier, 2005; Peter, 2017), the bulk of this literature assumes that people know the probability of a loss, which, however, is not always readily available given the complexity of the real world. As a matter of fact, people oftentimes face ambiguity (i.e., Knightian uncertainty), where such a probability is elusive. As Ellsberg (1961) shows in his famous experiment, people’s decision-making under ambiguity is different from that under risk where its probability is known. Motivated by this fact, several existing studies have theoretically analyzed the self-protection under ambiguity (Alary et al., 2013; Snow, 2011). However, its empirical literature is still quite scarce and underdeveloped. This study therefore aims at filling this gap by leveraging the recent outbreak of COVID-19 (the novel coronavirus disease) in Japan. While scientists worldwide have been devoting tremendous efforts to understanding the nature of COVID-19, in an early stage of this global pandemic, it was hard to answer questions regarding the nature of the virus, the transmission, or its mutations. For example, the percentage of people who are infected with the novel coronavirus yet asymptotic can be uncertain. Back in April 2020, Dr. Anthony Fauci, the then head of the US National Institute of Allergy and Infectious Diseases, used to say,Apparently, lacking enough data for investigating the nature of such an emerging infectious disease, even scientists do not fully understand it. The resulting scientific uncertainty therefore makes it even harder for non-experts to evaluate COVID-19’s rates of infection and mortality in probabilistic terms and forces them to face ambiguity when determining the level of preventive behavior such as social distancing they should adopt. The informational environment of COVID-19 therefore provides an exceptional opportunity and realistic setting for conducting an empirical analysis of the effect of ambiguity on preventive behavior. “It’s somewhere between 25 and 50 percent. [...] I don’t have any scientific data yet. You know when we’ll get the scientific data? When we get those antibody tests out there.”1 To identify the causal effect of ambiguity caused by scientific uncertainty, we first developed a theoretical model. Next, given the ethical concerns over manipulating ambiguity and measuring its effect on people’s real-life preventative behvaiors amid the pandemic, we joined the recent burgeoning literature of online information experiments (Alesina et al., 2018; Kuziemko et al., 2014, 2015; Karadja et al., 2017; Weinzierl, 2018). Specifically, we conducted a survey experiment where each subject was randomly assigned the information about scientific uncertainty and asked to state his or her beliefs and preferences over social distancing. On the theoretical front, we introduced ambiguity into a standard model of self-protection by using -Maxmin expected utility (-MEU) theory, which was first suggested by Hurwicz (1951) and has been adopted by various applied studies. The advantage of -MEU is that it allows us to separate the degree of ambiguity from ambiguity-attitudes and to deal with ambiguity-loving as well as ambiguity-aversion. By utilizing these two distinctive features of -MEU, we prove that the effect of higher ambiguity depends on situations. In one scenario, higher ambiguity encourages preventive behavior only among ambiguity-loving people, whereas in the other scenario, it does so only among ambiguity-averse ones. That is, the effect of higher ambiguity is expected to be heterogeneous depending on ambiguity-attitudes. Furthermore, the direction of the effect cannot be uniquely determined in theory for the COVID-19 case, and thus empirical analysis is essential. Our empirical analysis was motivated by this theoretical framework and we conducted an online survey experiment on approximately 1600 individuals in Japan in early July, 2020.2 In Japan, the government’s preventative measures were not legally binding even under the declared state of emergency, and therefore had to depend on citizens’ cooperation to be effective. We took advantage of this special Japanese context to analyze the effect on one’s voluntary decision of social distancing. In the experiment, each respondent was randomly assigned to either the treatment group where the scientific uncertainty about COVID-19 was presented, or the control group where such uncertainty was removed. After this step, we asked if they would go outside in various hypothetical situations during the outbreak of COVID-19. The same information treatment can predict different effects depending on whether subjects are ambiguity-averse or ambiguity-loving. As a result, even an effective intervention may produce average treatment effects that spuriously appear to be null results. To deal with this issue, we measured each respondent’s degree of ambiguity-attitude by using Ellsberg (1961)’s two urn experiments. The results are summarized as follows. First, as expected, the average treatment effect on one’s social distancing decision is found to be statistically insignificant. Since the effect could be heterogeneous depending on one’s attitude toward ambiguity, we then explored causal heterogeneities by splitting our data into three sub-samples: ambiguity-averse, ambiguity-loving, and ambiguity-neutral respondents. We found that the treatment information substantially increased the level of social distancing among those who were ambiguity-loving, whereas such effect did not exist among either ambiguity-averse or ambiguity-neutral subjects. This result is robust across four different scenarios along two important dimensions in the transmission of the novel coronavirus: (1) crowdedness of a location (high versus low) and (2) mask-wearing (yes versus no). That is, higher uncertainty induces social distancing only among ambiguity-loving respondents. When communicating scientific uncertainty to the public, governments and experts should take this heterogeneous effect on preventive behavior into account. Related literature: From a theoretical side, several existing studies analyze self-protection under ambiguity. Specifically, based on the smooth ambiguity model à la Klibanoff et al. (2005), Snow (2011) and Alary et al. (2013) show that whether more ambiguity-aversion reduces preventive behavior is contingent on situations.3 Our model has two distinctive features. First, instead of the degree of ambiguity, they actually derive their comparative statics with respect to the degree of ambiguity-attitudes. Second, their model does not allow agents to be ambiguity-loving. From an empirical side, the effects of scientific uncertainty on both beliefs and behavior have been extensively studied in the literature of risk communication for topics such as risk perceptions in food—as well as health-related fields (e.g., Johnson & Slovic, 1995; Miles & Frewer, 2003) and trust toward scientists (e.g., Teitelbaum, 2007). Compared to our study, Han et al. (2018) conducted in Spain a similar survey experiment where subjects read one of three versions of a hypothetical newspaper article describing a vaccine-preventable pandemic, but varying in scientific uncertainty. They found that uncertainty reduced vaccination intentions and argued that this was induced by ambiguity-aversion. Our study has three distinctive features vis-á-vis theirs. First, their study was about a hypothetical infectious disease, while ours featured the information of scientific uncertainty regarding a real and ongoing pandemic. Second, the type of preventive behavior is different. In the case of vaccination, the risk of preventive behavior is uncertain, whereas such uncertainty is absent in social distancing. Third, they did not measure ambiguity-attitudes in a rigorous manner, whereas we did it based on Ellsberg’s two-urn experiments and investigated how the effect of scientific uncertainty was interacted with ambiguity-attitudes. Moreover, another closely related study is Kreps and Kriner (2020), where the authors show experimentally that scientific uncertainty regarding COVID-19 could lead to a distrust in both science and science-based policies. Compared to them, our study has a richer setting where we incorporated two measures of scientific uncertainty and different individual attitudes towards ambiguity.4 The remainder of the paper is organized as follows. Section 2 presents theoretical hypotheses. Sections 3 and 4 explain our experimental design, and Sect. 5 presents empirical results. Section 6 concludes.

Theoretical framework

Setting

To fix the idea, let us consider a single-person decision-making problem where an individual chooses a level of preventive behaviors: . The individual faces uncertainty about whether she or he will be infected. The state space is given by , where I represents infection, and S represents no infection. The infection rate is determined depending on the value of e,5 and thus the expected utility given e iswhere V(I) is the material payoff when she or he is infected, V(S) is the payoff when she or he is not, and C(e) is the cost of preventive behaviors. Note that , , and are assumed. So far, the model is the standard model of self-protection, which has been widely analyzed in the literature, although we interpret the model in terms of COVID-19. In standard models, it is assumed that (the probability of infection) is known to citizens. However, for emerging infectious diseases such as COVID-19, this is not the case due to scientific uncertainty. In other words, scientific uncertainty inevitably creates ambiguity (i.e., Knightian uncertainty), where people do not even know the probability distribution, . Motivated by this fact, we adopt the -Maxmin expected utility theory, which was first suggested by Han et al. (2018) and has been adopted by various applied studies. That is, an individual has a set of candidates for the true probability: . Having this in mind, she or he maximizes the weighted average of the maximum expected utility and the minimum expected utility:Because the true probability is uncertain, an individual takes both the worst and the best cases into account. The decision weight for the best case is represented by . Hence, can be interpreted as the degree of ambiguity-loving. On the contrary, how large is represents the degree of ambiguity. To specify , we suppose that is parameterized by a positive real number k: , where Higher k implies the higher marginal effectiveness of preventive behaviors. We describe ambiguity by introducing uncertainty about the value of k.6 That is,In this specification, higher leads to an expansion of , and thus it represents higher ambiguity. Note that , and are assumed. The effect of higher ambiguity on the optimal level of preventive behaviors, , is different depending on whether b(k, e) is increasing in k.7

Theoretical result

The effect of higher ambiguity on is derived as follows:

Proposition 1

Let b(k, e) be decreasing in k. On the one hand, when is sufficiently high, is decreasing in . On the other hand, when is sufficiently low, is increasing in .8 Let b(k, e) be increasing in k. On the one hand, when is sufficiently high, is increasing in . On the other hand, when is sufficiently low, is decreasing in . To see the intuitive mechanism, suppose first that the marginal effectiveness of preventive behaviors and the probability of a loss (i.e., k and ) are positively correlated. This is the case (i) in the above proposition.9 In this case, the agent’s utility is rewritten asHence, when , higher implies the lower perceived marginal effectiveness, discouraging preventive behaviors. On the contrary, when , higher implies the higher perceived marginal effectiveness, inducing preventive behaviors. Since similar properties hold as long as is close to one or zero, it is shown that higher ambiguity induces preventive behaviors only among ambiguity-averse agents. To put it differently, the ambiguity-averse (resp. ambiguity-loving) agents are pessimistic (resp. optimistic) so that they expect that the probability of a loss is higher (resp. lower) in the presence of higher ambiguity. Since this implies the higher (resp. lower) marginal effectiveness of preventive behaviors for the ambiguity-averse (resp. ambiguity-loving) agents, higher ambiguity induces preventive behaviors only among ambiguity-averse agents. On the other hand, the opposite can be the case in a different situation. To see this, next suppose that the marginal effectiveness of preventive behaviors and the probability of a loss are negatively correlated, which is the case (ii) in the above proposition.10 In this situation, the agent’s utility is rewritten asThat is, the ambiguity-averse (resp. ambiguity-loving) agents, who are pessimistic (resp. optimistic), expect that the marginal effectiveness of preventive behaviors is smaller (resp. larger) in the presence of higher ambiguity. Hence, higher ambiguity induces preventive behaviors only among ambiguity-loving agents.

Hypotheses in the context of COVID-19 outbreak

In the context of social distancing under the COVID-19 outbreak, both cases in the above proposition can be plausible. On the one hand, for example, a determinant of the marginal effectiveness of social distancing is the expected number of infected people one would contact with when going outside. Suppose that k represents this expected number of infected people. Since the probability of infection is obviously increasing in this value, the positive correlation between k and is expected. That is, the situation can be regarded as case (i) in the proposition. If the ambiguity is stemming from uncertainty about this factor, higher ambiguity induces social distancing among ambiguity-averse people. On the other hand, another determinant of the marginal effectiveness of social distancing is whether their family members are infected. One’s social distancing reduces the probability of infection only when his or her family members living in the same place are unlikely to be infected. Otherwise, he or she will be infected anyway. Hence, the marginal effectiveness of social distancing is increasing in the likelihood of the family members not being infected. Suppose that k represents the probability of one’s family members not being infected. Since the probability of one’s infection is obviously decreasing in this value, the negative correlation between k and is expected. That is, the situation can be regarded as case (ii) in the proposition. If the ambiguity is stemming from uncertainty about this factor, higher ambiguity rather induces social distancing among ambiguity-loving people. Consequently, we have the following two competing hypotheses:Since the direction of its effect cannot be uniquely determined in theory and both scenarios can be plausible, empirical analysis is essential. Motivated by this theoretical framework, we next turn to our empirical analysis in the particular context of COVID-19. Hypothesis 1: Higher ambiguity encourages (resp. reduces) social distancing among ambiguity-averse (resp. ambiguity-loving) agents. Hypothesis 2: Higher ambiguity encourages (resp. reduces) social distancing only among ambiguity-loving (resp. ambiguity-averse) agents.

The survey

Data collection and sample

In total, 1581 adults in Japan were recruited11 from the online panel (with a size of 2.2 million Japanese members (Rakuten Insight, 2020)) maintained by the Rakuten Insight, a global survey company. We adopted a quota sampling method based on Japan’s current demographics (education level, gender, age, and residential area) to make our sample more representative. The survey was approved by the Institutional Review Boards at both Columbia University (AAAT0545) and National Taiwan University (202005HS103), and pre-registered at the AEA RCT Registry (AEARCTR-0006115).

Survey structure

The survey was administered online on Qualtrics (licensed to Columbia University) in early July, 2020 when Japan’s second wave of the COVID-19 outbreak just arrived.12 It included a total of 63 questions sequenced by the structure illustrated by Fig. 1.13
Fig. 1

The survey flow

The survey flow

Stage 0

Immediately after accepting our survey invitation, one would then be asked two attention check questions for filtering out perfidious careless respondents (Shamon & Berning, 2020). We then collected the information about our subjects’ age, gender, level of education, and residential area to make sure our final sample could be as similar as Japan’s actual demographics along these dimensions.

Pre-treatment stage

We also asked our respondents various questions about COVID-related policies. They were then followed by a series of Ellsberg (1961)’s two-urn questions to measure one’s attitude towards ambiguity.14 In the literature, it is well known that one’s ambiguity preference is shaped by many factors. For example, it depends on the probability of the risky alternative offered and the outcome domain (e.g., Kocher et al., 2018). To deal with this issue, we measured ambiguity-attitudes using six different questions involving gain and loss outcomes for both moderate and low likelihood events. For example, the question involving a gain outcome for a moderate event is the following:Since B is an ambiguous option, on the one hand, ambiguity-averse (resp. ambiguity-loving) respondents should choose A (resp. B). On the other hand, ambiguity-neutral ones should be indifferent between the two options.15 Summing up the number of times choosing B allows us to construct a measure of ambiguity-attitudes for each subject. Under the assumption that subjects randomly choose either A or B in the indifferent case, ambiguity-neutral ones are expected to choose B three times on average. We therefore coded the ambiguity-averse respondents as those who chose B for two times or less, the ambiguity-neutral ones as those who did so for three times, and the ambiguity-loving ones as those who did so for four times or more.16 Suppose that you pick up a ball from the bag consisting of various color balls. You receive 20,000 yen if you pick up a red ball. Which bag do you prefer? Exactly 50% of balls in the bag are red The bag consists of red and blue balls, but the exact fraction of red balls is uncertain. What should be noticed here is that they were administered before each subject entered the experiment stage to avoid the post-treatment bias (Montgomery et al., 2018).

Experiment stage

At the experiment stage, all the respondents were randomly assigned to three groups, each of which was provided with a different informational stimulus of the scientific uncertainty surrounding COVID-19. The informational stimuli were then immediately followed by the manipulation check and various questions about respondents’ social distancing decisions. The experiment design will be detailed shortly in Sect. 4.

Post-treatment stage

Finally, to avoid respondent fatigue before the experiment, we left various non-attitudinal survey questions orthogonal to scientific uncertainties to the post-treatment stage. First, we asked respondents’ socioeconomic background and their previous behaviors about COVID-19. At last, we followed Holt and Laury’s (2002) ten paired lottery-choice method to measure subjects’ risk (known probabilities) preferences.

Experimental method and design

Informational treatments

Our experimental design included three groups: Ambiguity 1, Ambiguity 2, and Control. Subjects were randomly assigned to one of them. All subjects read a piece of text (i.e., a vignette) describing the role of science during the COVID-19 outbreak in Japan (see Online Appendix B.1 for both the Japanese vignettes and their English translations). After reading their assigned vignettes, all the respondents were then asked to answer the same set of questions on their perceptions of COVID-19 and preferred levels of preventive behavior. The vignettes as treatments differ in the nature of scientific (un)certainty in their descriptions. First of all, all the groups were provided with the following plain description about the effective number of reproduction (Re, a measurement of how infectious the virus was) in March estimated by experts with zero ambiguity:While the subjects in the Control group then proceed directly to the manipulation checks and social distancing questions, those in both Ambiguity 1 and Ambiguity 2 groups continue to read a few more sentences as informational manipulations that remind them of the uncertain nature of Re.17 Specifically, following the literature of scientific uncertainty (Kreps & Kriner, 2020; Van Der Bles et al., 2020), the respondents of the former read the following information obtained from the same government report:Since a range of values Re could take would make it harder to mentally formulate the infection rate as a single probability, this vignette attribute help increase the perceived degrees of ambiguity for our subjects. For robustness, we also included the other more intuitive way of inducing ambiguity in Re for the Ambiguity 2 group by utilizing a BBC news article:Compared to the Ambiguity 1 treatment, the one we used for the Ambiguity 2 group did not count on the statistical concept of confidence interval and was not limited to the infection rate to create a sense of ambiguity for our subjects. [...] One important scientific reference is the average number of people who become infected by an infectious person (the effective number of reproduction), an important measure of how widespread the virus is. Back in March, this number in Tokyo was estimated by experts to be 2.6. (Experts Meeting on COVID-19 Response, “COVID-19 Response’s Analysis and Advice,” May 1, 2020) In other words, in March, one infected person passed on the virus to 2.6 people, and so on and so forth. The number above indicates how quickly the virus will spread, and it is important to have proper measures. However, since this number is only an estimate, they also report a possible error and argue that the true number is somewhere between 2.2 and 3.2 with 95% chance. In other words, the number of people one sick person infected in March can either be 2.2 or 3.2 persons. On the contrary, since the novel cornonavirus (COVID-19) is a new virus, there is still much these experts do not understand. For example, the answers to the following nine issues are still unknown. How many people have been infected. How deadly it really is. The full range of symptoms. The role children play in spreading it. Where exactly it came from. Whether there will be fewer cases in summer. Why some people get much more severe symptoms. How long immunity lasts, and whether you can get it twice. Whether the virus will mutate.

Manipulation checks

Before measuring the outcomes of our experiment, respondents’ social distancing decisions, we first checked if the information treatments induce ambiguity in their scientific understanding of COVID-19. Specifically, the following set of questions about the perceived degree of ambiguity (i.e., scientific uncertainty) were asked:Each question uses a 11-point scale (10: no uncertainty, 0: high uncertainty). Since the most important ambiguity regarding the decision of social distancing is the infection rate, in the analysis, we focus on the second question (the effects on the first and third questions are available at Online Appendix.) How well do you think scientists know about the nature of COVID-19 and its outbreak? How well do you think scientists know about the infection rate of the COVID-19? How well do you think scientists know about the mortality rate of the COVID-19?

Measuring social distancing decisions

Immediately after the manipulation checks, respondents were asked to answer their social distancing decisions and other related questions regarding their preventive behaviors. While we have modeled social distancing as an individual decision-making problem, as a matter of fact, one’s probability of infection can be largely determined by the social context he or she is in. In this sense, the decision of social distancing could actually be strategic, and ambiguity might change one’s decision in response to others’ preventative behaviors.18 Crowded versus uncrowded situations To make the empirical design consistent with our (non-strategic) individual decision-making model, we controlled respondents’ perceived environments by presenting them with two pictures (a, b in Fig. 2) visualizing both crowded and uncrowded situations, and asked the following question for each picture with and without wearing a mask:Each question is a 11-point scale (10: extremely likely, 0: not a chance).19
Fig. 2

Crowded versus uncrowded situations

Please answer how you would do if a second wave of COVID-19 happens. Suppose you are planning to go to a place with the population density shown in the picture. How likely will you go there during the outbreak of COVID-19 with and without mask? All the questions above then constitute four different scenarios in our experiments along two important dimensions in the transmission of the novel coronavirus: (1) crowdedness of a location (high versus low) and (2) mask-wearing (yes versus no). Since our respondents had to make their social distancing decisions in all of them, the setting allows us to estimate the heterogeneous treatment effects across the following four scenarios in Table 1.
Table 1

Different scenarios

CrowdednessMask-wearing
1HighNo
2HighYes
3LowNo
4LowYes
Different scenarios

Empirical results

Summary statistics

The effective sample sizes for all experiment conditions and sample balance tests are reported in Appendix B. The balance checks show that there are no systematic differences among them. Since our hypotheses are specific to particular ambiguity attitudes, we also further divided our sample into three sub-samples based on the method specified in Sect. 3.2: ambiguity-averse, ambiguity-neutral, and ambiguity-loving. While they are all quite balanced in almost all the dimensions, the ambiguity-neutral group appears to be unbalanced in gender and education, and this implies that we will have to control for both variables to make sure that the effects we identified are robust. Distribution of ambiguity-attitudes Density plot for response time In addition, Fig. 3 reports the number of subjects for each ambiguity attitude in our sample. Around 50% of subjects are ambiguity-averse, whereas around 25% of subjects are ambiguity-loving. This pattern is consistent with the existing empirical findings (Cavatorta & Schröder, 2019; Dimmock et al., 2015; Kocher et al., 2018) .20 Since the first option (i.e., option A) in each question is an unambiguous option, ambiguity-averse subjects might contain satisficers who chose the first option without reading materials carefully enough. To see if this is the case, Fig. 4 plots the density of response time for each ambiguity-attitude. Since the density is similar across the ambiguity-attitude groups, we don’t have to be worried about this issue.
Fig. 3

Distribution of ambiguity-attitudes

Fig. 4

Density plot for response time

Manipulation check: effect on perceived degree of ambiguity

As a manipulation check, we start with examining whether the treatment increased the perceived degree of ambiguity. For this purpose, we estimated the following linear regression model:where is the outcome, represents the treatment dummy of Ambiguity 1, and represents the treatment dummy of Ambiguity 2. represents that observation i is in the Ambiguity j treatment group, and represents otherwise. If , the observation is in the control group. The coefficient of interest is . A negative implies that the treatment increases the perceived degree of ambiguity compared to the control group. represent the control variables, and is the error term. We estimated this equation with and without controls. Figure 5 reports the estimated treatment effects on ambiguity regarding the infection rate. Since a higher value represents less ambiguity, on the whole, the findings indicate that the perceived levels of ambiguity in the Ambiguity groups are higher compared to the Control group. That is, our treatment information did increase the perceived degree of ambiguity among our subjects and our manipulation worked.
Fig. 5

Ambiguity on the infection rate. Notes: We ran OLS with the dummies of Ambiguity 1 and Ambiguity 2 as independent variables and report the estimated coefficients of the two dummy variables

Ambiguity on the infection rate. Notes: We ran OLS with the dummies of Ambiguity 1 and Ambiguity 2 as independent variables and report the estimated coefficients of the two dummy variables

Effect on social distancing

We next report the results on social distancing. To make sure our results are robust across different situations, we asked the willingness to conduct social distancing in four different scenarios along two dimensions in the transmission of the novel coronavirus: (1) crowdedness of a location (high versus low) and (2) mask-wearing (yes versus no). Our respondents had to make their social distancing decisions in all theses cases above.

Pooling results

We start with the aggregated result. To report the pooling results, we estimated the following linear regression model: is the (un)willingness to social distancing in scenario j, and the higher value implies that a respondent is less willing to take social distancing. We use the clustered standard errors. We estimated this equation with and without controls. The results are reported in Fig. 6. As in the figure, the treatment has no effect on average. However, this does not imply that the treatment has no influence on respondents’ willingness to take preventive behaviors. As our theory indicates, the effect could be heterogeneous depending on each respondent’s ambiguity-attitude.
Fig. 6

Aggregated effect for all outcomes. We ran OLS with the dummies of Ambiguity 1 and Ambiguity 2 as independent variables and report the estimated coefficients of the two dummy variables. The left panel shows the result of OLS without controls, whereas the right panel shows the result of OLS with controls

To see whether this is the case, we estimated (2) for each subgroup (ambiguity-loving respondents, ambiguity-neutral respondents, and ambiguity-averse respondents). The results are also reported in Fig. 6. As they show, the findings are consistent with our Hypothesis 2 and robust with additional controls. That is, our treatment increases ambiguity-loving respondents’ level of social distancing. In contrast, there is no such relationship among the ambiguity-averse and ambiguity-neutral ones. In particular, for Ambiguity 1 group, the treatment decreases the level of social distancing among them, while they are not statistically significant. Aggregated effect for all outcomes. We ran OLS with the dummies of Ambiguity 1 and Ambiguity 2 as independent variables and report the estimated coefficients of the two dummy variables. The left panel shows the result of OLS without controls, whereas the right panel shows the result of OLS with controls While this result seems to be puzzling at first glance, it can be understood as follows. Let us take whether one’s family members are infected as an example of the determinants of infection. Regardless of social distancing, one will be infected once his or her family members are infected. Thus, the effectiveness of social distancing is increasing in the likelihood of the family members not being infected. In the presence of higher ambiguity, this likelihood becomes more uncertain. For ambiguity-loving people who are optimistic, this implies that their family members are less likely to be infected; thus their perceived effectiveness of social distancing increases, which induces social distancing. On the other hand, for ambiguity-averse people who are pessimistic, this implies that the family members are more likely to be infected; thus their perceived effectiveness of social distancing decreases, which reduces social distancing. This is (ii) in Proposition 1, and our result is consistent with this prediction.

Individual scenarios

To see whether this identified effect is robust across different scenarios, we estimated the following linear regression model for each scenario:where is the (un)willingness to social distancing in a scenario. We estimated this equation with and without controls. The results for the high crowdedness are reported in Figs. 7 and 8. The effects on ambiguity-loving respondents are statistically significant for the Ambiguity 2 treatment in the high crowdedness scenarios. The results for the low crowdedness are reported in Figs. 9 and 10. In these cases, the effects on ambiguity-loving respondents are statistically significant for the Ambiguity 1 treatment. While which of the two treatment arms is effective differs across scenarios, the findings are consistent with Hypothesis 2.
Fig. 7

Crowded place with a mask put on The left panel shows the result of OLS without controls, whereas the right panel shows the result of OLS with controls

Fig. 8

Crowded place without a mask put on. The left panel shows the result of OLS without controls, whereas the right panel shows the result of OLS with controls

Fig. 9

Uncrowded place with a mask put on. We ran OLS with the dummies of Ambiguity 1 and Ambiguity 2 as independent variables and report the estimated coefficients of the two dummy variables. The left panel shows the result of OLS without controls, whereas the right panel shows the result of OLS with controls

Fig. 10

Uncrowded place without a mask put on. We ran OLS with the dummies of Ambiguity 1 and Ambiguity 2 as independent variables and report the estimated coefficients of the two dummy variables. The left panel shows the result of OLS without controls, whereas the right panel shows the result of OLS with controls

Overall, the effect of ambiguity is heterogeneous depending on ambiguity-attitudes, and it encourages ambiguity-loving subjects to increase the level of social distancing. Furthermore, these findings are robust across different scenarios. As for the magnitude, our findings are also fairly substantial. For the scenario of going to a crowded place without wearing a mask, ambiguity-loving respondents were almost 20% (23% for Ambiguity 1 and 20% for Ambiguity 2) less likely to visit a place.21 The percentage went down a bit to near 10-20% with a mask worn (11% for Ambiguity 1 and 23% for Ambiguity 2). As for the less dangerous situation of an almost empty place, the effect is still substantial. For an uncrowded place like Fig. 2b, respondents were 10–20% less likely to keep social distance even with a mask put on (21% for Ambiguity 1 and 9% for Ambiguity 2). The percentage went up a little to 20–30% (30% for Ambiguity 1 and 19% for Ambiguity 2) when no mask was worn. Crowded place with a mask put on The left panel shows the result of OLS without controls, whereas the right panel shows the result of OLS with controls Crowded place without a mask put on. The left panel shows the result of OLS without controls, whereas the right panel shows the result of OLS with controls Uncrowded place with a mask put on. We ran OLS with the dummies of Ambiguity 1 and Ambiguity 2 as independent variables and report the estimated coefficients of the two dummy variables. The left panel shows the result of OLS without controls, whereas the right panel shows the result of OLS with controls Uncrowded place without a mask put on. We ran OLS with the dummies of Ambiguity 1 and Ambiguity 2 as independent variables and report the estimated coefficients of the two dummy variables. The left panel shows the result of OLS without controls, whereas the right panel shows the result of OLS with controls While the empirical patterns are consistent with our Hypothesis 2, it should be noted that there are still some discrepancies between our theoretical framework and empirical findings. First, our model also predicts that ambiguity-loving agents are more likely to take preventive behaviors than ambiguity-averse ones when b(k, e) is increasing in k. However, according to our regression analysis, the comparison between ambiguity-averse and ambiguity-loving agents in the Control group shows the opposite (see Online Appendix A). Since ambiguity-attitudes are correlated with other factors, this comparison within the Control group has no causal significance, but it should be noted.22 Another discrepancy is about the effect on ambiguity-averse agents. Though we have focused on the ambiguity-loving subjects, our theory also predicts that higher ambiguity reduces social distancing among the ambiguity-averse agents when b(k, e) is increasing in k. The results for ambiguity-averse respondents are consistent with this prediction, but the effect size is smaller than that of ambiguity-loving counterparts.23 Explaining these discrepancies will be our future work.

Conclusion

This paper studies how people make decisions over preventive behaviors under ambiguity (i.e., Knightian uncertainty) where they do not even know the probability of a loss. Scientific uncertainty makes it difficult to evaluate the current COVID-19 situation based on a single probability—e.g., ambiguity regarding its infection rate. As a result, the outbreak of COVID-19 gives us an exceptional opportunity for empirically analyzing the effect of ambiguity on preventive behaviors. Our theoretical model shows how its effect is heterogeneous depending on ambiguity-attitudes. In particular, higher ambiguity induces only ambiguity-loving agents’ social distancing when the marginal effectiveness of social distancing and the probability of infection are negatively correlated. Motivated by this theory, we conducted a survey experiment in Japan. In the experiment, we manipulated the information regarding the scientific uncertainty on COVID-19. We found that higher ambiguity increased the level of social distancing among the ambiguity-loving respondents, while such an effect was nonexistent for ambiguity-averse counterparts. In short, higher ambiguity has a heterogeneous effect on preventive behaviors, depending on ambiguity-attitudes. Our results have two implications for the risk communication strategy of governments and experts. First, they should take this heterogeneous effect into account when communicating scientific uncertainty to the public. Since the effect is heterogeneous, risk communication would be more effective if governments have sufficient information on individual heterogeneous ambiguity-attitudes and can design risk communication customarily to each individual. Second, the risk communication strategy should be mainly designed to promote the transparency in disease information. While transparency might introduce more ambiguity regarding the virus among people, it has been shown to enhance the government credibility (Porat et al., 2020; Sheen et al., 2021), which is critical to facilitating the public’s cooperation during a public health crisis. On top of this, our study shows that it has the benefit of making ambiguity-loving people, who are typically regarded as not taking preventive measures, keep social distance. These insights indicate that promoting the transparency is an appropriate risk communication strategy. Despite the prevalence of ambiguity in daily decisions, this paper is the first attempt to do a rigorous empirical test with a randomized experiment. While it was conducted in a specific context of social distancing amid the COVID-19 outbreak, the implications of our findings can also be readily extended to other contexts of scientific uncertainty. For example, the concept of (scientific) ambiguity has also been applied to the issue of climate change (Millner et al., 2013; Lemoine & Traeger, 2016) where its science has been subject to intensive debates and contested conclusions. Our analytic framework and the empirical finding about ambiguity-lovers’ self-protective behaviors could be extended to such context.
Table 2

Summary statistics and balance checks

Summary statistics and balance check: all samples
VariableNOverall, \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$N= 1581^\mathrm{{a}}$$\end{document}N=1581aAmbiguity 1, \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$N = 531^\mathrm{{a}}$$\end{document}N=531aAmbiguity 2, \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$N = 527^\mathrm{{a}}$$\end{document}N=527aControl, \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$N = 523^\mathrm{{a}}$$\end{document}N=523ap value\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$^\mathrm{{b}}$$\end{document}b
Female1581790 (50%)266 (50%)259 (49%)265 (51%)0.88
Age158152 (40,69)51 (39, 68)52 (41, 66)54 (40,70)0.44
College1581368 (23%)121 (23%)133 (25%)114 (22%)0.40
Highschool1581633 (40%)216 (41%)201 (38%)216 (41%)0.54
Junior college1581180 (11%)49 (9.2%)62 (12%)69 (13%)0.12
Vocational school1581103 (6.5%)39 (7.3%)33 (6.3%)31 (5.9%)0.62
Income13590.54
 99.5174 (13%)67 (15%)50 (11%)57 (13%)
 299.5387 (28%)117 (25%)130 (29%)140 (31%)
 499.5318 (23%)122 (27%)100 (22%)96 (21%)
 699.5202 (15%)67 (15%)74 (17%)61 (13%)
 899.5132 (9.7%)39 (8.5%)47 (11%)46 (10%)
 1099.551 (3.8%)15 (3.3%)16 (3.6%)20 (4.4%)
 1299.543 (3.2 %)17 (3.7%)11 (2.5%)15 (3.3%)
 140052 (3.8%)15 (3.3%)18 (4.0%)19 (4.2%)
 Unknown222728169
Ambiguity averse1581837 (53%)282 (53%)291 (55%)264 (50%)0.30
Ambiguity neutral1581356 (23%)117 (22%)106 (20%)133 (25%)0.11
Ambiguity loving1581388 (25%)132 (25%)130 (25%)126 (24%)0.96

n (%); median (IQR)

Pearson’s Chi-squared test; Kruskal-Wallis rank sum test

Table 3

Summary statistics and balance checks: ambiguity-averse samples

Summary statistics and balance check: ambiguity-averse samples
VariableNOverall, \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$N = 837^\mathrm{{a}}$$\end{document}N=837aAmbiguity 1, \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$N = 282^\mathrm{{a}}$$\end{document}N=282aAmbiguity 2, \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$N = 291^\mathrm{{a}}$$\end{document}N=291aControl, \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$N = 264^\mathrm{{a}}$$\end{document}N=264ap value\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$^\mathrm{{b}}$$\end{document}b
Female837389 (46%)140 (50%)129 (44%)120 (45%)0.41
Age83752 (40,66)50 (39,66)52 (40,64)54 (40,69)0.52
College837221 (26%)64 (23%)86 (30%)71 (27%)0.17
Highschool837315 (38%)113 (40%)104 (36%)98 (37%)0.55
Junior college83795 (11%)23 (8.2%)34 (12%)38 (14%)0.070
Vocational school83763 (7.5%)28 (9.9%)15 (5.2%)20 (7.6%)0.10
Income7280.41
 99.590 (12%)37 (15%)29 (11%)24 (10%)
 299.5192 (26%)51 (21%)68 (27%)73 (32%)
 499.5167 (23%)64 (26%)58 (23%)45 (19%)
 699.5112 (15%)38 (16%)40 (16%)34 (15%)
 899.585 (12%)28 (12%)32 (13%)25 (11%)
 1099.530 (4.1%)6 (2.5%)10 (3.9%)14 (6.1%)
 1299.522 (3.0%)8 (3.3%)8 (3.1%)6 (2.6%)
 140030 (4.1%)10 (4.1%)10 (3.9%)10 (4.3%)
 Unknown109403633

n (%); median (IQR)

Pearson’s Chi-squared test; Kruskal-Wallis rank sum test

Table 4

Summary statistics and balance checks: ambiguity-neutral samples

Summary statistics and balance check: ambiguity-neutral samples
VariableNOverall, \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$N =356^\mathrm{{a}}$$\end{document}N=356aAmbiguity 1, \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$N = 117^\mathrm{{a}}$$\end{document}N=117aAmbiguity 2, \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$N = 106^\mathrm{{a}}$$\end{document}N=106aControl, \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$N = 133^\mathrm{{a}}$$\end{document}N=133ap value\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$^\mathrm{{b}}$$\end{document}b
Female356190 (53%)50 (43%)63 (59%)77 (58%)0.019
Age35659 (39,71)50 (36, 70)53 (41,71)56 (39,71)0.57
College35670 (20%)28 (24%)19 (18%)23 (17%)0.36
Highschool356161 (45%)48 (41%)46 (43%)67 (50%)0.30
Junior college35633 (9.3%)5 (4.3%)12 (11%)16 (12%)0.074
Vocational school35619 (5.3%)7 (6.0%)6 (5.7%)6 (4.5%)0.86
Income315
 99.539 (12%)12 (11%)12 (13%)15 (13%)
 299.5103 (33%)38 (36%)31 (35%)34 (29%)
 499.580 (25%)31 (29%)19 (21%)30 (35%)
 699.533 (10%)11 (10%)10 (11%)12 (10%)
 899.533 (10%)8 (7.5%)11 (12%)14 (12%)
 1099.59 (2.9%)4 (3.7%)2 (2.2%)3 (2.5%)
 1299.57 (2.2%)1 (0.9%)1 (1.1%)5 (4.2%)
 140011 (3.5%)2 (1.9%)3 (3.4%)6 (5.0%)
 Unknown41101714

n (%); median (IQR)

Pearson’s Chi-squared test; Kruskal-Wallis rank sum test

Table 5

Summary statistics and balance checks: ambiguity-loving samples

Summary statistics and balance check: ambiguity-loving samples
VariableNOverall, \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$N = 388^\mathrm{{a}}$$\end{document}N=388aAmbiguity 1, \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$N = 132^\mathrm{{a}}$$\end{document}N=132aAmbiguity 2, \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$N = 130^\mathrm{{a}}$$\end{document}N=130aControl, \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$N = 126^\mathrm{{a}}$$\end{document}N=126ap value\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$^\mathrm{{b}}$$\end{document}b
Female388211 (54%)76 (58%)67 (52%)68 (54%)0.61
Age38852 (40,70)55 (39,70)50 (40, 70)52 (40, 71)0.96
College38877 (20%)29 (22%)28 (22%)20 (16%)0.39
Highschool388157 (40%)55 (42%)51 (39%)51 (40%)0.92
Junior college38852 (13%)21 (16%)16 (12%)15 (12%)0.58
Vocational school38821 (5.4%)4 (3.0%)12 (9.2%)5 (4.0%)0.058
Income316
 99.545 (14%)18 (16%)9 (8.8%)18 (17%)
 299.592 (29%)28 (25%)31 (30%)33 (32%)
 499.571 (22%)27 (25%)23 (23%)21 (20%)
 699.557 (18%)18 (16%)24 (24%)15 (14%)
 899.514 (4.4%)3 (2.7%)4 (3.9%)7 (6.7%)
 1099.512 (3.8%)5 (4.5%)4 (3.9%)3 (2.9%)
 1299.514 (4.4%)8 (7.3%)2 (2.0%)4 (3.8%)
 140011 (3.5%)3 (2.7%)5 (4.9%)3 (2.9%)
 Unknown72222822

n (%); median (IQR)

Pearson’s Chi-squared test; Kruskal-Wallis rank sum test

  11 in total

1.  Estimating ambiguity preferences and perceptions in multiple prior models: Evidence from the field.

Authors:  Stephen G Dimmock; Roy Kouwenberg; Olivia S Mitchell; Kim Peijnenburg
Journal:  J Risk Uncertain       Date:  2015-12-16

2.  Presenting uncertainty in health risk assessment: initial studies of its effects on risk perception and trust.

Authors:  B B Johnson; P Slovic
Journal:  Risk Anal       Date:  1995-08       Impact factor: 4.000

3.  Communication of Scientific Uncertainty about a Novel Pandemic Health Threat: Ambiguity Aversion and Its Mechanisms.

Authors:  Paul K J Han; Brian J Zikmund-Fisher; Christine W Duarte; Megan Knaus; Adam Black; Aaron M Scherer; Angela Fagerlin
Journal:  J Health Commun       Date:  2018-04-12

4.  Social distancing as a public good under the COVID-19 pandemic.

Authors:  S Cato; T Iida; K Ishida; A Ito; K M McElwain; M Shoji
Journal:  Public Health       Date:  2020-08-13       Impact factor: 2.427

5.  Japanese citizens' behavioral changes and preparedness against COVID-19: An online survey during the early phase of the pandemic.

Authors:  Kaori Muto; Isamu Yamamoto; Miwako Nagasu; Mikihito Tanaka; Koji Wada
Journal:  PLoS One       Date:  2020-06-11       Impact factor: 3.240

6.  Tolerance to ambiguous uncertainty predicts prosocial behavior.

Authors:  Marc-Lluís Vives; Oriel FeldmanHall
Journal:  Nat Commun       Date:  2018-06-12       Impact factor: 14.919

7.  The effects of communicating uncertainty on public trust in facts and numbers.

Authors:  Anne Marthe van der Bles; Sander van der Linden; Alexandra L J Freeman; David J Spiegelhalter
Journal:  Proc Natl Acad Sci U S A       Date:  2020-03-23       Impact factor: 11.205

8.  Public Health and Risk Communication During COVID-19-Enhancing Psychological Needs to Promote Sustainable Behavior Change.

Authors:  Talya Porat; Rune Nyrup; Rafael A Calvo; Priya Paudyal; Elizabeth Ford
Journal:  Front Public Health       Date:  2020-10-27

9.  Model uncertainty, political contestation, and public trust in science: Evidence from the COVID-19 pandemic.

Authors:  S E Kreps; D L Kriner
Journal:  Sci Adv       Date:  2020-10-21       Impact factor: 14.136

10.  Citizen journalism reduces the credibility deficit of authoritarian government in risk communication amid COVID-19 outbreaks.

Authors:  Greg Chih-Hsin Sheen; Hans H Tung; Wen-Chin Wu
Journal:  PLoS One       Date:  2021-12-08       Impact factor: 3.240

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