4.5 Article

Optimistic Bias and Consumer Prescription Drug Decisions: Influences of Direct to Consumer Advertising and Perceived Susceptibility

Journal

HEALTH COMMUNICATION
Volume 37, Issue 13, Pages 1694-1703

Publisher

ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/10410236.2021.1914385

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This study found that exposure to direct-to-consumer prescription drug advertising (DTCA) increases consumers' perceived susceptibility to health risks but decreases their optimistic bias. Additionally, DTCA exposure influences prescription decision engagement through perceived susceptibility, and this process is moderated by optimistic bias.
This study examines how optimistic bias moderates the association of direct-to-consumer prescription drug advertising (DTCA) exposure with consumers' responses to DTCA. We propose and test a model that addresses how exposure to DTCA plays a role in health risk assessment and prescription drug decision engagement. Findings from an online survey of U.S. adults (n = 628) demonstrated that exposure to DTCA is positively associated with consumers' perceived susceptibility and negatively associated with optimistic bias about health risk. The relationship between DTCA exposure and prescription decision engagement was mediated through perceived susceptibility, and this process was moderated by optimistic bias. The study's theoretical implications are discussed along with its consumer and public health implications.

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