Universität zu Köln

Lauer, Romy, Traub, Meike, Hansen, Sylvia, Kilian, Reinhold, Steinacker, Juergen Michael and Kesztyues, Dorothea (2020). Longitudinal changes and determinants of parental willingness to pay for the prevention of childhood overweight and obesity. Health Econ. Rev., 10 (1). LONDON: BMC. ISSN 2191-1991

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Abstract

Background Willingness to Pay (WTP) is an alternative to measure quality-adjusted life years for cost-effectiveness analyses. The aim was to evaluate longitudinal changes and determinants of parental WTP for the prevention of childhood overweight and obesity. Methods Longitudinal data from post- (T2) and follow-up (T3) measurements of a school-based health promotion program in Germany. Parental questionnaires included general WTP and the corresponding amount to reduce incidental childhood overweight and obesity by half. Longitudinal differences were examined with the McNemar test for general WTP and the Wilcoxon signed-rank test for the amount of WTP. Regression analyses were conducted to detect determinants. Results General parental WTP significantly decreased from 48.9% to 35.8% (p < 0.001,n = 760). Logistic regression analysis (n = 561) showed that parents with a tertiary education level and a positive general WTP at T2, families with a higher monthly household income, and those with abdominally obese children were significant predictors of general WTP at T3. Median amount of WTP at T3 was (sic)20.00 (mean = (sic)27.96 +/- 26.90,n = 274). Assuming a WTP of (sic)0 for those who were generally not willing to pay or did not answer, resulted in a median amount of WTP at T3 of (sic)0 (m = (sic)8.45, sd = (sic)19.58, n = 906). According to linear regression analysis WTP at T2 was the only significant predictor for the amount of WTP at T3 (p = 0.000, n = 181). Conclusions Despite the decline of general WTP, these results are a reflection of the public awareness of the problem and the need for action. Policy makers should recognize this and initiate sustainable public preventive strategies.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Lauer, Romy UNSPECIFIED UNSPECIFIED UNSPECIFIED Traub, Meike UNSPECIFIED UNSPECIFIED UNSPECIFIED Hansen, Sylvia UNSPECIFIED UNSPECIFIED UNSPECIFIED Kilian, Reinhold UNSPECIFIED UNSPECIFIED UNSPECIFIED Steinacker, Juergen Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Kesztyues, Dorothea UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-332707
DOI:	10.1186/s13561-020-00266-z
Journal or Publication Title:	Health Econ. Rev.
Volume:	10
Number:	1
Date:	2020
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	2191-1991
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CONTINGENT VALUATION; WAIST CIRCUMFERENCE; CHILDREN; COST; ADOLESCENTS; IMPACT; BIAS; BMI Multiple languages Economics; Health Policy & Services Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/33270