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A best–worst scaling survey of adolescents' level of concern for health and non-health consequences of smoking

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  • Marti, Joachim

Abstract

This paper uses best–worst scaling, a choice-based survey method, to assess adolescents' level of concern for various adverse consequences of tobacco use. In addition to health risks cited most often (i.e., lung cancer and cardiovascular diseases), the study also focuses on less frequently mentioned health implications (e.g., effects on teeth, appearance, skin, weight and sexual dysfunction) and other adverse effects that are unrelated to health, such as cost, addiction, or manipulation by the tobacco industry. The relative importance of 15 items was assessed in a sample of 376 adolescents (ages 14–19 years) in Western Switzerland. The resulting data provide rich information on the relative importance of the items considered and even allow for the assessment of individual-level preference scales. The results indicate that apart from lung cancer that is consistently rated as being of most concern, less-mentioned health risks such as reduced physical capacity and sexual dysfunction are of significant importance. Subgroup analyses and results from a random parameter approach highlight substantial heterogeneity in preferences that should be exploited in future prevention messages.

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Bibliographic Info

Article provided by Elsevier in its journal Social Science & Medicine.

Volume (Year): 75 (2012)
Issue (Month): 1 ()
Pages: 87-97

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Handle: RePEc:eee:socmed:v:75:y:2012:i:1:p:87-97

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Related research

Keywords: Best–worst scaling; Adolescents; Smoking; Smoking adverse consequences; Risk perception; Preference heterogeneity; Random parameter logit; Switzerland;

References

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  14. Potoglou, Dimitris & Burge, Peter & Flynn, Terry & Netten, Ann & Malley, Juliette & Forder, Julien & Brazier, John E., 2011. "Best-worst scaling vs. discrete choice experiments: An empirical comparison using social care data," Social Science & Medicine, Elsevier, vol. 72(10), pages 1717-1727, May.
  15. Heikkinen, Hanne & Patja, Kristiina & Jallinoja, Piia, 2010. "Smokers' accounts on the health risks of smoking: Why is smoking not dangerous for me?," Social Science & Medicine, Elsevier, vol. 71(5), pages 877-883, September.
  16. Riccardo Scarpa & Sandra Notaro & Jordan Louviere & Roberta Raffaelli, 2010. "Exploring Scale Effects of Best/Worst Rank Ordered Choice Data to Estimate Benefits of Tourism in Alpine Grazing Commons," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 93(3), pages 809-824.
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  18. Flynn, Terry N. & Louviere, Jordan J. & Peters, Tim J. & Coast, Joanna, 2007. "Best-worst scaling: What it can do for health care research and how to do it," Journal of Health Economics, Elsevier, vol. 26(1), pages 171-189, January.
  19. Jayson L. Lusk & Brian C. Briggeman, 2009. "Food Values," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 91(1), pages 184-196.
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Cited by:
  1. Hong il Yoo & Denise Doiron, 2012. "The use of alternative preference elicitation methods in complex discrete choice experiments," Discussion Papers 2012-16, School of Economics, The University of New South Wales.

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