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Public acceptability of financial incentives to reward pregnant smokers who quit smoking: a United Kingdom–France comparison

Author

Listed:
  • Noémi Berlin

    (European University Institute)

  • Léontine Goldzahl

    (Université Paris-Dauphine, PSL Research University)

  • Linda Bauld

    (University of Stirling)

  • Pat Hoddinott

    (University of Stirling)

  • Ivan Berlin

    (Faculté de médecine-Université P. & M. Curie, INSERM U1018)

Abstract

A substantial amount of research has been conducted on financial incentives to increase abstinence from smoking among pregnant smokers. If demonstrated to be effective, financial incentives could be proposed as part of health care interventions to help pregnant smokers quit. Public acceptability is important; as such interventions could be publicly funded. Concerns remain about the acceptability of these interventions in the general population. We aimed to assess the acceptability of financial incentives to reward pregnant smokers who stop smoking using a survey conducted in the UK and then subsequently in France, two developed countries with different cultural and social backgrounds. More French than British respondents agreed with financial incentives for rewarding quitting smoking during pregnancy, not smoking after delivery, keeping a smoke-free household, health service payment for meeting target and the maximum amount of the reward. However, fully adjusted models showed significant differences only for the two latter items. More British than French respondents were neutral toward financial incentives. Differences between the representative samples of French and British individuals demonstrate that implementation of financial incentive policies may not be transferable from one country to another.

Suggested Citation

  • Noémi Berlin & Léontine Goldzahl & Linda Bauld & Pat Hoddinott & Ivan Berlin, 2018. "Public acceptability of financial incentives to reward pregnant smokers who quit smoking: a United Kingdom–France comparison," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(5), pages 697-708, June.
  • Handle: RePEc:spr:eujhec:v:19:y:2018:i:5:d:10.1007_s10198-017-0914-6
    DOI: 10.1007/s10198-017-0914-6
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    1. Emma L Giles & Frauke Becker & Laura Ternent & Falko F Sniehotta & Elaine McColl & Jean Adams, 2016. "Acceptability of Financial Incentives for Health Behaviours: A Discrete Choice Experiment," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-19, June.
    2. Noémi Berlin & Léontine Goldzahl & Florence Jusot & Ivan Berlin, 2016. "Protocol for study of financial incentives for smoking cessation in pregnancy (FISCP): randomised, multicentre study," Post-Print hal-01614851, HAL.
    3. Promberger, Marianne & Dolan, Paul & Marteau, Theresa M., 2012. "“Pay them if it works”: Discrete choice experiments on the acceptability of financial incentives to change health related behaviour," Social Science & Medicine, Elsevier, vol. 75(12), pages 2509-2514.
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    More about this item

    Keywords

    Acceptability; Financial incentives; Smoking behaviour; Pregnant women;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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