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Longitudinal changes and determinants of parental willingness to pay for the prevention of childhood overweight and obesity


  • Romy Lauer

    () (Ulm University Medical Center)

  • Meike Traub

    () (Ulm University Medical Center
    Ulm University)

  • Sylvia Hansen

    () (Unversity of Cologne)

  • Reinhold Kilian

    () (Ulm University Medical Center)

  • Jürgen Michael Steinacker

    () (Ulm University Medical Center)

  • Dorothea Kesztyüs

    () (Ulm University Medical Center
    Ulm University Medical Center)


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

Suggested Citation

  • Romy Lauer & Meike Traub & Sylvia Hansen & Reinhold Kilian & Jürgen Michael Steinacker & Dorothea Kesztyüs, 2020. "Longitudinal changes and determinants of parental willingness to pay for the prevention of childhood overweight and obesity," Health Economics Review, Springer, vol. 10(1), pages 1-10, December.
  • Handle: RePEc:spr:hecrev:v:10:y:2020:i:1:d:10.1186_s13561-020-00266-z
    DOI: 10.1186/s13561-020-00266-z

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    References listed on IDEAS

    1. Khachapon Nimdet & Nathorn Chaiyakunapruk & Kittaya Vichansavakul & Surachat Ngorsuraches, 2015. "A Systematic Review of Studies Eliciting Willingness-to-Pay per Quality-Adjusted Life Year: Does It Justify CE Threshold?," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-16, April.
    2. Jan P Vandenbroucke & Erik von Elm & Douglas G Altman & Peter C Gøtzsche & Cynthia D Mulrow & Stuart J Pocock & Charles Poole & James J Schlesselman & Matthias Egger & for the STROBE Initiative, 2007. "Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 4(10), pages 1-27, October.
    3. David K. Whynes & Jane L. Wolstenholme & Emma Frew, 2004. "Evidence of range bias in contingent valuation payment scales," Health Economics, John Wiley & Sons, Ltd., vol. 13(2), pages 183-190, February.
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    Blog mentions

    As found by, the blog aggregator for Economics research:
    1. Chris Sampson’s journal round-up for 8th June 2020
      by Chris Sampson in The Academic Health Economists' Blog on 2020-06-08 11:00:08

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