International Journal of Environmental Research and Public Health
Volume 15, Issue 3, 2018

Valuing a lifestyle intervention for middle eastern immigrants at risk of diabetes (Article) (Open Access)

Saha S.* , Gerdtham U.-G. , Siddiqui F. , Bennet L.
  • a Health Economics Unit, Department of Clinical Science (Malmö), Lund University, Medicon Village, Scheelevägen 2, Lund, SE-22381, Sweden
  • b Health Economics Unit, Department of Clinical Science (Malmö), Lund University, Medicon Village, Scheelevägen 2, Lund, SE-22381, Sweden, Center for Primary Health Care Research, Department of Clinical Sciences, Lund University/Region Skåne, Skåne University Hospital, Malmö, SE-20502, Sweden, Department of Economics, Lund University, Lund, SE-22363, Sweden
  • c Center for Primary Health Care Research, Department of Clinical Sciences, Lund University/Region Skåne, Skåne University Hospital, Malmö, SE-20502, Sweden, Department of Clinical Sciences, Lund University, Malmö, SE-20502, Sweden
  • d Center for Primary Health Care Research, Department of Clinical Sciences, Lund University/Region Skåne, Skåne University Hospital, Malmö, SE-20502, Sweden

Abstract

Willingness-to-pay (WTP) techniques are increasingly being used in the healthcare sector for assessing the value of interventions. The objective of this study was to estimate WTP and its predictors in a randomized controlled trial of a lifestyle intervention exclusively targeting Middle Eastern immigrants living in Malmö, Sweden, who are at high risk of type 2 diabetes. We used the contingent valuation method to evaluate WTP. The questionnaire was designed following the payment-scale approach, and administered at the end of the trial, giving an ex-post perspective. We performed logistic regression and linear regression techniques to identify the factors associated with zero WTP value and positive WTP values. The intervention group had significantly higher average WTP than the control group (216 SEK vs. 127 SEK; p = 0.035; 1 U.S.$ = 8.52 SEK, 2015 price year) per month. The regression models demonstrated that being in the intervention group, acculturation, and self-employment were significant factors associated with positive WTP values. Male participants and lower-educated participants had a significantly higher likelihood of zero WTP. In this era of increased migration, our findings can help policy makers to take informed decisions to implement lifestyle interventions for immigrant populations. © 2018 by the authors. Licensee MDPI, Basel, Switzerland.

Author Keywords

Lifestyle intervention Willingness-to-pay (WTP) type 2 diabetes immigrants

Index Keywords

Skane Malmo educational status lifestyle immigrant health promotion Iraqi economics health risk non insulin dependent diabetes mellitus risk randomized controlled trial (topic) Diabetes Mellitus, Type 2 human sex difference middle aged Middle East health service controlled study randomized controlled trial ethnology procedures Health Services Needs and Demand Surveys and Questionnaires Sweden Humans migrant psychology male Emigrants and Immigrants female self employment questionnaire cultural factor Article health care economic evaluation lifestyle modification adult diabetes contingent valuation willingness to pay Asian immigrant
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85042803199&doi=10.3390%2fijerph15030413&partnerID=40&md5=dbf572cbca4c492d1251f855fcc8c94f
DOI: 10.3390/ijerph15030413
ISSN: 16617827
Original Language: English