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Ulf Gerdtham. Photo.

Ulf Gerdtham

Professor

Ulf Gerdtham. Photo.

Valuing a Lifestyle Intervention for Middle Eastern Immigrants at Risk of Diabetes

Author

  • Sanjib Saha
  • Ulf Gerdtham
  • Faiza Siddiqui
  • Louise Bennet

Summary, in English

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.

Department/s

  • Health Economics
  • Department of Economics
  • Family Medicine and Community Medicine
  • EpiHealth: Epidemiology for Health
  • EXODIAB: Excellence of Diabetes Research in Sweden

Publishing year

2018-02-27

Language

English

Publication/Series

International Journal of Environmental Research and Public Health

Volume

15

Issue

3

Document type

Journal article

Publisher

MDPI AG

Topic

  • Health Care Service and Management, Health Policy and Services and Health Economy
  • International Migration and Ethnic Relations

Keywords

  • willingness-to-pay (WTP)
  • lifestyle intervention
  • immigrants
  • type 2 diabetes

Status

Published

Project

  • Prevention of type 2 diabetes and poor mental health amongst immigrants from the Middle-East to Sweden
  • The MEDIM project

Research group

  • Health Economics
  • Family Medicine and Community Medicine

ISBN/ISSN/Other

  • ISSN: 1660-4601