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Int. J. Environ. Res. Public Health 2013, 10(4), 1342-1355; doi:10.3390/ijerph10041342
Article

A Comparison of Willingness to Pay to Prevent Child Maltreatment Deaths in Ecuador and the United States

1,* , 1
 and 2
Received: 18 February 2013; in revised form: 21 March 2013 / Accepted: 21 March 2013 / Published: 28 March 2013
(This article belongs to the Special Issue Child Injury Prevention)
View Full-Text   |   Download PDF [299 KB, uploaded 19 June 2014]
Abstract: Estimating the benefits of preventing child maltreatment (CM) is essential for policy makers to determine whether there are significant returns on investment from interventions to prevent CM. The aim of this study was to estimate the benefits of preventing CM deaths in an Ecuadorian population, and to compare the results to a similar study in a US population. The study used the contingent valuation method to elicit respondents’ willingness to pay (WTP) for a 1 in 100,000 reduction in the risk of CM mortality. After adjusting for differences in purchasing power, the WTP to prevent the CM mortality risk reduction in the Ecuador population was $237 and the WTP for the same risk reduction in the US population was $175. In the pooled analysis, WTP for a reduction in CM mortality was significantly impacted by country (p = 0.03), history of CM (p = 0.007), payment mechanism (p < 0.001), confidence in response (p = 0.014), and appropriateness of the payment mechanism (p < 0.001). These findings suggest that estimating benefits from one culture may not be transferable to another, and that low- and middle-income countries, such as Ecuador, may be better served by developing their own benefits estimates for use in future benefit-cost analyses of interventions designed to prevent CM.
Keywords: child maltreatment (CM); economic evaluation; willingness-to-pay (WTP); benefit-cost analysis (BCA); contingent valuation (CV) surveys child maltreatment (CM); economic evaluation; willingness-to-pay (WTP); benefit-cost analysis (BCA); contingent valuation (CV) surveys
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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MDPI and ACS Style

Corso, P.S.; Ingels, J.B.; Roldos, M.I. A Comparison of Willingness to Pay to Prevent Child Maltreatment Deaths in Ecuador and the United States. Int. J. Environ. Res. Public Health 2013, 10, 1342-1355.

AMA Style

Corso PS, Ingels JB, Roldos MI. A Comparison of Willingness to Pay to Prevent Child Maltreatment Deaths in Ecuador and the United States. International Journal of Environmental Research and Public Health. 2013; 10(4):1342-1355.

Chicago/Turabian Style

Corso, Phaedra S.; Ingels, Justin B.; Roldos, M. I. 2013. "A Comparison of Willingness to Pay to Prevent Child Maltreatment Deaths in Ecuador and the United States." Int. J. Environ. Res. Public Health 10, no. 4: 1342-1355.


Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert