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

Health Economics Unit, Department of Clinical Science (Malmö), Lund University, Medicon Village, Scheelevägen 2, SE-22381 Lund, Sweden
Center for Primary Health Care Research, Department of Clinical Sciences, Lund University/Region Skåne, Skåne University Hospital, SE-20502 Malmö, Sweden
Department of Economics, Lund University, SE-22363 Lund, Sweden
Department of Clinical Sciences, Lund University, SE-20502 Malmö, Sweden
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(3), 413;
Received: 29 December 2017 / Revised: 8 February 2018 / Accepted: 25 February 2018 / Published: 27 February 2018
PDF [653 KB, uploaded 28 February 2018]


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. View Full-Text
Keywords: willingness-to-pay (WTP); lifestyle intervention; immigrants; type 2 diabetes willingness-to-pay (WTP); lifestyle intervention; immigrants; type 2 diabetes

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Saha, S.; Gerdtham, U.-G.; Siddiqui, F.; Bennet, L. Valuing a Lifestyle Intervention for Middle Eastern Immigrants at Risk of Diabetes. Int. J. Environ. Res. Public Health 2018, 15, 413.

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