Guerriero Carla, Cairns John, Bianchi Fabrizio, Cori Liliana
Department of Economics, CSEF, Università di Napoli Federico II, Naples, Italy.
Faculty of Public Health and Policy, London School of Hygiene and Troical Medicine, London, UK.
Health Econ. 2018 Feb;27(2):e55-e68. doi: 10.1002/hec.3562. Epub 2017 Sep 13.
Despite the importance of including children's preferences in the valuation of their own health benefits, no study has investigated the ability of children to understand willingness-to-pay (WTP) questions. Using a contingent valuation method, we elicit children's and parents' WTP to reduce children's risk of an asthma attack. Our results suggest that children are able to understand and value their own health risk reductions, and their ability to do so improves with age. Child age was found to be inversely related to parents' and children's WTP. The results also suggest that non-paternalistic altruism is predictive of children's WTP. For parents, care for their own health was found to be inversely related with their WTP for children's risk reductions. Comparison of parents' and children's WTP suggests that parents are willing to sacrifice for their child's health risk reduction an amount that is approximately twice that of their children. The analysis of matched pairs of parents and children suggest that there are within-household similarities as the child's WTP is positively related to parents' WTP.
尽管在评估儿童自身健康益处时纳入儿童偏好非常重要，但尚无研究调查儿童理解支付意愿（WTP）问题的能力。我们采用条件估值法，引出儿童和家长为降低儿童哮喘发作风险的支付意愿。我们的结果表明，儿童能够理解并重视自身健康风险的降低，且这种能力会随着年龄增长而提高。研究发现儿童年龄与家长和儿童的支付意愿呈负相关。结果还表明，非家长式利他主义可预测儿童的支付意愿。对于家长而言，对自身健康的关注与他们为降低儿童风险的支付意愿呈负相关。家长和儿童支付意愿的比较表明，家长愿意为降低孩子的健康风险而做出的牺牲约为孩子的两倍。对父母与孩子配对样本的分析表明，家庭内部存在相似性，因为孩子的支付意愿与家长的支付意愿呈正相关。
