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Parents' willingness to pay for coeliac disease screening of their child
Fredrik Norström1, Anneli Ivarsson, Lars Lindholm
1Department of Public Health and Clinical Medicine, Epidemiology and Global Health, Umeå University, Umeå, Sweden. fredrik.norstrom@epiph.umu.se
Insights
Swedish parents
Area of Science:
- Pediatric Health
- Public Health
Background:
- Coeliac disease (CD) is a significant health concern in children.
- Early screening can improve health outcomes for children with CD.
Purpose of the Study:
- To assess Swedish parents' willingness to pay (WTP) for child coeliac disease screening.
- To compare parental WTP with the actual cost of screening.
Main Methods:
- Survey of 6,524 parents of 12-year-old children undergoing CD screening.
- Analysis of WTP based on demographic factors and child's symptoms.
- Comparison of mean WTP with average screening costs.
Main Results:
- 63% of parents were willing to pay for CD screening.
- Mean WTP was 79 EUR, median 10 EUR; average screening cost was 47 EUR.
- Willingness to pay correlated with higher education, income, and child's symptoms.
Conclusions:
- Parental WTP for CD screening exceeded the average cost.
- However, only a minority of parents were willing to fund the screening.
- Findings suggest potential for cost-recovery models if parents contribute.
- Further research needed to explore barriers to parental payment for screening.
Objective:
The aim of this study is to determine Swedish parents' willingness to pay (WTP) for coeliac disease (CD) screening of their child.
Subjects And Methods:
CD screening was undertaken involving 10,041 12-year-old children, with 7567 (75%) agreeing to participate. Blood samples from the children were analysed for CD serological markers. Parents received a questionnaire including a scenario describing the health-related risks of having CD and screening and diagnostic procedures. Parents were also asked whether they were willing to pay for CD screening, should this not be offered free of charge, and, if so, what their maximum WTP would be. Their WTP was compared with the average cost per child for the screening and case ascertainment procedures.
Results:
The questionnaire was answered by 6524 parents, and of 6057 valid responses 63% stated that they were willing to pay something. The mean WTP was 79 EUR and the median 10 EUR. The average cost per child for the screening and case ascertainment procedures was 47 EUR, which 23% of the parents stated they were willing to pay. Parents' WTP increased with higher education and income, and with child symptoms that may indicate CD.
Conclusions:
Swedish parents' WTP for school-based CD screening of their child was higher than the average cost per child; however, only a minority of the parents were willing to pay that amount.
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