https://doi.org/10.4081/monaldi.2024.3016
Willingness to pay for a tobacco-free life: a contingent valuation assessment
Submitted: April 4, 2024
Accepted: July 16, 2024
Published: August 30, 2024
Accepted: July 16, 2024
Abstract Views: 343
PDF_EARLY VIEW: 118
SUPPLEMENTARY MATERIAL: 17
SUPPLEMENTARY MATERIAL: 17
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Tobacco, being an established risk factor for significant mortality and morbidity, causes over 7 million annual deaths globally. India is a country with over 270 million active tobacco users. On the one hand, although the willingness to quit amongst tobacco users is as high as 55.4%, the actual quit rates translate to less than 20%. Taking a cue from the economic principle of commitment and consistency, paying a nominal fee can serve as a form of public commitment and motivation to decrease the dropout rate amongst those committed to quitting. This study uses contingent valuation assessment to determine the willingness to pay (WTP) values for an effective tobacco cessation service across individuals with different socio-demographic characteristics. A cross-sectional observational study with multistage cluster sampling in Rajasthan was conducted to recruit 360 active tobacco users from 8 districts. Q-Q plots were used to determine the non-parametric distribution, and statistical differences between median WTP values were compared using Mann-Whitney U and Kruskal-Wallis H tests, considering a p-value less than 0.05 to be statistically significant. The majority of participants were males (57.78%) between the ages of 26 and 35 (40.28%), married (82.50%), and with children (65.83%), with an annual income between USD 7500-10,000 (23.61%) and graduate-level education (40.56%). Exclusive smokers formed the majority of the cohort (48.06%), and 50.83% were willing to quit as well as willing to pay for cessation. Median WTP values were maximum for males (USD 54.05; p<0.05), age group 26-35 years (USD 54.05; p<0.05), post-graduates (USD 81.08; p<0.05), and annual income above USD 20,000 (USD 121.62; p<0.05). Weak positive and significant correlations were observed between WTP and annual spending on tobacco, annual spending on health, and annual income. The study emphasizes the critical importance of early-age interventions for effective tobacco cessation prior to transitioning into dependency, resulting in reduced financial parity for availing health services. These are the first such WTP values from the Southeast Asian region, tailored for different population subsets, specifically for tobacco cessation. Our findings contribute to the growing body of evidence to support innovative approaches to enhance tobacco cessation efforts through financial commitments.
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Ethics Approval
Ethical clearance was obtained from the Institutional Ethical Committee of AIIMS Jodhpur (Certificate Reference Number: AIIMS/IEC/2022/4028).How to Cite
Jain, Yogesh Kumar, Pankaj Bhardwaj, Nitin Kumar Joshi, Manoj Kumar Gupta, Akhil Dhanesh Goel, and Prem Prakash Sharma. 2024. “Willingness to Pay for a Tobacco-Free Life: A Contingent Valuation Assessment”. Monaldi Archives for Chest Disease, August. https://doi.org/10.4081/monaldi.2024.3016.
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