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. 2018 Jun;19(5):697-708.
doi: 10.1007/s10198-017-0914-6. Epub 2017 Jun 23.

Public acceptability of financial incentives to reward pregnant smokers who quit smoking: a United Kingdom-France comparison

Noémi Berlin  1 , Léontine Goldzahl  2 , Linda Bauld  3 , Pat Hoddinott  4 , Ivan Berlin  5
Affiliations

Public acceptability of financial incentives to reward pregnant smokers who quit smoking: a United Kingdom-France comparison

Noémi Berlin et al. Eur J Health Econ. 2018 Jun.

Abstract

A substantial amount of research has been conducted on financial incentives to increase abstinence from smoking among pregnant smokers. If demonstrated to be effective, financial incentives could be proposed as part of health care interventions to help pregnant smokers quit. Public acceptability is important; as such interventions could be publicly funded. Concerns remain about the acceptability of these interventions in the general population. We aimed to assess the acceptability of financial incentives to reward pregnant smokers who stop smoking using a survey conducted in the UK and then subsequently in France, two developed countries with different cultural and social backgrounds. More French than British respondents agreed with financial incentives for rewarding quitting smoking during pregnancy, not smoking after delivery, keeping a smoke-free household, health service payment for meeting target and the maximum amount of the reward. However, fully adjusted models showed significant differences only for the two latter items. More British than French respondents were neutral toward financial incentives. Differences between the representative samples of French and British individuals demonstrate that implementation of financial incentive policies may not be transferable from one country to another.

Keywords: Acceptability; Financial incentives; Pregnant women; Smoking behaviour.

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Conflict of interest statement

Funding for the French survey

Ministry of health, France, Grant No MA0500150. None of the authors were funded for the current work.

Funding for the UK survey

This project was commissioned by the NIHR Health Technology Assessment Programme (10/31/02) and is published in full in Health Technology Assessment https://www.journalslibrary.nihr.ac.uk/projects/103102/#/. The Nursing, Midwifery and Allied Health Professions Research Unit, University of Stirling, receive core-funding from the Chief Scientist Office of the Scottish Government Health and Social Care Directorates.

Figures

Fig. 1
Fig. 1
Proportions of responses by country
Fig. 2
Fig. 2
Proportions of responses by country among those who agree and neither agree nor disagree with financial incentives
Fig. 3
Fig. 3
Difference in the probability of accepting financial incentives for smoking cessation among pregnant smokers by level of education: UK vs France. The ordinate axis is the difference in probability of agreeing with financial incentives for British respondents compared to the French ones. A positive difference means a higher probability in the UK
See this image and copyright information in PMC

References

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