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Are children rational decision makers when they are asked to value their own health? A contingent valuation study conducted with children and their parents

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  • Carla Guerriero
  • John Cairns
  • Fabrizio Bianchi
  • Liliana Cori

Abstract

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.

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  • Carla Guerriero & John Cairns & Fabrizio Bianchi & Liliana Cori, 2018. "Are children rational decision makers when they are asked to value their own health? A contingent valuation study conducted with children and their parents," Health Economics, John Wiley & Sons, Ltd., vol. 27(2), pages 55-68, February.
  • Handle: RePEc:wly:hlthec:v:27:y:2018:i:2:p:e55-e68
    DOI: 10.1002/hec.3562
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    1. Krupnick, Alan & Hoffmann, Sandra & Adamowicz, Wictor, 2005. "Economic Uncertainties in Valuing Reductions in Children's Environmental Health Risks," RFF Working Paper Series dp-05-27, Resources for the Future.
    2. Anyck Dauphin & Abdel‐Rahmen El Lahga & Bernard Fortin & Guy Lacroix, 2011. "Are Children Decision‐Makers within the Household?," Economic Journal, Royal Economic Society, vol. 121(553), pages 871-903, June.
    3. Corso, Phaedra S & Hammitt, James K & Graham, John D, 2001. "Valuing Mortality-Risk Reduction: Using Visual Aids to Improve the Validity of Contingent Valuation," Journal of Risk and Uncertainty, Springer, vol. 23(2), pages 165-184, September.
    4. Mark Dickie, 2005. "Parental Behavior and the Value of Children's Health: A Health Production Approach," Southern Economic Journal, John Wiley & Sons, vol. 71(4), pages 855-872, April.
    5. Dickie, Mark & Messman, Victoria L., 2004. "Parental altruism and the value of avoiding acute illness: are kids worth more than parents?," Journal of Environmental Economics and Management, Elsevier, vol. 48(3), pages 1146-1174, November.
    6. Sujitra Vassanadumrongdee & Shunji Matsuoka, 2005. "Risk Perceptions and Value of a Statistical Life for Air Pollution and Traffic Accidents: Evidence from Bangkok, Thailand," Journal of Risk and Uncertainty, Springer, vol. 30(3), pages 261-287, May.
    7. Rowe, Robert D. & Schulze, William D. & Breffle, William S., 1996. "A Test for Payment Card Biases," Journal of Environmental Economics and Management, Elsevier, vol. 31(2), pages 178-185, September.
    8. Richard T. Carson & W. Michael Hanemann, & Raymond J. Kopp & Jon A. Krosnick & Robert C. Mitchell & Stanley Presser & Paul A. Rudd & V. Kerry Smith & Michael Conaway & Kerry Martin, 1997. "Temporal Reliability of Estimates from Contingent Valuation," Land Economics, University of Wisconsin Press, vol. 73(2), pages 151-163.
    9. Dickie, Mark & Gerking, Shelby, 2007. "Altruism and environmental risks to health of parents and their children," Journal of Environmental Economics and Management, Elsevier, vol. 53(3), pages 323-341, May.
    10. William T. Harbaugh & Kate Krause & Timothy R. Berry, 2001. "GARP for Kids: On the Development of Rational Choice Behavior," American Economic Review, American Economic Association, vol. 91(5), pages 1539-1545, December.
    11. Donna Dosman & Wiktor Adamowicz, 2006. "Combining Stated and Revealed Preference Data to Construct an Empirical Examination of Intrahousehold Bargaining," Review of Economics of the Household, Springer, vol. 4(1), pages 15-34, March.
    12. Anna Alberini & Milan Ščasný, 2011. "Context and the VSL: Evidence from a Stated Preference Study in Italy and the Czech Republic," Environmental & Resource Economics, Springer;European Association of Environmental and Resource Economists, vol. 49(4), pages 511-538, August.
    13. James Hammitt & Kevin Haninger, 2010. "Valuing fatal risks to children and adults: Effects of disease, latency, and risk aversion," Journal of Risk and Uncertainty, Springer, vol. 40(1), pages 57-83, February.
    14. Shelby Gerking & Mark Dickie, 2013. "Valuing Reductions in Environmental Risks to Children’s Health," Annual Review of Resource Economics, Annual Reviews, vol. 5(1), pages 245-260, June.
    15. Wiktor Adamowicz & Mark Dickie & Shelby Gerking & Marcella Veronesi & David Zinner, 2014. "Household Decision Making and Valuation of Environmental Health Risks to Parents and Their Children," Journal of the Association of Environmental and Resource Economists, University of Chicago Press, vol. 1(4), pages 481-519.
    16. Mark Agee & Thomas Crocker, 2008. "Does parents’ valuation of children’s health mimic their valuation of own health?," Journal of Population Economics, Springer;European Society for Population Economics, vol. 21(1), pages 231-249, January.
    17. Ryan, Mandy & Scott, David A. & Donaldson, Cam, 2004. "Valuing health care using willingness to pay: a comparison of the payment card and dichotomous choice methods," Journal of Health Economics, Elsevier, vol. 23(2), pages 237-258, March.
    18. Laura O. Taylor & Ronald G. Cummings, 1999. "Unbiased Value Estimates for Environmental Goods: A Cheap Talk Design for the Contingent Valuation Method," American Economic Review, American Economic Association, vol. 89(3), pages 649-665, June.
    19. Silvia Ferrari & Francisco Cribari-Neto, 2004. "Beta Regression for Modelling Rates and Proportions," Journal of Applied Statistics, Taylor & Francis Journals, vol. 31(7), pages 799-815.
    20. James Murphy & Thomas Stevens & Darryl Weatherhead, 2005. "Is Cheap Talk Effective at Eliminating Hypothetical Bias in a Provision Point Mechanism?," Environmental & Resource Economics, Springer;European Association of Environmental and Resource Economists, vol. 30(3), pages 327-343, March.
    21. Meyerhoff, Jurgen & Liebe, Ulf, 2006. "Protest beliefs in contingent valuation: Explaining their motivation," Ecological Economics, Elsevier, vol. 57(4), pages 583-594, June.
    22. Cameron, Trudy Ann, 1992. "The impact of grouping coarseness in alternative grouped-data regression models," Journal of Econometrics, Elsevier, vol. 52(3), pages 419-421, June.
    23. Chris Dockins & Robin R. Jenkins & Nicole Owens & Nathalie B. Simon & Lanelle Bembenek Wiggins, 2002. "Valuation of Childhood Risk Reduction: The Importance of Age, Risk Preferences, and Perspective," Risk Analysis, John Wiley & Sons, vol. 22(2), pages 335-346, April.
    24. Timothy L. McDaniels & Mark S. Kamlet & Gregory W. Fischer, 1992. "Risk Perception and the Value of Safety," Risk Analysis, John Wiley & Sons, vol. 12(4), pages 495-503, December.
    25. Paolino, Philip, 2001. "Maximum Likelihood Estimation of Models with Beta-Distributed Dependent Variables," Political Analysis, Cambridge University Press, vol. 9(4), pages 325-346, January.
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    2. Andronis, Lazaros & Maredza, Mandy & Petrou, Stavros, 2019. "Measuring, valuing and including forgone childhood education and leisure time costs in economic evaluation: Methods, challenges and the way forward," Social Science & Medicine, Elsevier, vol. 237(C), pages 1-1.
    3. Pierre-André Chiappori & Edoardo Ciscato & Carla Guerriero, 2020. "Analyzing Matching Patterns in Marriage: Theory and Application to Italian Data," Working Papers 2020-080, Human Capital and Economic Opportunity Working Group.
    4. Andronis, Lazaros & Morgan, Cameron & Donaldson, Cam & Lancsar, Emily & Petrou, Stavros, 2023. "Views, obstacles, and uncertainties around the inclusion of children and young people's time in economic evaluations: Findings from an international survey of health economists," Social Science & Medicine, Elsevier, vol. 333(C).
    5. Pierre-André Chiappori & Edoardo Ciscato & Carla Guerriero, 2021. "Analyzing Matching Patterns in Marriage:Theory and Application to Italian Data," CSEF Working Papers 613, Centre for Studies in Economics and Finance (CSEF), University of Naples, Italy.
    6. Sun, Sizhong, 2022. "The demand for a COVID-19 vaccine," Economics & Human Biology, Elsevier, vol. 46(C).
    7. Han, Ahram & Ten, Gi Khan & Wang, Shun, 2023. "Gray skies and blue moms: The effect of air pollution on parental life satisfaction," World Development, Elsevier, vol. 163(C).
    8. Valentino Dardanone & Carla Guerriero, 2019. "Children's Willingness to Pay for Environmental Protection," CSEF Working Papers 550, Centre for Studies in Economics and Finance (CSEF), University of Naples, Italy.
    9. Dardanoni, Valentino & Guerriero, Carla, 2021. "Young people' s willingness to pay for environmental protection," Ecological Economics, Elsevier, vol. 179(C).

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