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Effect of 'lifestyle stigma' on public support for NHS-provisioned pre-exposure prophylaxis (PrEP) and preventative interventions for HPV and type 2 diabetes: a nationwide UK survey

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  • Hildebrandt, Timothy
  • Bode, Leticia
  • Ng, Jessica S.C.

Abstract

Objectives This study examines how the perceived role of poor lifestyle and irresponsible behaviour in contracting HIV, human papilloma virus (HPV) and diabetes affects public support for government-provisioned prevention efforts in Britain. It assesses whether public attitudes on healthcare spending are broadly sensitive to 'lifestyle stigmas'. Methods We conducted an online survey of 738 respondents in Britain and embedded three separate survey experiments to measure support for government-provisioned interventions for HIV, HPV and type 2 diabetes. In each experiment, we manipulated language used to describe the extent to which the diseases are caused by lifestyle choices. Most respondents participated in all three experiments, but assignment was randomised within each condition. Analysis compared support among respondents exposed to 'lifestyle' treatment (information emphasising the disease's lifestyle causes) versus control treatment. We estimated three separate t-tests in which support for government provision of interventions is the dependent variable. Results Support for government-provisioned prevention was high for all three diseases. There was no statistical difference between treatment and control conditions for HIV (treatment mean=3.73, control mean=3.86, p=0.38). But in both HPV (treatment mean=3.96, control mean=4.43, p

Suggested Citation

  • Hildebrandt, Timothy & Bode, Leticia & Ng, Jessica S.C., 2019. "Effect of 'lifestyle stigma' on public support for NHS-provisioned pre-exposure prophylaxis (PrEP) and preventative interventions for HPV and type 2 diabetes: a nationwide UK survey," LSE Research Online Documents on Economics 101062, London School of Economics and Political Science, LSE Library.
    • Handle: RePEc:ehl:lserod:101062
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    References listed on IDEAS

    as
    1. Page, Benjamin I. & Shapiro, Robert Y., 1983. "Effects of Public Opinion on Policy," American Political Science Review, Cambridge University Press, vol. 77(1), pages 175-190, March.
    2. King, Derek & Maynard, Alan, 1999. "Public opinion and rationing in the United Kingdom," Health Policy, Elsevier, vol. 50(1-2), pages 39-53, December.
    3. Michael, R.T. & Wadsworth, J. & Feinleib, J. & Johnson, A.M. & Laumann, E.O. & Wellings, K., 1998. "Private sexual behavior, public opinion, and public health policy related to sexually transmitted diseases: A US-British comparison," American Journal of Public Health, American Public Health Association, vol. 88(5), pages 749-754.
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    More about this item

    Keywords

    pre-exposure prophylaxis (PrEP); HIV; HPV; diabetes; public opinion;
    All these keywords.

    JEL classification:

    • Z00 - Other Special Topics - - General - - - General

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