公众对皮肤癌预防政策的偏好：三个欧洲国家的离散选择实验

IF 4.9 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Social Science & Medicine Pub Date : 2025-05-02 DOI:10.1016/j.socscimed.2025.118155

Sander Boxebeld , Niek Mouter , Job van Exel

{"title":"公众对皮肤癌预防政策的偏好：三个欧洲国家的离散选择实验","authors":"Sander Boxebeld , Niek Mouter , Job van Exel","doi":"10.1016/j.socscimed.2025.118155","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>In many countries, the incidence of skin cancer is growing rapidly, resulting in a substantive health and economic burden. While the wide range of available skin cancer prevention policies may have large individual and societal benefits, many countries still lack a policy strategy, and little is known about public preferences for collective prevention policy measures. We elicited these preferences using a discrete choice experiment (DCE) in Austria, the Netherlands, and Spain to inform policy action.</div></div><div><h3>Methods</h3><div>Respondents were asked to choose twelve times between two packages of different prevention policies. Each package was described by its estimated effectiveness and costs. Before and after the DCE, respondents were asked for their support for any policy action. We quota-sampled adult citizens in each of the countries from an online panel (N = 2,442). The choice data were analyzed using multinomial logit (MNL) and mixed multinomial logit (MMNL) models.</div></div><div><h3>Results</h3><div>Almost all attributes significantly influenced respondents’ choices, with the tax attribute being most influential in each country. Among the six policy measures, information campaigns and a price reduction of sunscreen were the most preferred policy measures, and the prohibition of solar bed sales and solaria the least preferred. Preference structures were largely consistent across the countries. Finally, most respondents supported policy action, particularly after the DCE.</div></div><div><h3>Conclusions</h3><div>Citizens in the three countries recommended their governments to take policy action against the increasing incidence of skin cancer. The results provide policymakers with directions for publicly supported policy action, which should be complemented with additional information on preference heterogeneity, citizens' argumentation, and policies’ relative (cost-)effectiveness. The suggestion that preferences for policy action adapted over the course of completing the DCE survey should be further examined.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"378 ","pages":"Article 118155"},"PeriodicalIF":4.9000,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Public preferences for skin cancer prevention policies: a discrete choice experiment in three European countries\",\"authors\":\"Sander Boxebeld , Niek Mouter , Job van Exel\",\"doi\":\"10.1016/j.socscimed.2025.118155\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>In many countries, the incidence of skin cancer is growing rapidly, resulting in a substantive health and economic burden. While the wide range of available skin cancer prevention policies may have large individual and societal benefits, many countries still lack a policy strategy, and little is known about public preferences for collective prevention policy measures. We elicited these preferences using a discrete choice experiment (DCE) in Austria, the Netherlands, and Spain to inform policy action.</div></div><div><h3>Methods</h3><div>Respondents were asked to choose twelve times between two packages of different prevention policies. Each package was described by its estimated effectiveness and costs. Before and after the DCE, respondents were asked for their support for any policy action. We quota-sampled adult citizens in each of the countries from an online panel (N = 2,442). The choice data were analyzed using multinomial logit (MNL) and mixed multinomial logit (MMNL) models.</div></div><div><h3>Results</h3><div>Almost all attributes significantly influenced respondents’ choices, with the tax attribute being most influential in each country. Among the six policy measures, information campaigns and a price reduction of sunscreen were the most preferred policy measures, and the prohibition of solar bed sales and solaria the least preferred. Preference structures were largely consistent across the countries. Finally, most respondents supported policy action, particularly after the DCE.</div></div><div><h3>Conclusions</h3><div>Citizens in the three countries recommended their governments to take policy action against the increasing incidence of skin cancer. The results provide policymakers with directions for publicly supported policy action, which should be complemented with additional information on preference heterogeneity, citizens' argumentation, and policies’ relative (cost-)effectiveness. The suggestion that preferences for policy action adapted over the course of completing the DCE survey should be further examined.</div></div>\",\"PeriodicalId\":49122,\"journal\":{\"name\":\"Social Science & Medicine\",\"volume\":\"378 \",\"pages\":\"Article 118155\"},\"PeriodicalIF\":4.9000,\"publicationDate\":\"2025-05-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Social Science & Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S027795362500485X\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Social Science & Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S027795362500485X","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

摘要

在许多国家，皮肤癌的发病率正在迅速增长，造成了实质性的健康和经济负担。虽然现有的各种皮肤癌预防政策可能具有巨大的个人和社会效益，但许多国家仍然缺乏政策战略，而且对公众对集体预防政策措施的偏好知之甚少。我们在奥地利、荷兰和西班牙通过离散选择实验（DCE）得出这些偏好，为政策行动提供信息。方法要求被调查者在两套不同的预防政策中选择12次。每个方案都按其估计的效果和成本进行了描述。在选举前后，受访者被问及他们对任何政策行动的支持。我们从一个在线小组中抽取了每个国家的成年公民（N = 2442）。选择数据采用多项logit （MNL）和混合多项logit （MMNL）模型进行分析。结果几乎所有属性都显著影响受访者的选择，其中税收属性在每个国家都是最具影响力的。在六项政策措施中，宣传活动和降低防晒霜价格是最受欢迎的政策措施，禁止太阳床销售和日光浴是最不受欢迎的政策措施。各国的偏好结构基本一致。最后，大多数受访者支持政策行动，尤其是在DCE之后。结论：这三个国家的公民都建议政府采取政策行动来应对皮肤癌发病率的上升。研究结果为政策制定者提供了公众支持的政策行动方向，并应补充有关偏好异质性、公民论证和政策相对（成本）效益的额外信息。关于在完成DCE调查过程中调整政策行动偏好的建议应进一步加以审查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Public preferences for skin cancer prevention policies: a discrete choice experiment in three European countries

Objective

In many countries, the incidence of skin cancer is growing rapidly, resulting in a substantive health and economic burden. While the wide range of available skin cancer prevention policies may have large individual and societal benefits, many countries still lack a policy strategy, and little is known about public preferences for collective prevention policy measures. We elicited these preferences using a discrete choice experiment (DCE) in Austria, the Netherlands, and Spain to inform policy action.

Methods

Respondents were asked to choose twelve times between two packages of different prevention policies. Each package was described by its estimated effectiveness and costs. Before and after the DCE, respondents were asked for their support for any policy action. We quota-sampled adult citizens in each of the countries from an online panel (N = 2,442). The choice data were analyzed using multinomial logit (MNL) and mixed multinomial logit (MMNL) models.

Results

Almost all attributes significantly influenced respondents’ choices, with the tax attribute being most influential in each country. Among the six policy measures, information campaigns and a price reduction of sunscreen were the most preferred policy measures, and the prohibition of solar bed sales and solaria the least preferred. Preference structures were largely consistent across the countries. Finally, most respondents supported policy action, particularly after the DCE.

Conclusions

Citizens in the three countries recommended their governments to take policy action against the increasing incidence of skin cancer. The results provide policymakers with directions for publicly supported policy action, which should be complemented with additional information on preference heterogeneity, citizens' argumentation, and policies’ relative (cost-)effectiveness. The suggestion that preferences for policy action adapted over the course of completing the DCE survey should be further examined.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

9.10

自引率

5.60%

发文量

762

审稿时长

38 days

期刊介绍： Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.