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

Noemi Berlin, Leontine Goldzahl, Linda Bauld, Pat Hoddinott, Ivan Berlin

Research output: Contribution to journalArticlepeer-review

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.
Original languageEnglish
Pages (from-to)697-708
Number of pages12
JournalEuropean Journal of Health Economics
Volume19
Issue number5
DOIs
Publication statusPublished - 30 Jun 2018

Keywords

  • Acceptability
  • Financial incentives
  • Smoking behaviour
  • Pregnant women

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