What public health interventions do people in Canada prefer to fund? A discrete choice experiment
| dc.contributor.author | Card, Kiffer G. | |
| dc.contributor.author | Adshade, Marina | |
| dc.contributor.author | Hogg, Robert S. | |
| dc.contributor.author | Jollimore, Jody | |
| dc.contributor.author | Lachowsky, Nathan J. | |
| dc.date.accessioned | 2023-01-10T22:54:10Z | |
| dc.date.available | 2023-01-10T22:54:10Z | |
| dc.date.copyright | 2022 | en_US |
| dc.date.issued | 2022 | |
| dc.description.abstract | Objective: To assess public support of tailored and targeted public health interventions for marginalized communities. Methods: We conducted a discrete choice experiment using a web-based survey advertised to Facebook and Instagram users living in Canada, aged > 16. Participants were asked to choose between funding two hypothetical public health programs. Each program was described by its purpose; expected increase in life expectancy; and target audience. Demographically weighted generalized linear mixed-effects models were constructed to identify program factors associated with program selection. Results: Participants completed up to 8 discrete choice comparison exercises each resulting in 23,889 exercises were completed by 3054 participants. Selected programs were less likely to focus on prevention (vs. treatment). For each 1-year increase in the marginal years of life gained, there was a 15% increase in the odds of a program being selected. Interventions tailored to marginalized communities or targeting stigmatized health conditions were less likely to be selected compared to interventions targeted to the general population or targeting chronic health conditions. Noteworthy exceptions included an increased preference for interventions aligning with the perceived needs or cultural expectations for marginalized communities. Conclusions: Stigmatizing perceptions of health conditions and key populations likely influence public health programming preferences of Canadians. Public health implications: Informational campaigns highlighting disparities experienced by marginalized populations may improve support for targeted and tailored interventions. | en_US |
| dc.description.reviewstatus | Reviewed | en_US |
| dc.description.scholarlevel | Faculty | en_US |
| dc.description.sponsorship | This work was supported (in whole or in part) by an Innovation Research Grant from CANFAR, the Canadian Foundation for AIDS Research. KGC and NJL are supported by Scholar Awards from the Michael Smith Foundation for Health Research (#1547, #16863). | en_US |
| dc.identifier.citation | Card, K. G., Adshade, M., Hogg, R. S., Jollimore, J., & Lachowsky, N. J. (2022). “What public health interventions do people in Canada prefer to fund? A discrete choice experiment.” BMC Public Health, 22(1178). https://doi.org/10.1186/s12889-022-13539-5 | en_US |
| dc.identifier.uri | https://doi.org/10.1186/s12889-022-13539-5 | |
| dc.identifier.uri | http://hdl.handle.net/1828/14642 | |
| dc.language.iso | en | en_US |
| dc.publisher | BMC Public Health | en_US |
| dc.subject | Public Health | |
| dc.subject | Interventions | |
| dc.subject | Marginalized Communities | |
| dc.subject | Public Opinion | |
| dc.subject | Discrete Choice Experiments | |
| dc.subject.department | School of Public Health and Social Policy | |
| dc.title | What public health interventions do people in Canada prefer to fund? A discrete choice experiment | en_US |
| dc.type | Article | en_US |