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Willingness to pay for measures to increase use of active school transport
Luleå University of Technology, Department of Social Sciences, Technology and Arts, Social Sciences.ORCID iD: 0000-0002-7199-7843
Luleå University of Technology, Department of Health, Education and Technology, Health, Medicine and Rehabilitation.ORCID iD: 0000-0003-3145-7698
Luleå University of Technology, Department of Social Sciences, Technology and Arts, Social Sciences.
Luleå University of Technology, Department of Health, Education and Technology, Health, Medicine and Rehabilitation.ORCID iD: 0000-0001-9376-6053
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2025 (English)In: European Journal of Health Economics, ISSN 1618-7598, E-ISSN 1618-7601Article in journal (Refereed) Epub ahead of print
Abstract [en]

The societal gains from increased physical activity among children are substantial. This study aims to contribute with knowledge about how the benefits of increased physical activity are valued by the Swedish general public. The methodological approach is a contingent valuation survey (n = 768), which allows to capture values associated with increased physical activity that extend beyond the health domain. To our knowledge, this is the first study using a contingent valuation approach to assess the comprehensive benefits of promoting physical activity. Although almost all respondents support the idea to promote active school transport in general, slightly more than half the sample reject the idea to contribute financially, while almost half the sample state a positive willingness to pay (WTP), and only approximately 10% state a positive WTP without uncertainty. The average WTP a lump sum for the intervention is estimated to lie between SEK64-185 (approximately 6–19 Euros). Higher WTP correlates with income, perceptions that lack of physical activity as a serious problem, and regular exercise engagement. Due to limited access to cost data, a full economic evaluation is not possible. Nevertheless, even using lower-bound WTP (uncertain = 0), aggregate benefits exceed teacher‐time costs, which are expected to constitute the most important part of intervention costs. Policymakers are recommended to implement low-cost interventions to increase physical activity of children, for instance by promoting the use of active school transport.

Place, publisher, year, edition, pages
Springer Nature, 2025.
Keywords [en]
Active school transport, Child health, Contingent valuation approach, Health economic, Physical activity
National Category
Economics Other Health Sciences
Research subject
Economics; Physiotherapy and Health Promotion
Identifiers
URN: urn:nbn:se:ltu:diva-114197DOI: 10.1007/s10198-025-01811-5ISI: 001531240200001PubMedID: 40682739Scopus ID: 2-s2.0-105011095525OAI: oai:DiVA.org:ltu-114197DiVA, id: diva2:1987637
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Full text license: CC BY 4.0

Available from: 2025-08-07 Created: 2025-08-07 Last updated: 2026-03-18

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Ek, KristinaLindqvist, Anna-KarinRutberg, Stina

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