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022 _a2666-1543 (Online)
024 8 _ahttps://doi.org/10.1016/j.jafr.2025.101905
040 _aMX-TxCIM
041 _aeng
100 0 _aMuhammad Arshad
_93524
245 1 0 _aPesticide exposure, health impacts, predeterminism, and health insurance demand among Pakistani farmers :
_bImplications for policy
260 _aAmsterdam (Netherlands) :
_bElsevier B.V.,
_c2025.
500 _aPeer review
500 _aOpen Access
520 _aThe indiscriminate use of chemical pesticides, regardless of pest infestation, is widespread in the developing world to mitigate agricultural losses. Farmers face significant health risks from pesticides, yet indemnity provision is often neglected in policy discussions. Socio-cultural factors, including religion and trust in governments, can influence indemnity demand, especially among religious communities. However, little to no attention has been given to religious predeterminism and public trust in indemnity service design. We employed a novel approach integrating count data models with contingent valuation to analyze the health impacts of pesticide use and influence of socioeconomic factors, particularly religious predeterminism and public trust, on health insurance demand among farmers in rural Pakistan. Results reveal critical health risks posed by pesticide use among farmers and highlight the limited willingness to pay for health insurance to mitigate these risks. Findings from the Negative Binomial (NB) regression model showed significant positive effects of pesticide quantity (β = 0.607, p < 0.05), WHO Class IA-and-IB pesticides (β = 0.420, p < 0.05), and WHO Class II pesticides (β = 0.277, p < 0.05) on farmers' health. Religious predeterminism and public trust significantly influence farmers' willingness to pay, with only about 27 % of farmers expressing readiness to pay an average of US$4.02 per annum for health insurance. These findings emphasize the importance of tailored health insurance designs that accommodate religious beliefs. Policy initiatives should focus on educating farmers about safe pesticide use and health insurance benefits. Governments can build public trust through subsidized insurance schemes to reduce farmers' out-of-pocket health expenses. The findings emphasize the role of socio-cultural factors, in shaping insurance uptake, suggesting that health insurance policies must be tailored to align with farmers’ belief systems. Government-led initiatives, including subsidized insurance schemes, are essential to enhance public trust, foster safe farming practices, and support sustainable agriculture.
546 _aText in English
597 _dCGIAR Trust Fund
_aClimate adaptation & mitigation
_bTransforming Agrifood Systems in South Asia
_cResilient Agrifood Systems
_uhttps://hdl.handle.net/10568/174893
650 7 _aOccupational hazards
_2AGROVOC
_938655
650 7 _aHuman health
_2AGROVOC
_930228
650 7 _aContingent valuation
_2AGROVOC
_910803
650 7 _aHealth insurance
_2AGROVOC
_99126
650 7 _aPolicies
_2AGROVOC
_94809
651 7 _aPakistan
_2AGROVOC
_94252
700 0 _aYasir Mehmood
_94525
700 1 _aAravindakshan, S.
_gSustainable Agrifood Systems
_8I1706075
_91750
700 1 _aUllah, A.
_925564
700 1 _aSieber, S.
_911378
700 1 _aKrupnik, T.J.
_gSustainable Agrifood Systems
_8INT3222
_9906
773 0 _tJournal of Agriculture and Food Research
_gv. 21, art. 101905
_dAmsterdam (Netherlands) : Elsevier B.V., 2025.
_x2666-1543
856 4 _yOpen Access through DSpace
_uhttps://hdl.handle.net/10883/35625
942 _cJA
_n0
_2ddc
999 _c68743
_d68735