Parents' Willingness to Pay for Pediatric Weight Management Programs.
Identifieur interne : 000334 ( Main/Exploration ); précédent : 000333; suivant : 000335Parents' Willingness to Pay for Pediatric Weight Management Programs.
Auteurs : Olivier Drouin ; Mona Sharifi ; Monica Gerber ; Christine Horan ; E John Orav ; Richard Marshall ; Elsie M. Taveras [États-Unis]Source :
- Academic pediatrics [ 1876-2867 ]
Descripteurs français
- KwdFr :
- Acceptation des soins par les patients (MeSH), Adulte (MeSH), Dépenses de santé (MeSH), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Enquêtes et questionnaires (MeSH), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Obésité pédiatrique (thérapie), Parents (psychologie), Programmes de perte de poids (économie), Volition (MeSH).
- MESH :
- psychologie : Parents.
- thérapie : Obésité pédiatrique.
- économie : Programmes de perte de poids.
- Acceptation des soins par les patients, Adulte, Dépenses de santé, Enfant, Enfant d'âge préscolaire, Enquêtes et questionnaires, Femelle, Humains, Mâle, Volition.
English descriptors
- KwdEn :
- Adult (MeSH), Child (MeSH), Child, Preschool (MeSH), Female (MeSH), Health Expenditures (MeSH), Humans (MeSH), Male (MeSH), Parents (psychology), Patient Acceptance of Health Care (MeSH), Pediatric Obesity (therapy), Surveys and Questionnaires (MeSH), Volition (MeSH), Weight Reduction Programs (economics).
- MESH :
- economics : Weight Reduction Programs.
- psychology : Parents.
- therapy : Pediatric Obesity.
- Adult, Child, Child, Preschool, Female, Health Expenditures, Humans, Male, Patient Acceptance of Health Care, Surveys and Questionnaires, Volition.
Abstract
OBJECTIVE
To examine parents' interest in continuing and willingness to pay (WTP) for 2 pediatric weight management programs following their participation.
METHODS
Participants were parents of 2- to 12-year-old children with body mass index ≥ 85th percentile who participated in the Connect for Health trial. One group received enhanced primary care (EPC) and the other received EPC plus individualized coaching (EPC+C). At 1 year, we assessed parents' self-reported WTP for a similar program and the maximum amount ($/month) they would pay. We used multivariable regression to examine differences in WTP and WTP amount by intervention arm and by individual and family-level factors.
RESULTS
Of 638 parents who completed the survey, 85% were interested in continuing and 38% of those parents were willing to pay (31% in the EPC group and 45% in the EPC+C group). The median amount parents were willing to pay was $25/month (interquartile range, $15-$50). In multivariable models, the EPC+C parents were more likely to endorse WTP than the EPC parents (odds ratio, 1.53; 95% confidence interval, 1.05-2.22). Parents of children with Hispanic/Latino versus white ethnicity and those reporting higher satisfaction with the program were also more likely to endorse WTP.
CONCLUSIONS
Most parents of children in a weight management program were interested in continuing it after it ended, but fewer were willing to pay out of pocket for it. A greater proportion of parents were willing to pay if the program included individualized health coaching.
DOI: 10.1016/j.acap.2019.05.124
PubMed: 31128381
PubMed Central: PMC6731996
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<author><name sortKey="Horan, Christine" sort="Horan, Christine" uniqKey="Horan C" first="Christine" last="Horan">Christine Horan</name>
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<author><name sortKey="Taveras, Elsie M" sort="Taveras, Elsie M" uniqKey="Taveras E" first="Elsie M" last="Taveras">Elsie M. Taveras</name>
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<author><name sortKey="Sharifi, Mona" sort="Sharifi, Mona" uniqKey="Sharifi M" first="Mona" last="Sharifi">Mona Sharifi</name>
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<author><name sortKey="Gerber, Monica" sort="Gerber, Monica" uniqKey="Gerber M" first="Monica" last="Gerber">Monica Gerber</name>
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<author><name sortKey="Horan, Christine" sort="Horan, Christine" uniqKey="Horan C" first="Christine" last="Horan">Christine Horan</name>
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<author><name sortKey="Orav, E John" sort="Orav, E John" uniqKey="Orav E" first="E John" last="Orav">E John Orav</name>
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<author><name sortKey="Marshall, Richard" sort="Marshall, Richard" uniqKey="Marshall R" first="Richard" last="Marshall">Richard Marshall</name>
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<author><name sortKey="Taveras, Elsie M" sort="Taveras, Elsie M" uniqKey="Taveras E" first="Elsie M" last="Taveras">Elsie M. Taveras</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Child (MeSH)</term>
<term>Child, Preschool (MeSH)</term>
<term>Female (MeSH)</term>
<term>Health Expenditures (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Parents (psychology)</term>
<term>Patient Acceptance of Health Care (MeSH)</term>
<term>Pediatric Obesity (therapy)</term>
<term>Surveys and Questionnaires (MeSH)</term>
<term>Volition (MeSH)</term>
<term>Weight Reduction Programs (economics)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par les patients (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Dépenses de santé (MeSH)</term>
<term>Enfant (MeSH)</term>
<term>Enfant d'âge préscolaire (MeSH)</term>
<term>Enquêtes et questionnaires (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Obésité pédiatrique (thérapie)</term>
<term>Parents (psychologie)</term>
<term>Programmes de perte de poids (économie)</term>
<term>Volition (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Weight Reduction Programs</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Parents</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Parents</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Pediatric Obesity</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Obésité pédiatrique</term>
</keywords>
<keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Programmes de perte de poids</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Female</term>
<term>Health Expenditures</term>
<term>Humans</term>
<term>Male</term>
<term>Patient Acceptance of Health Care</term>
<term>Surveys and Questionnaires</term>
<term>Volition</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Acceptation des soins par les patients</term>
<term>Adulte</term>
<term>Dépenses de santé</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Volition</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To examine parents' interest in continuing and willingness to pay (WTP) for 2 pediatric weight management programs following their participation.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>Participants were parents of 2- to 12-year-old children with body mass index ≥ 85th percentile who participated in the Connect for Health trial. One group received enhanced primary care (EPC) and the other received EPC plus individualized coaching (EPC+C). At 1 year, we assessed parents' self-reported WTP for a similar program and the maximum amount ($/month) they would pay. We used multivariable regression to examine differences in WTP and WTP amount by intervention arm and by individual and family-level factors.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Of 638 parents who completed the survey, 85% were interested in continuing and 38% of those parents were willing to pay (31% in the EPC group and 45% in the EPC+C group). The median amount parents were willing to pay was $25/month (interquartile range, $15-$50). In multivariable models, the EPC+C parents were more likely to endorse WTP than the EPC parents (odds ratio, 1.53; 95% confidence interval, 1.05-2.22). Parents of children with Hispanic/Latino versus white ethnicity and those reporting higher satisfaction with the program were also more likely to endorse WTP.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Most parents of children in a weight management program were interested in continuing it after it ended, but fewer were willing to pay out of pocket for it. A greater proportion of parents were willing to pay if the program included individualized health coaching.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31128381</PMID>
<DateCompleted><Year>2020</Year>
<Month>09</Month>
<Day>04</Day>
</DateCompleted>
<DateRevised><Year>2021</Year>
<Month>01</Month>
<Day>09</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1876-2867</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>19</Volume>
<Issue>7</Issue>
<PubDate><MedlineDate>2019 Sep - Oct</MedlineDate>
</PubDate>
</JournalIssue>
<Title>Academic pediatrics</Title>
<ISOAbbreviation>Acad Pediatr</ISOAbbreviation>
</Journal>
<ArticleTitle>Parents' Willingness to Pay for Pediatric Weight Management Programs.</ArticleTitle>
<Pagination><MedlinePgn>764-772</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S1876-2859(19)30251-7</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.acap.2019.05.124</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE">To examine parents' interest in continuing and willingness to pay (WTP) for 2 pediatric weight management programs following their participation.</AbstractText>
<AbstractText Label="METHODS">Participants were parents of 2- to 12-year-old children with body mass index ≥ 85th percentile who participated in the Connect for Health trial. One group received enhanced primary care (EPC) and the other received EPC plus individualized coaching (EPC+C). At 1 year, we assessed parents' self-reported WTP for a similar program and the maximum amount ($/month) they would pay. We used multivariable regression to examine differences in WTP and WTP amount by intervention arm and by individual and family-level factors.</AbstractText>
<AbstractText Label="RESULTS">Of 638 parents who completed the survey, 85% were interested in continuing and 38% of those parents were willing to pay (31% in the EPC group and 45% in the EPC+C group). The median amount parents were willing to pay was $25/month (interquartile range, $15-$50). In multivariable models, the EPC+C parents were more likely to endorse WTP than the EPC parents (odds ratio, 1.53; 95% confidence interval, 1.05-2.22). Parents of children with Hispanic/Latino versus white ethnicity and those reporting higher satisfaction with the program were also more likely to endorse WTP.</AbstractText>
<AbstractText Label="CONCLUSIONS">Most parents of children in a weight management program were interested in continuing it after it ended, but fewer were willing to pay out of pocket for it. A greater proportion of parents were willing to pay if the program included individualized health coaching.</AbstractText>
<CopyrightInformation>Copyright © 2019 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Drouin</LastName>
<ForeName>Olivier</ForeName>
<Initials>O</Initials>
<AffiliationInfo><Affiliation>Division of General Academic Pediatrics, Department of Pediatrics (O Drouin, M Gerber, C Horan, and EM Taveras); Harvard-Wide Pediatric Health Services Research Fellowship (O Drouin and EM Taveras), Massachusetts General Hospital for Children; Department of Medicine (EJ Orav), Brigham and Women's Hospital; Department of Pediatrics (R Marshall), Harvard Vanguard Medical Associates; Department of Nutrition (EM Taveras), Harvard T.H. Chan School of Public Health, Boston, Mass; Division of General Pediatrics, Department of Pediatrics (O Drouin), Centre hospitalier universitaire Sainte-Justine, Montreal, Quebec, Canada; Section of General Pediatrics, Department of Pediatrics (M Sharifi), Yale University School of Medicine, New Haven, Conn.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Sharifi</LastName>
<ForeName>Mona</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Division of General Academic Pediatrics, Department of Pediatrics (O Drouin, M Gerber, C Horan, and EM Taveras); Harvard-Wide Pediatric Health Services Research Fellowship (O Drouin and EM Taveras), Massachusetts General Hospital for Children; Department of Medicine (EJ Orav), Brigham and Women's Hospital; Department of Pediatrics (R Marshall), Harvard Vanguard Medical Associates; Department of Nutrition (EM Taveras), Harvard T.H. Chan School of Public Health, Boston, Mass; Division of General Pediatrics, Department of Pediatrics (O Drouin), Centre hospitalier universitaire Sainte-Justine, Montreal, Quebec, Canada; Section of General Pediatrics, Department of Pediatrics (M Sharifi), Yale University School of Medicine, New Haven, Conn.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gerber</LastName>
<ForeName>Monica</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Division of General Academic Pediatrics, Department of Pediatrics (O Drouin, M Gerber, C Horan, and EM Taveras); Harvard-Wide Pediatric Health Services Research Fellowship (O Drouin and EM Taveras), Massachusetts General Hospital for Children; Department of Medicine (EJ Orav), Brigham and Women's Hospital; Department of Pediatrics (R Marshall), Harvard Vanguard Medical Associates; Department of Nutrition (EM Taveras), Harvard T.H. Chan School of Public Health, Boston, Mass; Division of General Pediatrics, Department of Pediatrics (O Drouin), Centre hospitalier universitaire Sainte-Justine, Montreal, Quebec, Canada; Section of General Pediatrics, Department of Pediatrics (M Sharifi), Yale University School of Medicine, New Haven, Conn.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Horan</LastName>
<ForeName>Christine</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Division of General Academic Pediatrics, Department of Pediatrics (O Drouin, M Gerber, C Horan, and EM Taveras); Harvard-Wide Pediatric Health Services Research Fellowship (O Drouin and EM Taveras), Massachusetts General Hospital for Children; Department of Medicine (EJ Orav), Brigham and Women's Hospital; Department of Pediatrics (R Marshall), Harvard Vanguard Medical Associates; Department of Nutrition (EM Taveras), Harvard T.H. Chan School of Public Health, Boston, Mass; Division of General Pediatrics, Department of Pediatrics (O Drouin), Centre hospitalier universitaire Sainte-Justine, Montreal, Quebec, Canada; Section of General Pediatrics, Department of Pediatrics (M Sharifi), Yale University School of Medicine, New Haven, Conn.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Orav</LastName>
<ForeName>E John</ForeName>
<Initials>EJ</Initials>
<AffiliationInfo><Affiliation>Division of General Academic Pediatrics, Department of Pediatrics (O Drouin, M Gerber, C Horan, and EM Taveras); Harvard-Wide Pediatric Health Services Research Fellowship (O Drouin and EM Taveras), Massachusetts General Hospital for Children; Department of Medicine (EJ Orav), Brigham and Women's Hospital; Department of Pediatrics (R Marshall), Harvard Vanguard Medical Associates; Department of Nutrition (EM Taveras), Harvard T.H. Chan School of Public Health, Boston, Mass; Division of General Pediatrics, Department of Pediatrics (O Drouin), Centre hospitalier universitaire Sainte-Justine, Montreal, Quebec, Canada; Section of General Pediatrics, Department of Pediatrics (M Sharifi), Yale University School of Medicine, New Haven, Conn.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Marshall</LastName>
<ForeName>Richard</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Division of General Academic Pediatrics, Department of Pediatrics (O Drouin, M Gerber, C Horan, and EM Taveras); Harvard-Wide Pediatric Health Services Research Fellowship (O Drouin and EM Taveras), Massachusetts General Hospital for Children; Department of Medicine (EJ Orav), Brigham and Women's Hospital; Department of Pediatrics (R Marshall), Harvard Vanguard Medical Associates; Department of Nutrition (EM Taveras), Harvard T.H. Chan School of Public Health, Boston, Mass; Division of General Pediatrics, Department of Pediatrics (O Drouin), Centre hospitalier universitaire Sainte-Justine, Montreal, Quebec, Canada; Section of General Pediatrics, Department of Pediatrics (M Sharifi), Yale University School of Medicine, New Haven, Conn.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Taveras</LastName>
<ForeName>Elsie M</ForeName>
<Initials>EM</Initials>
<AffiliationInfo><Affiliation>Division of General Academic Pediatrics, Department of Pediatrics (O Drouin, M Gerber, C Horan, and EM Taveras); Harvard-Wide Pediatric Health Services Research Fellowship (O Drouin and EM Taveras), Massachusetts General Hospital for Children; Department of Medicine (EJ Orav), Brigham and Women's Hospital; Department of Pediatrics (R Marshall), Harvard Vanguard Medical Associates; Department of Nutrition (EM Taveras), Harvard T.H. Chan School of Public Health, Boston, Mass; Division of General Pediatrics, Department of Pediatrics (O Drouin), Centre hospitalier universitaire Sainte-Justine, Montreal, Quebec, Canada; Section of General Pediatrics, Department of Pediatrics (M Sharifi), Yale University School of Medicine, New Haven, Conn. Electronic address: elsie.taveras@mgh.harvard.edu.</Affiliation>
</AffiliationInfo>
</Author>
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<Language>eng</Language>
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<Acronym>TR</Acronym>
<Agency>NCATS NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant><GrantID>IH-1304-6739</GrantID>
<Acronym>PCORI</Acronym>
<Agency>Patient-Centered Outcomes Research Institute</Agency>
<Country>United States</Country>
</Grant>
<Grant><GrantID>K08 HS024332</GrantID>
<Acronym>HS</Acronym>
<Agency>AHRQ HHS</Agency>
<Country>United States</Country>
</Grant>
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<Acronym>HS</Acronym>
<Agency>AHRQ HHS</Agency>
<Country>United States</Country>
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<Country>United States</Country>
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<ArticleDate DateType="Electronic"><Year>2019</Year>
<Month>05</Month>
<Day>23</Day>
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<MeshHeading><DescriptorName UI="D005102" MajorTopicYN="Y">Health Expenditures</DescriptorName>
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<MeshHeading><DescriptorName UI="D010342" MajorTopicYN="Y">Patient Acceptance of Health Care</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D063766" MajorTopicYN="N">Pediatric Obesity</DescriptorName>
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<MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName>
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<MeshHeading><DescriptorName UI="D014836" MajorTopicYN="N">Volition</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D061217" MajorTopicYN="N">Weight Reduction Programs</DescriptorName>
<QualifierName UI="Q000191" MajorTopicYN="Y">economics</QualifierName>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">obesity</Keyword>
<Keyword MajorTopicYN="Y">pediatrics</Keyword>
<Keyword MajorTopicYN="Y">weight management program</Keyword>
<Keyword MajorTopicYN="Y">willingness to pay</Keyword>
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<Month>04</Month>
<Day>19</Day>
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<PubMedPubDate PubStatus="accepted"><Year>2019</Year>
<Month>05</Month>
<Day>18</Day>
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<PubMedPubDate PubStatus="pubmed"><Year>2019</Year>
<Month>5</Month>
<Day>28</Day>
<Hour>6</Hour>
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<PubMedPubDate PubStatus="medline"><Year>2020</Year>
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<affiliations><list><country><li>États-Unis</li>
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<tree><noCountry><name sortKey="Drouin, Olivier" sort="Drouin, Olivier" uniqKey="Drouin O" first="Olivier" last="Drouin">Olivier Drouin</name>
<name sortKey="Gerber, Monica" sort="Gerber, Monica" uniqKey="Gerber M" first="Monica" last="Gerber">Monica Gerber</name>
<name sortKey="Horan, Christine" sort="Horan, Christine" uniqKey="Horan C" first="Christine" last="Horan">Christine Horan</name>
<name sortKey="Marshall, Richard" sort="Marshall, Richard" uniqKey="Marshall R" first="Richard" last="Marshall">Richard Marshall</name>
<name sortKey="Orav, E John" sort="Orav, E John" uniqKey="Orav E" first="E John" last="Orav">E John Orav</name>
<name sortKey="Sharifi, Mona" sort="Sharifi, Mona" uniqKey="Sharifi M" first="Mona" last="Sharifi">Mona Sharifi</name>
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<country name="États-Unis"><noRegion><name sortKey="Taveras, Elsie M" sort="Taveras, Elsie M" uniqKey="Taveras E" first="Elsie M" last="Taveras">Elsie M. Taveras</name>
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