Attitudes toward COVID-19 vaccination and willingness to pay: comparison of people with and without mental disorders in China

Background Acceptance and willingness to pay for the COVID-19 vaccine are unknown. Aims We compared attitudes toward COVID-19 vaccination in people suffering from depression or anxiety disorder and people without mental disorders, and their willingness to pay for it. Method Adults with depression...

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Main Authors: Fengyi Hao, Bokun Wang, Wanqiu Tan, Syeda Fabeha Husain, Roger S. McIntyre, Xiangdong Tang, Ling Zhang, Xiaofan Han, Li Jiang, Nicholas W. S. Chew, Benjamin Yong-Qiang Tan, Bach Tran, Zhisong Zhang, Gia Linh Vu, Giang Thu Vu, Roger Ho, Cyrus S. Ho, Vijay K. Sharma
Format: Article
Language:English
Published: Cambridge University Press 2021-09-01
Series:BJPsych Open
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2056472421009790/type/journal_article
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author Fengyi Hao
Bokun Wang
Wanqiu Tan
Syeda Fabeha Husain
Roger S. McIntyre
Xiangdong Tang
Ling Zhang
Xiaofan Han
Li Jiang
Nicholas W. S. Chew
Benjamin Yong-Qiang Tan
Bach Tran
Zhisong Zhang
Gia Linh Vu
Giang Thu Vu
Roger Ho
Cyrus S. Ho
Vijay K. Sharma
author_facet Fengyi Hao
Bokun Wang
Wanqiu Tan
Syeda Fabeha Husain
Roger S. McIntyre
Xiangdong Tang
Ling Zhang
Xiaofan Han
Li Jiang
Nicholas W. S. Chew
Benjamin Yong-Qiang Tan
Bach Tran
Zhisong Zhang
Gia Linh Vu
Giang Thu Vu
Roger Ho
Cyrus S. Ho
Vijay K. Sharma
author_sort Fengyi Hao
collection DOAJ
description Background Acceptance and willingness to pay for the COVID-19 vaccine are unknown. Aims We compared attitudes toward COVID-19 vaccination in people suffering from depression or anxiety disorder and people without mental disorders, and their willingness to pay for it. Method Adults with depression or anxiety disorder (n = 79) and healthy controls (n = 134) living in Chongqing, China, completed a cross-sectional study between 13 and 26 January 2021. We used a validated survey to assess eight aspects related to attitudes toward the COVID-19 vaccines. Psychiatric symptoms were assessed by the 21-item Depression, Anxiety and Stress Scale. Results Seventy-six people with depression or anxiety disorder (96.2%) and 134 healthy controls (100%) reported willingness to receive the COVID-19 vaccine. A significantly higher proportion of people with depression or anxiety disorder (64.5%) were more willing to pay for the COVID-19 vaccine than healthy controls (38.1%) (P ≤ 0.001). After multivariate adjustment, severity of depression and anxiety was significantly associated with willingness to pay for COVID-19 vaccination among psychiatric patients (P = 0.048). Non-healthcare workers (P = 0.039), health insurance (P = 0.003), living with children (P = 0.006) and internalised stigma (P = 0.002) were significant factors associated with willingness to pay for COVID-19 vaccine in healthy controls. Conclusions To conclude, psychiatric patients in Chongqing, China, showed high acceptance and willingness to pay for the COVID-19 vaccine. Factors associated with willingness to pay for the COVID-19 vaccine differed between psychiatric patients and healthy controls.
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spelling doaj.art-7f71593b29cc4c15a7a4c13a41babc0d2023-03-09T12:29:14ZengCambridge University PressBJPsych Open2056-47242021-09-01710.1192/bjo.2021.979Attitudes toward COVID-19 vaccination and willingness to pay: comparison of people with and without mental disorders in ChinaFengyi Hao0Bokun Wang1Wanqiu Tan2Syeda Fabeha Husain3Roger S. McIntyre4Xiangdong Tang5Ling Zhang6Xiaofan Han7Li Jiang8Nicholas W. S. Chew9Benjamin Yong-Qiang Tan10Bach Tran11Zhisong Zhang12Gia Linh Vu13Giang Thu Vu14Roger Ho15https://orcid.org/0000-0001-9629-4493Cyrus S. Ho16Vijay K. Sharma17Sleep Medicine Center, Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, China; Mental Health Center, West China Hospital, Sichuan University, China; Translational Neuroscience Center, West China Hospital, Sichuan University, China; State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, China; and Department of Psychiatry, The First People's Hospital of Chongqing Liang Jiang New Area, ChinaModern Service Industry Bureau, Chongqing Liangjiang New Area Administration Committee, ChinaDepartment of Psychiatry, National University of Singapore (Chongqing) Research Institute, ChinaDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, SingaporeMood Disorders Psychopharmacology Unit, University Health Network, Ontario, CanadaSleep Medicine Center, Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, China; Mental Health Center, West China Hospital, Sichuan University, China; Translational Neuroscience Center, West China Hospital, Sichuan University, China; and State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, ChinaDepartment of Psychiatry, The First People's Hospital of Chongqing Liang Jiang New Area, ChinaDepartment of Psychiatry, The First People's Hospital of Chongqing Liang Jiang New Area, ChinaDepartment of Psychiatry, The First People's Hospital of Chongqing Liang Jiang New Area, ChinaDepartment of Medicine, National University Health System, SingaporeDepartment of Medicine, National University Health System, SingaporeInstitute for Preventive Medicine and Public Health, Hanoi Medical University, Vietnam; and Bloomberg School of Public Health, Johns Hopkins University, Maryland, USAFaculty of Education, Huaibei Normal University, ChinaInstitute for Global Health Innovations and Faculty of Medicine, Duy Tan University, VietnamCenter of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, VietnamDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; and Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, SingaporeDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, SingaporeDivision of Neurology, Department of Medicine, National University Health System, Singapore; and Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, SingaporeBackground Acceptance and willingness to pay for the COVID-19 vaccine are unknown. Aims We compared attitudes toward COVID-19 vaccination in people suffering from depression or anxiety disorder and people without mental disorders, and their willingness to pay for it. Method Adults with depression or anxiety disorder (n = 79) and healthy controls (n = 134) living in Chongqing, China, completed a cross-sectional study between 13 and 26 January 2021. We used a validated survey to assess eight aspects related to attitudes toward the COVID-19 vaccines. Psychiatric symptoms were assessed by the 21-item Depression, Anxiety and Stress Scale. Results Seventy-six people with depression or anxiety disorder (96.2%) and 134 healthy controls (100%) reported willingness to receive the COVID-19 vaccine. A significantly higher proportion of people with depression or anxiety disorder (64.5%) were more willing to pay for the COVID-19 vaccine than healthy controls (38.1%) (P ≤ 0.001). After multivariate adjustment, severity of depression and anxiety was significantly associated with willingness to pay for COVID-19 vaccination among psychiatric patients (P = 0.048). Non-healthcare workers (P = 0.039), health insurance (P = 0.003), living with children (P = 0.006) and internalised stigma (P = 0.002) were significant factors associated with willingness to pay for COVID-19 vaccine in healthy controls. Conclusions To conclude, psychiatric patients in Chongqing, China, showed high acceptance and willingness to pay for the COVID-19 vaccine. Factors associated with willingness to pay for the COVID-19 vaccine differed between psychiatric patients and healthy controls. https://www.cambridge.org/core/product/identifier/S2056472421009790/type/journal_articleAnxietyCOVID-19depressioninsomniavaccine
spellingShingle Fengyi Hao
Bokun Wang
Wanqiu Tan
Syeda Fabeha Husain
Roger S. McIntyre
Xiangdong Tang
Ling Zhang
Xiaofan Han
Li Jiang
Nicholas W. S. Chew
Benjamin Yong-Qiang Tan
Bach Tran
Zhisong Zhang
Gia Linh Vu
Giang Thu Vu
Roger Ho
Cyrus S. Ho
Vijay K. Sharma
Attitudes toward COVID-19 vaccination and willingness to pay: comparison of people with and without mental disorders in China
BJPsych Open
Anxiety
COVID-19
depression
insomnia
vaccine
title Attitudes toward COVID-19 vaccination and willingness to pay: comparison of people with and without mental disorders in China
title_full Attitudes toward COVID-19 vaccination and willingness to pay: comparison of people with and without mental disorders in China
title_fullStr Attitudes toward COVID-19 vaccination and willingness to pay: comparison of people with and without mental disorders in China
title_full_unstemmed Attitudes toward COVID-19 vaccination and willingness to pay: comparison of people with and without mental disorders in China
title_short Attitudes toward COVID-19 vaccination and willingness to pay: comparison of people with and without mental disorders in China
title_sort attitudes toward covid 19 vaccination and willingness to pay comparison of people with and without mental disorders in china
topic Anxiety
COVID-19
depression
insomnia
vaccine
url https://www.cambridge.org/core/product/identifier/S2056472421009790/type/journal_article
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