Preferences for vaccination program attributes among parents of young infants in Shanghai, China
Compared to many other countries, China offers fewer pediatric vaccines. Future attempts to add mandatory vaccines may run counter to parents’ preferences for shot-limiting. The aim of this study was to assess Chinese parents’ preferences and willingness-to-pay (WTP) for programmatic attributes of v...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2020-08-01
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| Series: | Human Vaccines & Immunotherapeutics |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/21645515.2020.1712937 |
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| author | Zhuoying Huang Abram L. Wagner Muzi Lin Xiaodong Sun Brian J. Zikmund-Fisher Matthew L. Boulton Jia Ren Lisa A. Prosser |
| author_facet | Zhuoying Huang Abram L. Wagner Muzi Lin Xiaodong Sun Brian J. Zikmund-Fisher Matthew L. Boulton Jia Ren Lisa A. Prosser |
| author_sort | Zhuoying Huang |
| collection | DOAJ |
| description | Compared to many other countries, China offers fewer pediatric vaccines. Future attempts to add mandatory vaccines may run counter to parents’ preferences for shot-limiting. The aim of this study was to assess Chinese parents’ preferences and willingness-to-pay (WTP) for programmatic attributes of vaccination services. Parents of young infants ≤3 months of age presenting at immunization clinics in Shanghai, China, in 2017 completed a discrete choice experiment (DCE) on vaccination program attributes: waiting time at the clinic, number of shots before 7 months, number of injections per visit, cost per visit, and location of the shot. We estimated preference utilities and WTP using logistic regression. In total, 590 completed the DCE. Caregivers expressed greater utility for less waiting time, fewer office visits, lower cost of vaccines, and fewer injections co-administered. Over the course of their child’s first 6 months, parents were willing to pay 113 RMB ($17) to avoid an additional 10 minutes of waiting at each appointment (95% confidence interval [CI]: 213, 929), 474 RMB ($70) to avoid an additional office visit (95% CI: 241, 707), and 703 RMB ($104) to avoid an additional injection at each appointment (95% CI: 337, 1068). As China expands its list of publicly funded vaccines, public health officials will have to counter Chinese parents’ strong preferences for limiting the total number of office visits and the number of injections administered at each visit, potentially through the use of combination vaccines. |
| first_indexed | 2024-03-11T22:43:05Z |
| format | Article |
| id | doaj.art-8be4ab42fc1941f0b41365558eeae390 |
| institution | Directory Open Access Journal |
| issn | 2164-5515 2164-554X |
| language | English |
| last_indexed | 2024-03-11T22:43:05Z |
| publishDate | 2020-08-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Human Vaccines & Immunotherapeutics |
| spelling | doaj.art-8be4ab42fc1941f0b41365558eeae3902023-09-22T08:45:35ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2020-08-011681905191010.1080/21645515.2020.17129371712937Preferences for vaccination program attributes among parents of young infants in Shanghai, ChinaZhuoying Huang0Abram L. Wagner1Muzi Lin2Xiaodong Sun3Brian J. Zikmund-Fisher4Matthew L. Boulton5Jia Ren6Lisa A. Prosser7Shanghai Municipal Centers for Disease Control & PreventionSchool of Public Health, University of MichiganSchool of Public Health, University of MichiganShanghai Municipal Centers for Disease Control & PreventionUniversity of MichiganSchool of Public Health, University of MichiganShanghai Municipal Centers for Disease Control & PreventionMichigan MedicineCompared to many other countries, China offers fewer pediatric vaccines. Future attempts to add mandatory vaccines may run counter to parents’ preferences for shot-limiting. The aim of this study was to assess Chinese parents’ preferences and willingness-to-pay (WTP) for programmatic attributes of vaccination services. Parents of young infants ≤3 months of age presenting at immunization clinics in Shanghai, China, in 2017 completed a discrete choice experiment (DCE) on vaccination program attributes: waiting time at the clinic, number of shots before 7 months, number of injections per visit, cost per visit, and location of the shot. We estimated preference utilities and WTP using logistic regression. In total, 590 completed the DCE. Caregivers expressed greater utility for less waiting time, fewer office visits, lower cost of vaccines, and fewer injections co-administered. Over the course of their child’s first 6 months, parents were willing to pay 113 RMB ($17) to avoid an additional 10 minutes of waiting at each appointment (95% confidence interval [CI]: 213, 929), 474 RMB ($70) to avoid an additional office visit (95% CI: 241, 707), and 703 RMB ($104) to avoid an additional injection at each appointment (95% CI: 337, 1068). As China expands its list of publicly funded vaccines, public health officials will have to counter Chinese parents’ strong preferences for limiting the total number of office visits and the number of injections administered at each visit, potentially through the use of combination vaccines.http://dx.doi.org/10.1080/21645515.2020.1712937stated preferenceconjoint analysisdiscrete choice experimentchinavaccination |
| spellingShingle | Zhuoying Huang Abram L. Wagner Muzi Lin Xiaodong Sun Brian J. Zikmund-Fisher Matthew L. Boulton Jia Ren Lisa A. Prosser Preferences for vaccination program attributes among parents of young infants in Shanghai, China Human Vaccines & Immunotherapeutics stated preference conjoint analysis discrete choice experiment china vaccination |
| title | Preferences for vaccination program attributes among parents of young infants in Shanghai, China |
| title_full | Preferences for vaccination program attributes among parents of young infants in Shanghai, China |
| title_fullStr | Preferences for vaccination program attributes among parents of young infants in Shanghai, China |
| title_full_unstemmed | Preferences for vaccination program attributes among parents of young infants in Shanghai, China |
| title_short | Preferences for vaccination program attributes among parents of young infants in Shanghai, China |
| title_sort | preferences for vaccination program attributes among parents of young infants in shanghai china |
| topic | stated preference conjoint analysis discrete choice experiment china vaccination |
| url | http://dx.doi.org/10.1080/21645515.2020.1712937 |
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