Parental Vaccine Preferences for Their Children in China: A Discrete Choice Experiment
<strong>Background:</strong><span> </span>Vaccination is one of the most cost-effective health investments to prevent and control communicable diseases. Improving the vaccination rate of children is important for all nations, and for China in particular since the advent of th...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-11-01
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| Series: | Vaccines |
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| Online Access: | https://www.mdpi.com/2076-393X/8/4/687 |
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| author | Tiantian Gong Gang Chen Ping Liu Xiaozhen Lai Hongguo Rong Xiaochen Ma Zhiyuan Hou Hai Fang Shunping Li |
| author_facet | Tiantian Gong Gang Chen Ping Liu Xiaozhen Lai Hongguo Rong Xiaochen Ma Zhiyuan Hou Hai Fang Shunping Li |
| author_sort | Tiantian Gong |
| collection | DOAJ |
| description | <strong>Background:</strong><span> </span>Vaccination is one of the most cost-effective health investments to prevent and control communicable diseases. Improving the vaccination rate of children is important for all nations, and for China in particular since the advent of the two-child policy. This study aims to elicit the stated preference of parents for vaccination following recent vaccine-related incidents in China. Potential preference heterogeneity was also explored among respondents. <b>Methods:</b> A discrete choice experiment was developed to elicit parental preferences regarding the key features of vaccines in 2019. The study recruited a national sample of parents from 10 provinces who had at least one child aged between 6 months and 5 years old. A conditional logit model and a mixed logit model were used to estimate parental preference. <b>Results:</b> A total of 598 parents completed the questionnaire; among them, 428 respondents who passed the rational tests were analyzed. All attributes except for the severity of diseases prevented by vaccines were statistically significant. The risk of severe side effects and protection rates were the two most important factors explaining parents’ decisions about vaccination. The results of the mixed logit model with interactions indicate that fathers or rural parents were more likely to vaccinate their children, and children whose health was not good were also more likely to be vaccinated. In addition, parents who were not more than 30 years old had a stronger preference for efficiency, and well-educated parents preferred imported vaccines with the lowest risk of severe side effects. <b>Conclusion:</b> When deciding about vaccinations for their children, parents in China are mostly driven by vaccination safety and vaccine effectiveness and were not affected by the severity of diseases. These findings will be useful for increasing the acceptability of vaccination in China. |
| first_indexed | 2024-03-10T14:50:11Z |
| format | Article |
| id | doaj.art-d6ae0cfe0d2e4a1683ec1adc4e86c033 |
| institution | Directory Open Access Journal |
| issn | 2076-393X |
| language | English |
| last_indexed | 2024-03-10T14:50:11Z |
| publishDate | 2020-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Vaccines |
| spelling | doaj.art-d6ae0cfe0d2e4a1683ec1adc4e86c0332023-11-20T21:06:41ZengMDPI AGVaccines2076-393X2020-11-018468710.3390/vaccines8040687Parental Vaccine Preferences for Their Children in China: A Discrete Choice ExperimentTiantian Gong0Gang Chen1Ping Liu2Xiaozhen Lai3Hongguo Rong4Xiaochen Ma5Zhiyuan Hou6Hai Fang7Shunping Li8Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, ChinaCentre for Health Economics, Monash Business School, Monash University, Melbourne 3145, AustraliaCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, ChinaSchool of Public Health, Peking University, Beijing 100083, ChinaChina Center for Health Development Studies, Peking University, Beijing 100083, ChinaChina Center for Health Development Studies, Peking University, Beijing 100083, ChinaSchool of Public Health, Fudan University, Shanghai 200032, ChinaChina Center for Health Development Studies, Peking University, Beijing 100083, ChinaCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China<strong>Background:</strong><span> </span>Vaccination is one of the most cost-effective health investments to prevent and control communicable diseases. Improving the vaccination rate of children is important for all nations, and for China in particular since the advent of the two-child policy. This study aims to elicit the stated preference of parents for vaccination following recent vaccine-related incidents in China. Potential preference heterogeneity was also explored among respondents. <b>Methods:</b> A discrete choice experiment was developed to elicit parental preferences regarding the key features of vaccines in 2019. The study recruited a national sample of parents from 10 provinces who had at least one child aged between 6 months and 5 years old. A conditional logit model and a mixed logit model were used to estimate parental preference. <b>Results:</b> A total of 598 parents completed the questionnaire; among them, 428 respondents who passed the rational tests were analyzed. All attributes except for the severity of diseases prevented by vaccines were statistically significant. The risk of severe side effects and protection rates were the two most important factors explaining parents’ decisions about vaccination. The results of the mixed logit model with interactions indicate that fathers or rural parents were more likely to vaccinate their children, and children whose health was not good were also more likely to be vaccinated. In addition, parents who were not more than 30 years old had a stronger preference for efficiency, and well-educated parents preferred imported vaccines with the lowest risk of severe side effects. <b>Conclusion:</b> When deciding about vaccinations for their children, parents in China are mostly driven by vaccination safety and vaccine effectiveness and were not affected by the severity of diseases. These findings will be useful for increasing the acceptability of vaccination in China.https://www.mdpi.com/2076-393X/8/4/687discrete choice experimentvaccineparental preference |
| spellingShingle | Tiantian Gong Gang Chen Ping Liu Xiaozhen Lai Hongguo Rong Xiaochen Ma Zhiyuan Hou Hai Fang Shunping Li Parental Vaccine Preferences for Their Children in China: A Discrete Choice Experiment Vaccines discrete choice experiment vaccine parental preference |
| title | Parental Vaccine Preferences for Their Children in China: A Discrete Choice Experiment |
| title_full | Parental Vaccine Preferences for Their Children in China: A Discrete Choice Experiment |
| title_fullStr | Parental Vaccine Preferences for Their Children in China: A Discrete Choice Experiment |
| title_full_unstemmed | Parental Vaccine Preferences for Their Children in China: A Discrete Choice Experiment |
| title_short | Parental Vaccine Preferences for Their Children in China: A Discrete Choice Experiment |
| title_sort | parental vaccine preferences for their children in china a discrete choice experiment |
| topic | discrete choice experiment vaccine parental preference |
| url | https://www.mdpi.com/2076-393X/8/4/687 |
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