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Parental preference for Haemophilus influenzae type b vaccination in Zhejiang Province, China: A discrete choice experiment

BACKGROUND: China is the only country in the world that has not included the Haemophilus influenzae type b (Hib) vaccine in its National Immunization Program, making it more difficult to eliminate Hib-related diseases through Hib vaccination. It is necessary to study parental preferences for Hib vac...

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Autores principales: Wang, Xianglin, Feng, Yi, Zhang, Qian, Ye, Lihong, Cao, Man, Liu, Ping, Liu, Shimeng, Li, Shunping, Zhang, Juan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9710483/
https://www.ncbi.nlm.nih.gov/pubmed/36466507
http://dx.doi.org/10.3389/fpubh.2022.967693
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author Wang, Xianglin
Feng, Yi
Zhang, Qian
Ye, Lihong
Cao, Man
Liu, Ping
Liu, Shimeng
Li, Shunping
Zhang, Juan
author_facet Wang, Xianglin
Feng, Yi
Zhang, Qian
Ye, Lihong
Cao, Man
Liu, Ping
Liu, Shimeng
Li, Shunping
Zhang, Juan
author_sort Wang, Xianglin
collection PubMed
description BACKGROUND: China is the only country in the world that has not included the Haemophilus influenzae type b (Hib) vaccine in its National Immunization Program, making it more difficult to eliminate Hib-related diseases through Hib vaccination. It is necessary to study parental preferences for Hib vaccination to optimize vaccine promotion strategies in China. OBJECTIVE: This study aimed to investigate Chinese parental preference for five attributes of Hib vaccination, i.e., the place of origin, effectiveness, adverse event, doctors' recommendation, and the price of full vaccination when making a decision to vaccinate their children under 2 years old. METHODS: A cross-sectional survey was conducted in two cities in Zhejiang Province from November to December in 2020 using a discrete choice experiment (DCE). A mixed logit model was used to estimate participating parents' preference for Hib vaccination attributes included in the DCE. Subgroup analysis and probability analysis were also conducted to capture the heterogeneity and trade-off of parental preference for Hib vaccination. RESULTS: Data from 6,168 observations were included in the analyses. Parents of children are, on average, more likely to voice a positive preference for Hib vaccination. Such attributes of Hib vaccination as effectiveness and doctor's recommendation have a significant positive influence on parents' preference for Hib vaccination, while imported vaccines, adverse events, and the price of full vaccination have a significant negative influence on parents' preference. Parents with different demographic characteristics also existed heterogeneities in preference for Hib vaccination. Parents will make a trade-off on price if the Hib vaccine has a good performance on effectiveness and safety. CONCLUSION: The study found that, regardless of the place of origin of the Hib vaccine, parents with children under 2 years old prefer to compromise on price if the vaccine has a better effectiveness and safety profile. A proactive recommendation from doctors would strengthen their willingness for Hib vaccination. These findings help aid the development of communication strategies with parents for Hib vaccination in China.
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spelling pubmed-97104832022-12-01 Parental preference for Haemophilus influenzae type b vaccination in Zhejiang Province, China: A discrete choice experiment Wang, Xianglin Feng, Yi Zhang, Qian Ye, Lihong Cao, Man Liu, Ping Liu, Shimeng Li, Shunping Zhang, Juan Front Public Health Public Health BACKGROUND: China is the only country in the world that has not included the Haemophilus influenzae type b (Hib) vaccine in its National Immunization Program, making it more difficult to eliminate Hib-related diseases through Hib vaccination. It is necessary to study parental preferences for Hib vaccination to optimize vaccine promotion strategies in China. OBJECTIVE: This study aimed to investigate Chinese parental preference for five attributes of Hib vaccination, i.e., the place of origin, effectiveness, adverse event, doctors' recommendation, and the price of full vaccination when making a decision to vaccinate their children under 2 years old. METHODS: A cross-sectional survey was conducted in two cities in Zhejiang Province from November to December in 2020 using a discrete choice experiment (DCE). A mixed logit model was used to estimate participating parents' preference for Hib vaccination attributes included in the DCE. Subgroup analysis and probability analysis were also conducted to capture the heterogeneity and trade-off of parental preference for Hib vaccination. RESULTS: Data from 6,168 observations were included in the analyses. Parents of children are, on average, more likely to voice a positive preference for Hib vaccination. Such attributes of Hib vaccination as effectiveness and doctor's recommendation have a significant positive influence on parents' preference for Hib vaccination, while imported vaccines, adverse events, and the price of full vaccination have a significant negative influence on parents' preference. Parents with different demographic characteristics also existed heterogeneities in preference for Hib vaccination. Parents will make a trade-off on price if the Hib vaccine has a good performance on effectiveness and safety. CONCLUSION: The study found that, regardless of the place of origin of the Hib vaccine, parents with children under 2 years old prefer to compromise on price if the vaccine has a better effectiveness and safety profile. A proactive recommendation from doctors would strengthen their willingness for Hib vaccination. These findings help aid the development of communication strategies with parents for Hib vaccination in China. Frontiers Media S.A. 2022-11-02 /pmc/articles/PMC9710483/ /pubmed/36466507 http://dx.doi.org/10.3389/fpubh.2022.967693 Text en Copyright © 2022 Wang, Feng, Zhang, Ye, Cao, Liu, Liu, Li and Zhang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Wang, Xianglin
Feng, Yi
Zhang, Qian
Ye, Lihong
Cao, Man
Liu, Ping
Liu, Shimeng
Li, Shunping
Zhang, Juan
Parental preference for Haemophilus influenzae type b vaccination in Zhejiang Province, China: A discrete choice experiment
title Parental preference for Haemophilus influenzae type b vaccination in Zhejiang Province, China: A discrete choice experiment
title_full Parental preference for Haemophilus influenzae type b vaccination in Zhejiang Province, China: A discrete choice experiment
title_fullStr Parental preference for Haemophilus influenzae type b vaccination in Zhejiang Province, China: A discrete choice experiment
title_full_unstemmed Parental preference for Haemophilus influenzae type b vaccination in Zhejiang Province, China: A discrete choice experiment
title_short Parental preference for Haemophilus influenzae type b vaccination in Zhejiang Province, China: A discrete choice experiment
title_sort parental preference for haemophilus influenzae type b vaccination in zhejiang province, china: a discrete choice experiment
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9710483/
https://www.ncbi.nlm.nih.gov/pubmed/36466507
http://dx.doi.org/10.3389/fpubh.2022.967693
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