Intention to Pay for Vaccination and Influencing Factors of General Residents: A National Cross-Sectional Study

Weixin Zhang, Xin Shen, Ting Li, Nan Li, Yanyan Sun, Siyu Zhu, Nana Liu, Huifang Song, Kun Tang, Yujia Wang, Ying Zhang, Hui Cao (), Yibo Wu (), Yong Gan () and Xinyao Zhang ()
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Weixin Zhang: Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun 130012, China
Xin Shen: Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
Ting Li: Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun 130012, China
Nan Li: Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun 130012, China
Yanyan Sun: Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun 130012, China
Siyu Zhu: Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun 130012, China
Nana Liu: Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun 130012, China
Huifang Song: Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun 130012, China
Kun Tang: Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun 130012, China
Yujia Wang: School of Humanities and Social Sciences, Harbin Medical University, Harbin 150081, China
Ying Zhang: School of Public Health, Shaanxi University of Chinese Medicine, Xi’an 712046, China
Hui Cao: Department of Labor Economics and Management, Beijing Vocational College of Labour and Social Security, Beijing 100029, China
Yibo Wu: School of Public Health, Peking University, Beijing 100083, China
Yong Gan: Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
Xinyao Zhang: Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun 130012, China

IJERPH, 2022, vol. 19, issue 18, 1-9

Abstract: Background: As an important part of the promotion of immunization programs and the suppression of infectious diseases, paid vaccines can prevent a variety of diseases and meet the needs of different populations. However, few studies focus on the public’s intention to pay for vaccination. Methods: The survey was conducted from 10 July to 15 September 2021, adopting a cross-sectional survey in China. We used a multi-stage sampling strategy to recruit participators from 120 cities. Participants filled out questions which assessed their intentions to pay for vaccination. A linear regression analysis was given to identify the predictors associated with the subjects’ attitudes. Results: There were 11,031 residents who finished our questionnaire. Chinese residents’ intention to receive paid vaccines scored 74.5 points. Residents who were male ( β = −0.03) and older (30–44 ( β = −0.03) or 45–59 ( β = −0.06) or ≥60 ( β = −0.08)), living alone ( β = −0.03), who had moderate to severe anxiety ( β = −0.03) or severe anxiety ( β = −0.03) were more likely to refuse vaccination, while those who lived in Western China ( β = 0.03) who had higher PSSS scores and HLS-SF12 index might acquire the intention to pay for vaccination. Conclusions: The study found that gender, age, region, living alone, anxiety, social support, and health literacy were the main influencing factors of residents’ attitudes. Governments and health institutions should take targeted measures to improve the health literacy and mental health of the population in order to facilitate the implementation of vaccination withdrawal and immunization policies.

Keywords: intention to pay for vaccination; intention; China; residents (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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